Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Herrin, IL: $14.61

Avg. Paid

$14.61

Range

$0.00 – $83.40

Total Claims

182,238

Providers

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 Herrin, IL

Provider	Avg. Paid	Claims	Patients
Southern Illinois Medical Services, Nfp 405 Rushing Dr	$0.00	107,446	79,756
Derek G Kenneaster 220 N Park Ave	$30.21	7,598	6,933
Amy Leeann Miller 404 Lincoln Dr	$44.70	5,967	3,721
David A. Mann 3316 Patriot Ct	$38.92	5,942	5,620
Kristin Rae Betz 404 Lincoln Dr	$45.49	4,067	3,825
Ted G Van Acker 220 N Park Ave	$28.50	3,502	3,153
Aimee Belt 317 S 14Th St Ste 1	$46.62	3,251	3,052
Brian K. Daines 510 Lincoln Drive	$37.44	3,004	2,496
Gerri Dyer 220 N Park Ave	$34.42	2,700	2,406
Amanda Laine Brazis 510 Lincoln Dr	$18.42	2,588	2,228
John Thomas Davis 510 Lincoln Drive	$30.55	2,584	2,257
Steven D Young 510 Lincoln Drive	$29.53	2,265	2,005
Shanda Conrad Swagler 220 N Park Ave	$35.81	2,178	1,998
Kara Ferrell 3314 Patriot Ct	$38.69	2,090	1,894
Sushilkumar Mahabirprasad Tibrewala 3301 Patriot Ct	$44.15	1,782	1,666
Richard L Morgan 510 Lincoln Ave	$21.27	1,761	1,632
Walid Yousef Halees 217 S Park Ave	$36.87	1,732	1,578
Issa Abedmahmoud 3020 S Park Ave	$25.05	1,633	1,517
Mack E Mccain 404 Lincoln Dr	$33.23	1,601	1,516
John B Wood 510 Lincoln Drive	$31.57	1,585	1,416
Don Cassidy Arnold 220 S Park Ave Fl 2	$27.05	1,407	1,362
Treg D Brown 510 Lincoln Dr	$27.95	1,326	1,146
Alejandro Hornik 3309 Logan Dr	$58.15	1,296	1,242
Hope E Hargraves 201 S 14Th St	$38.75	1,057	953
Kallie M French 405 Rushing Dr	$67.88	1,050	902
Bret Hunter Miller 510 Lincoln Drive	$25.99	876	824
James Michael Davis 510 Lincoln Drive	$24.60	754	636
Hollis Johnson Clark 510 Lincoln Dr	$19.63	751	611
Roland J Barr 510 Lincoln Drive	$23.89	748	665
Michelle Steh 510 Lincoln Dr	$25.72	700	602
Danielle Jo Fisher 220 S Park Ave Fl 2	$36.16	633	613
Stephen H Jackson 510 Lincoln Dr	$26.45	630	550
Anne Hardy-Henry 317 S 14Th St	$48.64	546	523
Linda D Bobo 3314 Patriot Ct	$30.80	470	428
Joshua Caleb Loyd 220 N Park Ave Ste 2	$46.51	435	390
Kelly Jackson Johnson 510 Lincoln Dr	$34.69	430	412
Halee B Essick 315 S 13Th St Ste 2	$42.54	427	415
Jessica Lohman 405 Rushing Dr	$37.82	418	251
Rina Elizabeth Caslow 220 S Park Ave Fl 2	$56.70	400	369
Rachel Michels 315 S 13Th St Ste 3	$28.61	388	304
Robert J Golz 510 Lincoln Ave	$29.02	383	315
Bryan G Anderson 510 Lincoln Drive	$83.40	344	332
Lori M Guyton 3301 Logan Dr	$6.38	301	298
Siena Elisa Nadal Ona 408 Lincoln Dr	$28.62	262	215
Sarah Altamimi 3314 Patriot Ct	$49.24	157	143
Lori Lee Ellett 3314 Patriot Ct	$24.77	123	90
Abdelhameed Nawwar 3314 Patriot Ct	$36.12	103	98
Michael Aaron Workman 405 Rushing Drive	$0.00	100	73
Roger Karl Pons 315 S 13Th St Ste 3	$47.21	96	73
Frederick J Pfalzgraf 408 Lincoln Dr	$23.17	62	61

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 Herrin, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Herrin, IL is $14.61 per claim, based on 182,238 claims from 60 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 Herrin, IL?

There are 60 Medicaid providers offering Office Visit related services in Herrin, IL according to public payment data.

What is the price range for Office Visit in Herrin, IL?

Medicaid reimbursement for Office Visit in Herrin, IL ranges from $0.00 to $83.40 per claim, with an average of $14.61. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Herrin, IL: $14.61

Providers Offering Office Visit in Herrin, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Herrin, IL

Emergency Room Visit

Durable Medical Equipment (DME)

Physical Therapy

EKG / ECG (Electrocardiogram)

Eye Exam

Pathology & Lab Services

Blood Work & Lab Tests

Urinalysis & Urine Tests