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 |
|---|---|---|---|
|
Joseph W Spraul
903 Medical Park Dr |
$5.23 | 12 | 12 |
|
Emily Schultz Boll
802 Park Hills Dr |
$81.59 | 12 | 12 |
|
Angie D Yocom
414 W Virginia Ave |
$0.00 | 12 | 12 |
|
Christy C Hohenbary
903 Medical Park Dr |
$17.61 | 13 | 13 |
|
Kevin D Malone
1104 W Evergreen Ave |
$22.15 | 14 | 13 |
|
David J Kowalski
300 N Maple St |
$27.16 | 14 | 12 |
|
Andrew Poulos
900 W Temple Ave Ste 1500 |
$28.03 | 17 | 12 |
|
Kevin A Calder
900 W Temple Ave |
$50.25 | 29 | 26 |
|
Thomas Heischmidt
1106 N Merchant St |
$50.73 | 31 | 12 |
|
Pernankel D Nayak
414 W Virginia Ave |
$22.92 | 34 | 33 |
|
Casey Ellis Duncan
905 Medical Park Dr |
$30.43 | 46 | 38 |
|
Stephanie Gordon
912 N Henrietta St |
$84.40 | 46 | 40 |
|
Jayne A. Morrison
900 W Temple Ave Ste 205 |
$32.23 | 46 | 44 |
|
Hope E Knauer
300 N Maple St |
$4.88 | 47 | 39 |
|
Lisa Marie Sasso
901 Medical Park Dr Ste 100 |
$33.88 | 51 | 40 |
|
Eric William Simons
912 N Henrietta St |
$58.28 | 56 | 43 |
|
Nash H. Naam
901 Medical Park Dr Ste 100 |
$54.15 | 89 | 79 |
|
Erbert Caceres
300 N Maple St |
$25.46 | 93 | 77 |
|
Patrick Kyle Stewart
901 Medical Park Dr Ste 100 |
$30.44 | 105 | 92 |
|
Kevin Hsu
900 W Temple Ave |
$19.62 | 132 | 127 |
|
Stacia A Dennison
1303 W Evergreen Ave Ste 200 |
$46.66 | 141 | 127 |
|
Jennifer C Maneja
300 N Maple St |
$0.18 | 156 | 121 |
|
Katelyn Jule Klosterman
1303 W Evergreen Ave Ste 202 |
$79.03 | 161 | 138 |
|
Didi Omiyi
1303 W Evergreen Ave Ste 200 |
$27.88 | 208 | 151 |
|
Mildred S. Nelson
912 N Henrietta St |
$110.09 | 212 | 187 |
|
Elizabeth L Meinhart
801 W Temple Ave |
$48.60 | 212 | 199 |
|
Paul A Toofan
1001 Avenue Of Mid America |
$82.35 | 239 | 230 |
|
Kristina Lee Berg
401 N Mulberry St |
$60.90 | 252 | 229 |
|
Louis E Schwing Iv
1303 W Evergreen Ave Ste 202 |
$48.75 | 258 | 185 |
|
Sean F. Flynn
905 N Maple St Ste E |
$38.36 | 270 | 256 |
|
Jody L Schumacher
801 W Temple Ave |
$39.66 | 272 | 245 |
|
John B Powell
900 W Temple Ave Ste 2500 |
$27.17 | 279 | 255 |
|
Margo S Mcmahon
300 N Maple St |
$40.15 | 308 | 294 |
|
Frank M Eaton
503 N Maple St |
$32.20 | 348 | 295 |
|
Jeffrey Brummer
1106 N Merchant St |
$9.32 | 354 | 98 |
|
Bashar Alzahabi
900 W Temple Ave |
$8.81 | 365 | 334 |
|
Susan Dunlap
15650 N Blue Point Trl |
$0.31 | 366 | 180 |
|
John Hong Suk Yang
300 N Maple St |
$22.75 | 387 | 360 |
|
Jessica Jean Prange
503 N Maple St |
$21.44 | 414 | 386 |
|
Fatima Ahmad
600 N Keller Dr |
$33.81 | 415 | 390 |
|
Kathleen Weber
801 W Temple Ave |
$47.82 | 458 | 424 |
|
David J Bitzer
904 Medical Park Dr |
$21.63 | 470 | 462 |
|
Kayla R Deters
1303 W Evergreen Ave Ste 200 |
$57.68 | 520 | 472 |
|
Shawn Marlene Nies
503 N Maple St |
$36.98 | 521 | 398 |
|
Toofan Medical Holdings, Ltd.
1001 Avenue Of Mid America Ste 4 |
$0.00 | 535 | 499 |
|
Danielle Mayhaus
1303 W Evergreen Ave Ste 100 |
$54.07 | 549 | 477 |
|
Abby Elizabeth Welsh
1303 W Evergreen Ave Ste 203 |
$59.72 | 628 | 547 |
|
Jeemin Eversole
1106 N Merchant St |
$58.94 | 664 | 592 |
|
Timothy J Gray
1303 W Evergreen Ave Ste 200 |
$23.34 | 729 | 616 |
|
Lana D Schmidt
300 N Maple St |
$24.49 | 733 | 681 |
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
8,766,644 claims · 4540 providers
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