Average Medicaid Office Visit Payments in Glen Carbon, IL: $54.99
Avg. Paid
$54.99
Range
$7.00 – $81.09
Total Claims
30,382
Providers
23
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 Glen Carbon, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jim Hong
104 Magnolia Dr Ste A |
$61.11 | 11,700 | 10,334 |
|
Staci R Young
4804 S State Route 159 |
$63.30 | 4,030 | 3,161 |
|
Peter J Anderson
4804 S State Route 159 Ste 10 |
$37.20 | 2,357 | 1,956 |
|
Stephanie N Lorts
4804 South State Route 159 |
$55.72 | 2,087 | 1,903 |
|
Toni Lee Ostmann
17 Ginger Creek Mdws |
$42.95 | 1,466 | 1,283 |
|
Valerie J Griffin
6 Gray Cub Ct |
$54.69 | 1,459 | 1,344 |
|
David Brian Herman
2160 S State Route 157 |
$48.98 | 1,301 | 1,117 |
|
Craig A Beyer
4802 S State Route 159 |
$37.97 | 1,182 | 1,039 |
|
Bryson Whalen
2246 S State Route 157 Ste 100 |
$70.06 | 865 | 657 |
|
James Sola
4802 S State Route 159 |
$20.94 | 562 | 495 |
|
Dennis M Hurford
2246 S State Route 157 Ste 100 |
$78.47 | 510 | 410 |
|
Kristen James
2246 S State Route 157 Ste 100 |
$75.71 | 505 | 354 |
|
Abiodun Sangoseni
17 Ginger Creek Mdws |
$31.83 | 498 | 445 |
|
Lizbeth Hoepli Didriksen
2160 S State Route 157 |
$54.59 | 478 | 430 |
|
David Shiyu Zhu
4802 S State Route 159 |
$42.13 | 388 | 333 |
|
Kevin Michael Scharff
2246 Illinois State Route 157 |
$49.53 | 232 | 139 |
|
Michael Francis Gowen
4573 Benes Road |
$24.30 | 199 | 193 |
|
Paul J Scherer
4804 S State Route 159 Ste 10 |
$20.83 | 135 | 124 |
|
Jennifer Susan Hulsen
2160 So Ill Rt 157 |
$49.90 | 128 | 117 |
|
Angela Leigh Bard Kaericher
2160 S State Route 157 |
$50.35 | 123 | 103 |
|
George T Nahass
4573 Benes Ave |
$7.00 | 103 | 103 |
|
April Noel Oehl
320 Deer Run Ln |
$81.09 | 42 | 41 |
|
Timothy J Penn
4802 S State Route 159 |
$18.94 | 32 | 30 |
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 Glen Carbon, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Glen Carbon, IL is $54.99 per claim, based on 30,382 claims from 23 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 Glen Carbon, IL?
There are 23 Medicaid providers offering Office Visit related services in Glen Carbon, IL according to public payment data.
What is the price range for Office Visit in Glen Carbon, IL?
Medicaid reimbursement for Office Visit in Glen Carbon, IL ranges from $7.00 to $81.09 per claim, with an average of $54.99. 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 Glen Carbon, IL
Substance Abuse Treatment
Avg $78.29
25,978 claims
Emergency Room Visit
Avg $53.18
13,631 claims
Eye Exam
Avg $30.33
7,157 claims
Dental Cleaning & Exam
Avg $30.23
6,136 claims
Speech Therapy
Avg $17.03
2,113 claims
Vaccines & Immunizations
Avg $12.16
1,236 claims
Nursing Facility Care
Avg $20.53
1,230 claims
Urinalysis & Urine Tests
Avg $12.64
1,189 claims