Average Medicaid Office Visit Payments in East Saint Louis, IL: $5.98
Avg. Paid
$5.98
Range
$0.00 – $60.08
Total Claims
69,103
Providers
18
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 Saint Louis, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southern Illinois Healthcare Foundation, Inc.
2001 State St |
$0.00 | 47,084 | 37,778 |
|
East Side Health District
638 N 20Th St |
$35.94 | 6,786 | 5,909 |
|
Southern Illinois Healthcare Foundation, Inc.
2568 N 41St St |
$0.00 | 5,300 | 4,277 |
|
Narsimha R Muddasani
100 N 8Th St |
$29.21 | 3,208 | 2,846 |
|
Southern Illinois Regional Wellness Center
1736 Kingshighway |
$0.42 | 2,560 | 2,208 |
|
Southern Illinois Health Care Foundation, Inc.
505 S 8Th St |
$0.00 | 1,103 | 806 |
|
Howard Franklin Jackson
4601 State St |
$21.58 | 831 | 719 |
|
Erin Brigid Alcazar
2420 State St |
$60.08 | 555 | 535 |
|
Charles V Nye
129 N 8Th St |
$21.65 | 551 | 522 |
|
Southern Illinois Healthcare Foundation, Inc.
3939 Caseyville Ave |
$0.00 | 415 | 343 |
|
Natascha R Jeffries
100 N 8Th St Ste 120 |
$1.99 | 228 | 121 |
|
Dolores J Gunn
2001 State St |
$0.25 | 188 | 90 |
|
Kayla Ann Pryor
2001 State St |
$40.75 | 136 | 132 |
|
Denise J Krone
2001 State St |
$33.31 | 65 | 40 |
|
Terica Meeks
2420 State St |
$18.70 | 31 | 29 |
|
Tierra Q Smith
100 N 8Th St Ste 120 |
$40.63 | 31 | 27 |
|
Yolanda L Hoag
2001 State St |
$29.29 | 18 | 17 |
|
Myjal Garner
601 James R Thompson Blvd Ste 2015 |
$40.53 | 13 | 12 |
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 Saint Louis, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Saint Louis, IL is $5.98 per claim, based on 69,103 claims from 18 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 Saint Louis, IL?
There are 18 Medicaid providers offering Office Visit related services in East Saint Louis, IL according to public payment data.
What is the price range for Office Visit in East Saint Louis, IL?
Medicaid reimbursement for Office Visit in East Saint Louis, IL ranges from $0.00 to $60.08 per claim, with an average of $5.98. 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
13,269,420 claims · 4233 providers
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 Saint Louis, IL
Case Management Services
Avg $80.25
32,208 claims
Vaccines & Immunizations
Avg $0.05
17,592 claims
Speech Therapy
Avg $14.05
13,716 claims
Emergency Room Visit
Avg $67.32
11,655 claims
Substance Abuse Treatment
Avg $105.33
9,519 claims
Dental Cleaning & Exam
Avg $33.61
7,610 claims
Blood Work & Lab Tests
Avg $1.63
7,028 claims
Nursing Facility Care
Avg $13.89
6,483 claims