Average Medicaid Office Visit Payments in Harrisburg, IL: $5.14
Avg. Paid
$5.14
Range
$0.00 – $75.29
Total Claims
148,399
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 Harrisburg, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southern Illinois Medical Services, Nfp
117 E Clark St |
$0.00 | 124,217 | 92,081 |
|
Catherine R Nevels
117 E Clark St |
$33.70 | 6,855 | 6,275 |
|
Danielle Baker
901 S Commercial St |
$48.92 | 3,777 | 3,427 |
|
Community Health & Emergency Services, Inc
205 N Main St |
$0.05 | 3,333 | 2,136 |
|
Ferrell Hospital Community Foundation
716 S Commercial St |
$0.17 | 2,802 | 2,500 |
|
Opal K Osman
117 E Clark St |
$67.09 | 2,365 | 1,901 |
|
Amy Marie Quertermous
30 Veterans Dr |
$22.67 | 1,547 | 1,419 |
|
Diana Vaughn
117 E Clark St |
$48.54 | 955 | 893 |
|
Turenne M Metayer
117 E Clark St |
$33.66 | 761 | 645 |
|
Kimberly Ann Keser
117 E Clark St |
$75.29 | 631 | 529 |
|
Charli Walter Leroy Smith
608 Rollie Moore Dr |
$37.97 | 354 | 296 |
|
Clayton T Ford
716 S Commercial St |
$49.79 | 251 | 221 |
|
Matthew C Winkleman
117 E Clark St |
$0.00 | 107 | 67 |
|
Brahm Jyot
117 E Clark St |
$21.09 | 98 | 80 |
|
Maureen Raddatz
5 Eye Center Dr |
$30.68 | 84 | 76 |
|
Brent M Jones
117 E Clark St |
$14.36 | 72 | 53 |
|
Matthew Blaine Eubanks
117 E Clark St |
$0.00 | 58 | 37 |
|
Jason West
117 E Clark St |
$0.00 | 34 | 18 |
|
Benna Kaye Daugherty
960 S Commercial St |
$16.00 | 26 | 25 |
|
Jessica Oakley
117 E Clark St |
$0.00 | 24 | 13 |
|
Kari Nicole Koster
205 N Main St |
$34.79 | 18 | 18 |
|
Adam M Vargo
117 E Clark St |
$2.50 | 17 | 12 |
|
Timothy E Morthland
100 Dr Warren Tuttle Dr |
$49.04 | 13 | 13 |
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 Harrisburg, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Harrisburg, IL is $5.14 per claim, based on 148,399 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 Harrisburg, IL?
There are 23 Medicaid providers offering Office Visit related services in Harrisburg, IL according to public payment data.
What is the price range for Office Visit in Harrisburg, IL?
Medicaid reimbursement for Office Visit in Harrisburg, IL ranges from $0.00 to $75.29 per claim, with an average of $5.14. 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 Harrisburg, IL
Eye Exam
Avg $26.87
22,213 claims
X-Ray
Avg $6.18
21,421 claims
Ambulance Transport
Avg $160.16
18,422 claims
Durable Medical Equipment (DME)
Avg $73.90
17,088 claims
Emergency Room Visit
Avg $66.38
17,058 claims
Vaccines & Immunizations
Avg $0.00
13,516 claims
Speech Therapy
Avg $15.50
11,288 claims
CT Scan (Computed Tomography)
Avg $50.81
5,184 claims