Average Medicaid Office Visit Payments in Eldorado, IL: $2.72
Avg. Paid
$2.72
Range
$0.00 – $147.95
Total Claims
128,717
Providers
17
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 Eldorado, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ferrell Hospital Community Foundation
1306 Maple St |
$0.00 | 38,384 | 29,096 |
|
Christopher Greater Area Rural Health Planning Corporation
1401 Us Highway 45 N |
$0.00 | 30,387 | 22,184 |
|
Harrisburg Medical Center Inc
1007 Us Route 45 |
$0.03 | 28,516 | 18,034 |
|
Ferrell Hospital Community Foundation
1300 Us Highway 45 N |
$0.00 | 10,430 | 7,915 |
|
Harrisburg Medical Center Inc
1007 Us Highway 45 N |
$0.00 | 8,270 | 7,260 |
|
Egyptian Health Department
1412 Us Highway 45 N |
$11.90 | 5,658 | 5,083 |
|
Joseph Jackson
1300 Us Highway 45 N |
$33.37 | 4,501 | 3,077 |
|
Jared D Mitchell
1306 Maple St |
$56.80 | 995 | 790 |
|
Caitlyn E Genet
1306 Maple St |
$63.55 | 650 | 617 |
|
Nathan Oldham
1201 Pine St |
$24.04 | 392 | 315 |
|
David A Gunzel
1201 Pine St |
$16.32 | 127 | 84 |
|
Loni J Banks
1201 Pine St |
$60.55 | 122 | 97 |
|
Luke Tyler Hall
1407 Locust St |
$33.08 | 98 | 73 |
|
Janna Reddy Pathi
1201 Pine St |
$20.07 | 66 | 50 |
|
Sidharth Chandra
1401 Us Highway 45 N |
$56.49 | 61 | 57 |
|
Samantha Mosby
1306 Maple St |
$147.95 | 42 | 40 |
|
Michael Anthony Blain
1401 Us Highway 45 N |
$49.22 | 18 | 18 |
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 Eldorado, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Eldorado, IL is $2.72 per claim, based on 128,717 claims from 17 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 Eldorado, IL?
There are 17 Medicaid providers offering Office Visit related services in Eldorado, IL according to public payment data.
What is the price range for Office Visit in Eldorado, IL?
Medicaid reimbursement for Office Visit in Eldorado, IL ranges from $0.00 to $147.95 per claim, with an average of $2.72. 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 Eldorado, IL
Substance Abuse Treatment
Avg $82.01
39,218 claims
Case Management Services
Avg $39.65
35,079 claims
Blood Work & Lab Tests
Avg $1.41
11,125 claims
Emergency Room Visit
Avg $66.72
10,841 claims
Speech Therapy
Avg $16.22
10,569 claims
Behavioral & Mental Health Therapy
Avg $285.91
5,419 claims
Durable Medical Equipment (DME)
Avg $58.47
4,556 claims
Psychiatric Evaluation
Avg $15.91
4,537 claims