Average Medicaid Office Visit Payments in Jacksonville, IL: $15.53
Avg. Paid
$15.53
Range
$0.00 – $94.27
Total Claims
196,221
Providers
63
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 Jacksonville, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Memorial Physician Services
15 Founders Ln |
$0.46 | 91,184 | 66,776 |
|
Springfield Clinic Llp
15 Founders Ln |
$0.08 | 15,859 | 12,933 |
|
County Of Morgan Health Dept
425 E State Street |
$11.80 | 14,570 | 12,046 |
|
Board Of Trustees Of Southern Illinois University
345 W State St |
$0.07 | 10,975 | 7,066 |
|
Carrie Elizabeth Janus
1600 W Walnut St |
$67.68 | 8,547 | 6,864 |
|
Board Of Trustees Of Southern Illinois University
425 E State St., Ste 100 |
$0.00 | 6,384 | 5,768 |
|
Shawn M Fry
610 N. Westgate |
$57.55 | 4,581 | 4,172 |
|
Elizabeth Ann Johnson
1600 W Walnut St |
$53.49 | 2,927 | 2,763 |
|
Mary K Zielke
1600 W Walnut St |
$87.79 | 2,875 | 2,358 |
|
Tracy Hendricks
610 N Westgate Ave |
$41.58 | 2,600 | 2,485 |
|
Memorial Physician Services
901 W Morton Ave Ste 22 |
$0.00 | 2,212 | 2,114 |
|
Springfield Clinic Llp
1000 W Morton Ave |
$0.00 | 1,983 | 1,764 |
|
Tamara Breckon
425 E State St Ste 100 |
$50.00 | 1,981 | 1,640 |
|
Agnes A. Fenner
15 Founders Ln |
$24.27 | 1,775 | 1,619 |
|
Alexander David Raw
1600 W Walnut St Bldg 3 |
$91.63 | 1,710 | 856 |
|
Matthew J Bednarchik
1600 W Walnut St |
$33.07 | 1,602 | 1,282 |
|
Holly Diane Pennell
1600 W Walnut St |
$56.72 | 1,582 | 1,503 |
|
Amy N. Haefeli
1000 W Morton Ave |
$55.19 | 1,553 | 1,442 |
|
Molly Taylor
15 Founders Ln |
$45.29 | 1,483 | 1,320 |
|
Roddy Frankel
2000 W Morton Ave |
$62.49 | 1,471 | 1,369 |
|
Rosemary L. Herzberger
901 W Morton Ave Ste 22 |
$48.17 | 1,417 | 1,304 |
|
Alexander M Hrynewych
610 N Westgate Ave |
$94.27 | 1,374 | 664 |
|
Rosemary Takyi Koeppel
15 Founders Ln |
$54.45 | 1,327 | 1,246 |
|
Sarah B Jarman
425 E State St Ste 100 |
$48.25 | 1,055 | 967 |
|
Jeffrey W Fleischli
1745 W Walnut St Ste 12 |
$15.49 | 1,038 | 889 |
|
Chris Wassell
901 W Morton Ave Ste 22 |
$54.23 | 1,006 | 910 |
|
Kathleen Grace Stocker
1745 W Walnut St |
$53.65 | 860 | 731 |
|
Elizabeth Wade
1600 W Morton Ave |
$25.67 | 854 | 673 |
|
Caitlen Elizabeth Despain
610 N Westgate Ave |
$26.53 | 817 | 623 |
|
Siu Physicians & Surgeons, Inc
610 N Westgate Ave |
$0.17 | 786 | 560 |
|
Central Counties Health Centers, Inc.
1440 W Walnut St |
$0.00 | 660 | 413 |
|
Laura Jean Naughton
610 N Westgate Ave |
$89.49 | 619 | 358 |
|
Allen G Gerberding
1515 W Walnut St |
$36.72 | 589 | 542 |
|
Michelle Lee Geiss
1600 W Walnut St |
$37.47 | 554 | 457 |
|
Kaitlyn Renee Davidson
15 Founders Ln |
$34.42 | 533 | 444 |
|
Mosam B Patel
15 Founders Ln |
$63.55 | 458 | 406 |
|
Lindsay R. Kaiser
1000 W Morton Ave |
$50.62 | 414 | 342 |
|
Jamie Lee Landsverk
901 W Morton Ave Ste 22 |
$35.51 | 413 | 348 |
|
John L. Malcott
15 Founders Lane |
$1.44 | 401 | 316 |
|
Adam Norton
15 Founders Ln |
$46.24 | 387 | 361 |
|
Kari Kristine Hullinger
901 W Morton Ave Ste 22 |
$51.86 | 387 | 356 |
|
Terese J Laughlin
1515 W Walnut St |
$11.78 | 305 | 268 |
|
Megan E Hopps
1745 W Walnut St |
$58.28 | 295 | 268 |
|
Eli G Goodman
1600 W Walnut St |
$10.93 | 241 | 168 |
|
Jeffrey L Olejnik
610 N Westgate Ave |
$93.85 | 219 | 119 |
|
Brandynne Marie Fry Allgaier
1515 W Walnut St |
$59.39 | 191 | 185 |
|
Charles Milton Sheaff
1600 W Walnut St |
$9.60 | 164 | 122 |
|
Michael Niel Fenner
1600 W Walnut St |
$17.51 | 159 | 140 |
|
Maurissa Heaton
1745 W Walnut St |
$68.69 | 153 | 133 |
|
Jane E. Piper
15 Founders Lane |
$1.61 | 140 | 131 |
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 Jacksonville, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jacksonville, IL is $15.53 per claim, based on 196,221 claims from 63 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 Jacksonville, IL?
There are 63 Medicaid providers offering Office Visit related services in Jacksonville, IL according to public payment data.
What is the price range for Office Visit in Jacksonville, IL?
Medicaid reimbursement for Office Visit in Jacksonville, IL ranges from $0.00 to $94.27 per claim, with an average of $15.53. 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 Jacksonville, IL
Home Health Visit
Avg $70.20
39,466 claims
Speech Therapy
Avg $11.52
38,685 claims
Physical Therapy
Avg $53.78
29,227 claims
Vaccines & Immunizations
Avg $14.29
27,364 claims
Non-Emergency Medical Transportation
Avg $9.18
23,335 claims
Durable Medical Equipment (DME)
Avg $61.94
22,481 claims
Eye Exam
Avg $28.30
22,423 claims
Ambulance Transport
Avg $125.29
22,225 claims