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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Edwardsville, IL: $42.35

Avg. Paid

$42.35

Range

$0.78 – $282.35

Total Claims

12,184

Providers

25

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 Edwardsville, IL

Provider Avg. Paid Claims Patients
Sisay Michael Abraham

2122 Troy Rd Ste 130

 $62.78 2,085 1,748
Kaleena Galletta

3417 Anderson Healthcare Dr Ste 200

 $38.46 1,869 1,449
Charlotte Hope Albinson

2122 Troy Rd Ste 130

 $36.53 1,146 1,121
Adrienne Beth Kinney

2122 Troy Rd Ste 130

 $35.62 1,053 934
Olusegun A Coker

2122 Troy Rd Ste 130

 $49.62 912 786
Judy Kakra Abu Brown

1188 S State Route 157

 $0.78 696 664
Krista Nicole Nelson

235 S Main St Ste B

 $22.75 584 506
Mark Edward Freeman

103A Southpointe Dr Ste A

 $7.73 522 496
Leah Marie Trower

2122 Troy Rd Ste 130

 $39.03 516 447
Ranita R Keller

2122 Troy Rd Ste 130

 $46.08 398 337
Dane C Wallace

529 Hillsboro Ave

 $48.25 326 244
David Brian Yablonsky

1181 State Rt 157 Suite 200

 $50.96 312 301
Gerthy Cipus Pierre

1706 Cloverdale Dr

 $31.66 307 269
Jessica R Therien

2122 Troy Rd Ste 130

 $75.34 295 242
Janiece N Stewart

2 Club Centre Ct Ste 3

 $40.41 267 214
Megan M Cox

2122 Troy Rd Ste 130

 $74.79 233 191
Christy Weiss

1181 State Rt 157 Suite 200

 $32.13 167 151
Hollie A Yoder

2122 Troy Rd Ste 130

 $60.96 141 118
Catherine Louise Ash

2122 Troy Rd Ste 130

 $58.36 118 111
Emily A Yakel

3417 Anderson Healthcare Dr Ste 200

 $31.77 71 67
Angelina M Leitschuh

1181 S State Route 157 Ste 200

 $66.67 66 58
Elizabeth Ballinger

28 Meadow Rue Dr

 $282.35 34 34
Nueki Naate

1188 South State Route 157

 $67.61 32 29
Beth Ann Denmon

6616 Center Grove Rd.

 $36.95 19 14
Natalie J. Hutchison

2100 Troy Rd

 $30.78 15 15

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 Edwardsville, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edwardsville, IL is $42.35 per claim, based on 12,184 claims from 25 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 Edwardsville, IL?

There are 25 Medicaid providers offering Office Visit related services in Edwardsville, IL according to public payment data.

What is the price range for Office Visit in Edwardsville, IL?

Medicaid reimbursement for Office Visit in Edwardsville, IL ranges from $0.78 to $282.35 per claim, with an average of $42.35. 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

8,766,644 claims · 4540 providers

Las Vegas, NV

Avg $54.47

8,578,324 claims · 3512 providers

Other Procedures in Edwardsville, IL

Eye Exam

Avg $32.98

56,341 claims

Speech Therapy

Avg $11.69

40,642 claims

Non-Emergency Medical Transportation

Avg $16.56

23,011 claims

Physical Therapy

Avg $51.11

18,408 claims

Emergency Room Visit

Avg $73.47

12,093 claims

Ambulance Transport

Avg $195.66

3,555 claims

Psychiatric Evaluation

Avg $37.62

2,814 claims

Blood Work & Lab Tests

Avg $10.29

1,937 claims