Average Medicaid Office Visit Payments in Gibson City, IL: $36.88
Avg. Paid
$36.88
Range
$0.00 – $108.14
Total Claims
31,668
Providers
30
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 Gibson City, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christine Grundeman
1120 N Melvin St |
$59.78 | 5,268 | 4,613 |
|
Gibson Community Hospital Association
8 Doctors Park |
$0.02 | 4,273 | 3,367 |
|
Gibson Community Hospital Association
222 N Sangamon Ave |
$0.00 | 4,137 | 3,402 |
|
Natalie Weaver
10 Doctors Park |
$57.71 | 3,320 | 2,926 |
|
Gibson Community Hospital Association
3 Doctors Park |
$0.00 | 2,406 | 2,046 |
|
Ashlee Denae Morger
10 Doctors Park |
$77.57 | 2,229 | 1,951 |
|
Jeffrey A Lowe
10 Doctors Park |
$21.70 | 1,664 | 1,377 |
|
Katherine M Austman
10 Doctors Park |
$53.59 | 1,069 | 864 |
|
Gibson Community Hospital Association
7 Doctors Park |
$0.17 | 1,042 | 733 |
|
Wamaitha Sullivan
1120 N Melvin St |
$58.15 | 1,032 | 929 |
|
Benjamin Weger
10 Doctors Park |
$102.98 | 892 | 783 |
|
Joseph Yo Chung
No. 1 Doctors Park |
$40.94 | 848 | 791 |
|
Jonathan Shane Glickstein
1120 N Melvin St |
$54.79 | 668 | 597 |
|
Ernest Miller
10 Doctors Park |
$90.09 | 580 | 547 |
|
Chelsey Luke
7 Doctors Park |
$35.10 | 376 | 325 |
|
Kahlee Jones
201 E 8Th St |
$51.45 | 289 | 244 |
|
Trilok Shah
4 Doctors Park |
$48.35 | 264 | 237 |
|
Mark M Spangler
3 Doctors Park |
$29.65 | 253 | 225 |
|
Sohail Farshad
4 Doctors Park |
$80.81 | 249 | 209 |
|
Emily Ann Kosen
1120 N Melvin St |
$76.22 | 193 | 173 |
|
Brooke Rachelle Stewart
7 Doctors Park |
$108.14 | 154 | 136 |
|
Adam Paul Pena
1120 N Melvin St |
$0.00 | 129 | 126 |
|
Carrie Kirby
10 Doctors Park |
$58.50 | 87 | 76 |
|
Brenna Louise Schluter
1120 N Melvin St |
$75.22 | 79 | 71 |
|
Mary Ellen Allen
222 N Sangamon Ave |
$30.95 | 76 | 50 |
|
Mark A Cabelin
1120 N Melvin St |
$66.42 | 33 | 28 |
|
Molly Marie Clifton
10 Doctors Park |
$106.47 | 18 | 12 |
|
Stephanie Coffey
1120 N Melvin St |
$58.45 | 14 | 12 |
|
Brandy Caywood
3 Doctors Park |
$33.30 | 14 | 14 |
|
Patricia Belle
3 Doctors Park |
$69.72 | 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 Gibson City, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gibson City, IL is $36.88 per claim, based on 31,668 claims from 30 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 Gibson City, IL?
There are 30 Medicaid providers offering Office Visit related services in Gibson City, IL according to public payment data.
What is the price range for Office Visit in Gibson City, IL?
Medicaid reimbursement for Office Visit in Gibson City, IL ranges from $0.00 to $108.14 per claim, with an average of $36.88. 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 Gibson City, IL
Dental Cleaning & Exam
Avg $29.48
7,994 claims
Speech Therapy
Avg $14.28
7,860 claims
Psychiatric Evaluation
Avg $85.65
5,099 claims
Nursing Facility Care
Avg $15.69
4,358 claims
Physical Therapy
Avg $269.18
4,353 claims
Ambulance Transport
Avg $152.43
3,440 claims
Tooth Extraction
Avg $65.73
808 claims
Blood Work & Lab Tests
Avg $7.62
665 claims