Average Medicaid Office Visit Payments in Highland, IL: $33.29
Avg. Paid
$33.29
Range
$0.00 – $71.64
Total Claims
36,227
Providers
21
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 Highland, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian Klostermann
12860 Troxler Ave |
$43.62 | 14 | 13 |
|
Laurence Yung
2504 Commerce Lane |
$71.64 | 53 | 48 |
|
Alejandro J Alvarado
12860 Troxler Ave |
$54.24 | 69 | 64 |
|
Peter S. Kim
821 Poplar St |
$29.11 | 77 | 63 |
|
Kimberly Rosenthal Tinge
823 9Th St |
$24.52 | 84 | 77 |
|
Anastasia Marie Dufner
12860 Troxler Ave |
$1.07 | 96 | 90 |
|
Amy Lynn Britt
12860 Troxler Ave |
$48.10 | 111 | 99 |
|
Alyssa R. Loepker
1212 Broadway |
$51.22 | 140 | 104 |
|
Susan L Collman
12860 Troxler Ave |
$56.00 | 235 | 104 |
|
Lauren C Lawson
12860 Troxler Ave Ste 320 |
$68.52 | 257 | 116 |
|
Southern Obstetric & Gyneco Associates
1328 Mercantile Dr |
$0.00 | 306 | 258 |
|
Janet L Alvarado
821 Poplar Street |
$71.31 | 412 | 369 |
|
Kristi Lee Woods
1006 Walnut St |
$49.85 | 455 | 440 |
|
Mallory Rinderer
12860 Troxler Ave |
$39.72 | 599 | 261 |
|
Robert Francis Schaefer
12860 Troxler Ave |
$54.09 | 735 | 672 |
|
Kevin G. Koth
12866 Troxler Ave |
$32.60 | 1,588 | 1,406 |
|
Mia Thouvenot
12866 Troxler Ave |
$26.28 | 2,022 | 1,839 |
|
Danielle L. Bogue
1212 Broadway |
$47.40 | 2,338 | 1,819 |
|
Kelsey Reding
2568 Becker Rd |
$63.32 | 3,341 | 2,683 |
|
Debra Christine Feldott-Johnson
1250 Mercantile Dr |
$56.42 | 10,748 | 9,158 |
|
Hshs Medical Group Inc
12860 Troxler Avenue |
$0.07 | 12,547 | 10,270 |
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 Highland, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Highland, IL is $33.29 per claim, based on 36,227 claims from 21 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 Highland, IL?
There are 21 Medicaid providers offering Office Visit related services in Highland, IL according to public payment data.
What is the price range for Office Visit in Highland, IL?
Medicaid reimbursement for Office Visit in Highland, IL ranges from $0.00 to $71.64 per claim, with an average of $33.29. 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 Highland, IL
Speech Therapy
Avg $9.26
36,297 claims
Eye Exam
Avg $39.40
18,406 claims
Physical Therapy
Avg $92.56
15,575 claims
Blood Work & Lab Tests
Avg $3.98
12,632 claims
Non-Emergency Medical Transportation
Avg $22.14
10,166 claims
Pathology & Lab Services
Avg $35.43
6,487 claims
Emergency Room Visit
Avg $60.70
4,302 claims
Ambulance Transport
Avg $229.32
4,179 claims