Average Medicaid Office Visit Payments in Galesburg, IL: $42.87
Avg. Paid
$42.87
Range
$0.00 – $322.22
Total Claims
222,051
Providers
97
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 Galesburg, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elizabeth J Puthenveetil
1707 N Henderson St |
$42.07 | 20,063 | 15,181 |
|
St Mary Medical Center
695 N Kellogg St |
$0.00 | 12,362 | 11,762 |
|
Sharon L Marguglio
695 N Kellogg St |
$37.90 | 11,767 | 11,290 |
|
St Mary Medical Center
834 N Seminary St |
$0.00 | 11,401 | 9,824 |
|
Roger D. Sloan
3375 N Seminary St |
$51.07 | 10,371 | 8,774 |
|
Amy S Larson
834 N Seminary St |
$46.22 | 10,210 | 7,418 |
|
Frank Peppers
834 N Seminary St |
$48.57 | 9,887 | 7,521 |
|
Valerie Flacco
3375 N Seminary St |
$53.92 | 8,445 | 7,005 |
|
St Mary Medical Center
3315 N Seminary St |
$0.00 | 7,194 | 6,032 |
|
Julio A Santiago
256 S Soangetaha Rd |
$53.47 | 7,124 | 5,278 |
|
Knox Community Health Center Nfp
1361 W Fremont St |
$0.42 | 7,026 | 5,599 |
|
Annevay Conlee
3375 N Seminary St |
$53.45 | 6,392 | 5,360 |
|
Susie Marie Avery
1887 Sunset Dr |
$322.22 | 5,598 | 4,591 |
|
Robert Currie
834 N Seminary St |
$26.94 | 3,812 | 2,848 |
|
Yan Liu
3315 N Seminary St |
$55.42 | 3,810 | 3,311 |
|
Jeffrey D Hershkowitz
3315 N Seminary St |
$54.21 | 3,802 | 3,257 |
|
Usman A Cheema
3375 N Seminary St |
$28.62 | 3,778 | 3,459 |
|
Mark A Meeker
3315 N Seminary St |
$61.89 | 3,392 | 2,836 |
|
Lorraine Ann Garland
834 N Seminary St |
$44.62 | 3,235 | 2,303 |
|
Jeremiah Francis Bushmaker
3315 N Seminary St |
$21.75 | 3,216 | 2,547 |
|
Krystal L Nelson
3375 N Seminary St |
$57.23 | 3,133 | 2,905 |
|
Steven G Potaczek
3315 N Seminary St |
$30.60 | 3,098 | 2,668 |
|
Deprince Cardenas
695 N Kellogg St |
$43.83 | 2,785 | 2,690 |
|
Marc Katchen
765 N Kellogg St |
$29.76 | 2,769 | 2,446 |
|
Dina B Witter
311 E Main St Ste 409 |
$17.73 | 2,705 | 2,179 |
|
Heather Godsil
834 N Seminary St Ste 201 |
$45.70 | 2,328 | 1,700 |
|
Gregory A Schierer
834 N Seminary St |
$25.91 | 2,221 | 1,819 |
|
County Of Knox
1361 W Fremont St |
$11.97 | 2,025 | 1,733 |
|
Shana Rae Holman
2762 Springer Rd Apt 8 |
$50.77 | 1,963 | 1,770 |
|
Robin Cooper
3375 N Seminary St |
$42.35 | 1,929 | 1,772 |
|
Thomas J Whittle
3315 N Seminary St |
$22.27 | 1,893 | 1,578 |
|
Heidi Renee Riley
3375 N Seminary St |
$30.21 | 1,791 | 1,718 |
|
Stephanie Mcmaken
834 N Seminary St |
$46.99 | 1,750 | 1,504 |
|
Taylor Jordan Green
834 N Seminary St |
$39.30 | 1,707 | 1,678 |
|
Leah Nelson
3315 N Seminary St |
$46.71 | 1,620 | 1,503 |
|
Craig James Wilson
834 N Seminary St Ste 102 |
$41.37 | 1,612 | 1,444 |
|
Robert Wagner
1361 W Fremont St |
$44.90 | 1,585 | 1,116 |
|
Parthasarathy Srinivasan
834 N Seminary St Ste 501 |
$36.90 | 1,545 | 1,405 |
|
Cynthia Perez Mangubat
3315 N. Seminary St. Ste 206 207 208 |
$14.85 | 1,476 | 1,042 |
|
Christina J Chambers
834 N Seminary St Ste 201 |
$50.85 | 1,454 | 1,150 |
|
Kishorbhai K Patel
3315 N Seminary St |
$24.10 | 1,331 | 1,271 |
|
Serge Peter Marinkovic
3315 N Seminary St |
$36.34 | 1,292 | 1,182 |
|
Bethany Mcgraw
3315 N Seminary St |
$47.95 | 1,262 | 1,119 |
|
Jennifer Plue
3375 N Seminary St |
$51.37 | 1,234 | 1,142 |
|
Tara Lucas
834 N Seminary St |
$59.23 | 1,196 | 1,001 |
|
Alivia Renea Derham
3375 N Seminary St |
$34.43 | 1,173 | 1,107 |
|
Leaanna Jean Cauthon
834 North Seminary Street |
$50.93 | 1,101 | 1,020 |
|
Emily L Dechow
834 N. Seminary St. |
$55.47 | 1,084 | 984 |
|
Keith Peachey
834 N Seminary St |
$40.58 | 1,077 | 983 |
|
Vladimir Strunin
3315 N Seminary St |
$56.04 | 995 | 876 |
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 Galesburg, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Galesburg, IL is $42.87 per claim, based on 222,051 claims from 97 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 Galesburg, IL?
There are 97 Medicaid providers offering Office Visit related services in Galesburg, IL according to public payment data.
What is the price range for Office Visit in Galesburg, IL?
Medicaid reimbursement for Office Visit in Galesburg, IL ranges from $0.00 to $322.22 per claim, with an average of $42.87. 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 Galesburg, IL
Blood Work & Lab Tests
Avg $4.29
438,002 claims
Urinalysis & Urine Tests
Avg $2.70
100,454 claims
Speech Therapy
Avg $9.24
71,205 claims
Ambulance Transport
Avg $137.29
52,129 claims
Culture & Microbiology Tests
Avg $3.79
39,925 claims
Home Health Visit
Avg $153.31
33,935 claims
Vaccines & Immunizations
Avg $10.01
27,597 claims
EKG / ECG (Electrocardiogram)
Avg $9.04
22,908 claims