Average Medicaid Office Visit Payments in Godfrey, IL: $23.17
Avg. Paid
$23.17
Range
$0.01 – $68.94
Total Claims
36,160
Providers
13
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 Godfrey, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Melissa Kay Lee
5213 Godfrey Rd Ste 110 |
$45.20 | 16 | 14 |
|
Tracie Lynn Eilerman
5213 Godfrey Rd Ste 110 |
$53.26 | 25 | 24 |
|
Andrew Ibisch
1310 Dadrian Prof Park |
$32.66 | 27 | 26 |
|
Lori Paige Balchik
6702 Godfrey Rd |
$68.94 | 67 | 64 |
|
Mary Elizabeth Pagano
5213 Godfrey Rd Ste 110 |
$54.78 | 189 | 186 |
|
Sarah Ann Becker
5520 Godfrey Rd |
$41.02 | 240 | 238 |
|
Jon Anthony Wagnon
1368 Dadrian Professional Park |
$38.50 | 1,057 | 853 |
|
Michael Robert Messmer
5213 Godfrey Rd Ste 110 |
$53.62 | 1,382 | 1,179 |
|
Lisa K James
5213 Godfrey Rd Ste 110 |
$61.97 | 1,401 | 1,188 |
|
Kristine M Costello
5213 Godfrey Rd Ste 110 |
$48.98 | 1,419 | 1,192 |
|
Kathryn F Mckenna
5213 Godfrey Rd Ste 110 |
$60.26 | 3,245 | 2,903 |
|
Yusuf Ata Mohyuddin
1311 Dadrian Professional Park |
$55.64 | 6,166 | 5,532 |
|
Osf Healthcare System
6702 Godfrey Rd |
$0.01 | 20,926 | 18,302 |
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 Godfrey, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Godfrey, IL is $23.17 per claim, based on 36,160 claims from 13 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 Godfrey, IL?
There are 13 Medicaid providers offering Office Visit related services in Godfrey, IL according to public payment data.
What is the price range for Office Visit in Godfrey, IL?
Medicaid reimbursement for Office Visit in Godfrey, IL ranges from $0.01 to $68.94 per claim, with an average of $23.17. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Godfrey, IL
Eye Exam
Avg $29.96
26,308 claims
Physical Therapy
Avg $8.76
17,702 claims
Emergency Room Visit
Avg $68.47
7,210 claims
Nursing Facility Care
Avg $3.13
6,510 claims
Vaccines & Immunizations
Avg $1.98
2,468 claims
Speech Therapy
Avg $32.94
1,509 claims
Blood Work & Lab Tests
Avg $5.97
1,340 claims
Dental Cleaning & Exam
Avg $32.86
408 claims