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
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 Herrin, IL
Emergency Room Visit
Avg $52.48
61,459 claims
Durable Medical Equipment (DME)
Avg $48.76
58,376 claims
Physical Therapy
Avg $92.50
51,027 claims
EKG / ECG (Electrocardiogram)
Avg $9.21
15,793 claims
Eye Exam
Avg $27.44
7,535 claims
Pathology & Lab Services
Avg $19.97
7,489 claims
Blood Work & Lab Tests
Avg $50.61
6,704 claims
Urinalysis & Urine Tests
Avg $9.66
6,389 claims