Average Medicaid Office Visit Payments in Effingham, IL: $14.39
Avg. Paid
$14.39
Range
$0.00 – $110.09
Total Claims
198,246
Providers
86
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 Effingham, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Family Care Associates Of Effingham, S.C.
1106 N Merchant St |
$0.05 | 59,184 | 46,993 |
|
Effingham Obstetrics And Gynecology Associates Pllc
912 N Henrietta St |
$0.06 | 23,684 | 16,913 |
|
Springfield Clinic Llp
300 N Maple St |
$0.04 | 19,340 | 15,005 |
|
Southern Illinois Healthcare Foundation Inc
900 W Temple Ave |
$0.00 | 16,712 | 12,911 |
|
County Of Effingham
901 W Virginia Ave |
$11.70 | 7,494 | 6,326 |
|
Philip A Dy
905 Medical Park Dr |
$22.47 | 6,005 | 4,853 |
|
Hanna M Saba
905 Medical Park Dr |
$24.08 | 4,727 | 3,675 |
|
Douglas Kabbes
1303 W Evergreen Ave Ste 100 |
$49.86 | 3,929 | 3,208 |
|
Hshs Medical Group Inc
900 W Temple Ave Ste 1500 |
$0.00 | 3,530 | 2,986 |
|
Arvinder Kaur Arora
401 N Mulberry St |
$69.77 | 3,150 | 2,433 |
|
Lindsay Glover
1303 W Evergreen Ave Ste 100 |
$38.73 | 2,978 | 2,869 |
|
Anthony H Guarino
901 Medical Park Dr Ste 200 |
$50.96 | 2,926 | 2,307 |
|
Shannon E Niebrugge
609 N Cleveland St |
$46.44 | 2,851 | 2,741 |
|
Cheryl Lynn Lamb
503 N Maple St |
$51.78 | 2,731 | 2,487 |
|
Bethany Renee Stone
503 N Maple St |
$52.40 | 2,378 | 2,108 |
|
Narinder S. Arora
401 N Mulberry St |
$70.12 | 2,114 | 1,762 |
|
Michele K. Hartke
301 W Virginia Ave |
$61.36 | 1,804 | 1,174 |
|
Paul D. Oltman
905 N Maple St Ste D |
$63.41 | 1,789 | 1,357 |
|
Megan J Steffen
1303 W Evergreen Ave Ste 203 |
$64.62 | 1,648 | 1,320 |
|
Mid-Illinois Medical Care Associates, Llc
512 N Maple St |
$0.00 | 1,333 | 1,011 |
|
Kathryn Michelle Rincker
503 N Maple St |
$20.95 | 1,292 | 837 |
|
Jennifer Jean Hess
1303 W Evergreen Ave Ste 200 |
$30.26 | 1,204 | 938 |
|
Shelly L Kuhns
602 W Franklin Ave |
$57.75 | 1,197 | 1,068 |
|
Frank S Lee
1303 W Evergreen Ave Ste 200 |
$24.04 | 1,192 | 1,066 |
|
Effingham Obstetrics & Gynecology Associates Sc
912 N Henrietta St |
$0.00 | 1,113 | 1,027 |
|
Nitin Kumar
900 W Temple Ave Ste 2500 |
$27.99 | 1,050 | 977 |
|
Dominic Charles Imburgia
901 N Maple St |
$12.43 | 1,029 | 895 |
|
Navdip Singh Arora
401 N Mulberry St |
$43.48 | 950 | 813 |
|
Joseph M Ajdinovich
1303 W Evergreen Ave Ste 200 |
$32.00 | 928 | 781 |
|
Masoor Kamalesh
503 N Maple St |
$18.29 | 890 | 838 |
|
Cory J Hess
1303 W Evergreen Ave Ste 201 |
$43.21 | 821 | 776 |
|
Sheri Barnett
503 N Maple St |
$26.08 | 816 | 776 |
|
Fred Richardson
904 Medical Park Dr |
$57.43 | 800 | 641 |
|
Kendra Zerrusen
905 N Maple St Ste E |
$45.46 | 783 | 739 |
|
Susan Lynn Lamonica
900 W Temple Ave Ste 1500 |
$48.07 | 781 | 627 |
|
Radhika Annam
500 N. Maple St. |
$47.63 | 770 | 723 |
|
Lana D Schmidt
300 N Maple St |
$24.49 | 733 | 681 |
|
Timothy J Gray
1303 W Evergreen Ave Ste 200 |
$23.34 | 729 | 616 |
|
Jeemin Eversole
1106 N Merchant St |
$58.94 | 664 | 592 |
|
Abby Elizabeth Welsh
1303 W Evergreen Ave Ste 203 |
$59.72 | 628 | 547 |
|
Danielle Mayhaus
1303 W Evergreen Ave Ste 100 |
$54.07 | 549 | 477 |
|
Toofan Medical Holdings, Ltd.
1001 Avenue Of Mid America Ste 4 |
$0.00 | 535 | 499 |
|
Shawn Marlene Nies
503 N Maple St |
$36.98 | 521 | 398 |
|
Kayla R Deters
1303 W Evergreen Ave Ste 200 |
$57.68 | 520 | 472 |
|
David J Bitzer
904 Medical Park Dr |
$21.63 | 470 | 462 |
|
Kathleen Weber
801 W Temple Ave |
$47.82 | 458 | 424 |
|
Fatima Ahmad
600 N Keller Dr |
$33.81 | 415 | 390 |
|
Jessica Jean Prange
503 N Maple St |
$21.44 | 414 | 386 |
|
John Hong Suk Yang
300 N Maple St |
$22.75 | 387 | 360 |
|
Susan Dunlap
15650 N Blue Point Trl |
$0.31 | 366 | 180 |
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 Effingham, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Effingham, IL is $14.39 per claim, based on 198,246 claims from 86 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 Effingham, IL?
There are 86 Medicaid providers offering Office Visit related services in Effingham, IL according to public payment data.
What is the price range for Office Visit in Effingham, IL?
Medicaid reimbursement for Office Visit in Effingham, IL ranges from $0.00 to $110.09 per claim, with an average of $14.39. 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 Effingham, IL
Durable Medical Equipment (DME)
Avg $57.09
71,195 claims
Dental Cleaning & Exam
Avg $25.24
59,492 claims
Blood Work & Lab Tests
Avg $5.23
52,964 claims
Case Management Services
Avg $77.01
52,417 claims
Speech Therapy
Avg $17.82
50,941 claims
Home Health Visit
Avg $190.60
49,095 claims
Behavioral & Mental Health Therapy
Avg $62.18
37,836 claims
Psychiatric Evaluation
Avg $41.17
36,046 claims