Average Medicaid Office Visit Payments in Fairfield, IL: $2.85
Avg. Paid
$2.85
Range
$0.00 – $57.43
Total Claims
82,275
Providers
12
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 Fairfield, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fairfield Memorial Hospital Association
213 Nw 10Th St |
$0.23 | 42,151 | 32,443 |
|
Christopher Greater Area Rural Health Planning Corporation
1007 W Main St |
$0.00 | 29,882 | 22,410 |
|
County Of Wayne
405 North Basin Road |
$12.04 | 5,464 | 4,952 |
|
Patrick L Molt
207 Nw 10Th St |
$22.82 | 2,917 | 2,583 |
|
Mervin Nigel Leader
844 County Road 2150 E |
$57.43 | 1,127 | 941 |
|
Christopher W Ballard
213 Nw 10Th Street |
$34.26 | 243 | 193 |
|
Misty D Stone
303 Nw 11Th St |
$53.34 | 230 | 207 |
|
Kimberly S King
303 Nw 11Th St |
$29.67 | 133 | 122 |
|
Susanne Remynse
303 Nw 11Th St |
$26.69 | 60 | 59 |
|
Marla K Lafikes
213 Nw 10Th St |
$28.45 | 36 | 33 |
|
Brent A Rudisel
503A N 1St St |
$0.00 | 20 | 20 |
|
Ross Herdes
213 Nw 10Th St |
$28.18 | 12 | 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 Fairfield, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fairfield, IL is $2.85 per claim, based on 82,275 claims from 12 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 Fairfield, IL?
There are 12 Medicaid providers offering Office Visit related services in Fairfield, IL according to public payment data.
What is the price range for Office Visit in Fairfield, IL?
Medicaid reimbursement for Office Visit in Fairfield, IL ranges from $0.00 to $57.43 per claim, with an average of $2.85. 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 Fairfield, IL
Emergency Room Visit
Avg $81.23
18,459 claims
Psychiatric Evaluation
Avg $18.84
15,309 claims
Blood Work & Lab Tests
Avg $4.39
12,323 claims
Speech Therapy
Avg $7.50
10,520 claims
Vaccines & Immunizations
Avg $6.70
7,336 claims
Ambulance Transport
Avg $111.29
5,397 claims
Non-Emergency Medical Transportation
Avg $6.88
3,066 claims
Durable Medical Equipment (DME)
Avg $52.79
2,677 claims