Average Medicaid Office Visit Payments in East Peoria, IL: $43.40
Avg. Paid
$43.40
Range
$12.35 – $318.75
Total Claims
7,893
Providers
16
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in East Peoria, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adebimpe Favour Erebholo
3300 N Main St |
$318.75 | 17 | 16 |
|
Brittany Anne Mcgill
133 Spinder Dr Ste 4015 |
$12.35 | 39 | 39 |
|
Joshua A Larson
133 Spinder Dr Ste 4015 |
$50.18 | 66 | 66 |
|
Liliane Akimpaye
133 Spinder Dr |
$162.21 | 112 | 106 |
|
Delanie Lynn Fletcher
133 Spinder Dr |
$31.17 | 133 | 130 |
|
Mary Kathleen Yoder
300 N Main St |
$40.48 | 136 | 135 |
|
Dustin Brooks
127 Stewart St |
$30.28 | 174 | 168 |
|
Brandy J Coleman
133 Spinder Dr |
$46.96 | 177 | 146 |
|
Jennifer Christine Alexander
2511 N Main St |
$88.84 | 330 | 156 |
|
Leah Marie Stewart
335 Oakwood Ave |
$25.92 | 460 | 446 |
|
Freddy A Escorcia
117 Heatherview Dr |
$48.16 | 469 | 421 |
|
Kerri Jean Schafer
133 Spinder Dr |
$46.23 | 496 | 455 |
|
Deidra Diane Anderson
133 Spinder Dr |
$34.13 | 777 | 750 |
|
Tara Lynn Martin
133 Spinder Dr |
$39.56 | 1,085 | 1,070 |
|
Lauren Wiseman
133 Spinder Dr |
$33.20 | 1,616 | 1,578 |
|
Jessica K Albert
133 Spinder Dr |
$45.47 | 1,806 | 1,750 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in East Peoria, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Peoria, IL is $43.40 per claim, based on 7,893 claims from 16 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in East Peoria, IL?
There are 16 Medicaid providers offering Office Visit related services in East Peoria, IL according to public payment data.
What is the price range for Office Visit in East Peoria, IL?
Medicaid reimbursement for Office Visit in East Peoria, IL ranges from $12.35 to $318.75 per claim, with an average of $43.40. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in East Peoria, IL
Dental Cleaning & Exam
Avg $33.69
75,236 claims
Speech Therapy
Avg $13.37
37,212 claims
Substance Abuse Treatment
Avg $86.04
15,891 claims
Ambulance Transport
Avg $520.05
14,578 claims
Non-Emergency Medical Transportation
Avg $17.53
7,463 claims
Physical Therapy
Avg $55.61
4,185 claims
Psychiatric Evaluation
Avg $73.26
3,509 claims
Emergency Room Visit
Avg $38.74
2,692 claims