Average Medicaid Office Visit Payments in Galena, IL: $22.36
Avg. Paid
$22.36
Range
$0.00 – $85.06
Total Claims
27,865
Providers
16
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 Galena, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Matthew Paul Gullone
One Medical Center Dr |
$41.93 | 14 | 14 |
|
Peter M. Colegrove
1 Medical Center Dr |
$35.85 | 15 | 15 |
|
Michael J Wells
1 Medical Center Dr |
$28.84 | 15 | 12 |
|
Mary C Koenigs
10988 Bartel Blvd |
$45.42 | 19 | 17 |
|
Greg Harmston
1 Medical Center Dr |
$46.56 | 29 | 27 |
|
Moiz Hassan
1 Medical Center Dr |
$31.81 | 43 | 31 |
|
Elizabeth Ann Gullone
One Medical Center Dr |
$30.32 | 86 | 76 |
|
Gene Allen Crist
10988 Bartel Blvd |
$38.81 | 159 | 142 |
|
Victoria Brueggert
1 Medical Center Dr |
$85.06 | 200 | 168 |
|
Lisa Ann Bourquin
1 Medical Center Dr |
$31.67 | 286 | 255 |
|
Jo Daviess County Health Department
9483 W Us Highway 20 |
$11.82 | 412 | 344 |
|
Gregory Dammann
1 Medical Center Dr |
$23.31 | 500 | 431 |
|
Kenneth L Schiffman
1 Medical Center Dr |
$30.96 | 551 | 456 |
|
Gregory Andrew Vandigo
10988 Bartel Blvd |
$44.83 | 3,859 | 3,296 |
|
Midwest Medical Center
1 Medical Center Dr |
$0.00 | 10,503 | 7,846 |
|
Maria Socorro Hernandez
10988 Bartel Blvd |
$33.69 | 11,174 | 9,552 |
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 Galena, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Galena, IL is $22.36 per claim, based on 27,865 claims from 16 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 Galena, IL?
There are 16 Medicaid providers offering Office Visit related services in Galena, IL according to public payment data.
What is the price range for Office Visit in Galena, IL?
Medicaid reimbursement for Office Visit in Galena, IL ranges from $0.00 to $85.06 per claim, with an average of $22.36. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Galena, IL
Speech Therapy
Avg $10.04
4,480 claims
Home Health Visit
Avg $21.75
4,251 claims
Personal Care Services
Avg $43.60
3,021 claims
Dental Cleaning & Exam
Avg $25.18
1,961 claims
Psychiatric Evaluation
Avg $31.02
1,787 claims
Physical Therapy
Avg $188.26
1,755 claims
Eye Exam
Avg $18.49
1,090 claims
Vaccines & Immunizations
Avg $1.45
665 claims