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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

60

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
Robert Judson Brewer

220 S Park Ave

$35.62 12 12
Meshia K Hughes

510 Lincoln Dr

$78.78 12 12
Pramote Anantachai

405 Rushing Dr

$16.05 13 13
Daniel R Brown

101 N 16Th Street

$7.58 14 13
Chase Aaron Rudolph

3121 S Park Ave

$22.10 25 24
Cyril Kamya

317 S 14Th St Ste 1

$44.14 31 28
Rodney Lee Miller

220 S Park Ave

$30.59 38 38
Ellie Marie Bentley

220 S Park Ave Fl 3

$43.99 38 38
Amy Dodd

317 S 14Th St

$50.94 52 41
Mark J Korte

405 Rushing Dr

$0.00 54 46
Frederick J Pfalzgraf

408 Lincoln Dr

$23.17 62 61
Roger Karl Pons

315 S 13Th St Ste 3

$47.21 96 73
Michael Aaron Workman

405 Rushing Drive

$0.00 100 73
Abdelhameed Nawwar

3314 Patriot Ct

$36.12 103 98
Lori Lee Ellett

3314 Patriot Ct

$24.77 123 90
Sarah Altamimi

3314 Patriot Ct

$49.24 157 143
Siena Elisa Nadal Ona

408 Lincoln Dr

$28.62 262 215
Lori M Guyton

3301 Logan Dr

$6.38 301 298
Bryan G Anderson

510 Lincoln Drive

$83.40 344 332
Robert J Golz

510 Lincoln Ave

$29.02 383 315
Rachel Michels

315 S 13Th St Ste 3

$28.61 388 304
Rina Elizabeth Caslow

220 S Park Ave Fl 2

$56.70 400 369
Jessica Lohman

405 Rushing Dr

$37.82 418 251
Halee B Essick

315 S 13Th St Ste 2

$42.54 427 415
Kelly Jackson Johnson

510 Lincoln Dr

$34.69 430 412
Joshua Caleb Loyd

220 N Park Ave Ste 2

$46.51 435 390
Linda D Bobo

3314 Patriot Ct

$30.80 470 428
Anne Hardy-Henry

317 S 14Th St

$48.64 546 523
Stephen H Jackson

510 Lincoln Dr

$26.45 630 550
Danielle Jo Fisher

220 S Park Ave Fl 2

$36.16 633 613
Michelle Steh

510 Lincoln Dr

$25.72 700 602
Roland J Barr

510 Lincoln Drive

$23.89 748 665
Hollis Johnson Clark

510 Lincoln Dr

$19.63 751 611
James Michael Davis

510 Lincoln Drive

$24.60 754 636
Bret Hunter Miller

510 Lincoln Drive

$25.99 876 824
Kallie M French

405 Rushing Dr

$67.88 1,050 902
Hope E Hargraves

201 S 14Th St

$38.75 1,057 953
Alejandro Hornik

3309 Logan Dr

$58.15 1,296 1,242
Treg D Brown

510 Lincoln Dr

$27.95 1,326 1,146
Don Cassidy Arnold

220 S Park Ave Fl 2

$27.05 1,407 1,362
John B Wood

510 Lincoln Drive

$31.57 1,585 1,416
Mack E Mccain

404 Lincoln Dr

$33.23 1,601 1,516
Issa Abedmahmoud

3020 S Park Ave

$25.05 1,633 1,517
Walid Yousef Halees

217 S Park Ave

$36.87 1,732 1,578
Richard L Morgan

510 Lincoln Ave

$21.27 1,761 1,632
Sushilkumar Mahabirprasad Tibrewala

3301 Patriot Ct

$44.15 1,782 1,666
Kara Ferrell

3314 Patriot Ct

$38.69 2,090 1,894
Shanda Conrad Swagler

220 N Park Ave

$35.81 2,178 1,998
Steven D Young

510 Lincoln Drive

$29.53 2,265 2,005
John Thomas Davis

510 Lincoln Drive

$30.55 2,584 2,257

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.

Office Visit in Other Cities

Other Procedures in Herrin, IL