Average Medicaid Office Visit Payments in Jerseyville, IL: $2.84
Avg. Paid
$2.84
Range
$0.00 – $74.13
Total Claims
91,998
Providers
22
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 Jerseyville, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jersey Community Hospital
390 Maple Summit Rd |
$0.02 | 27,130 | 22,786 |
|
Jersey Community Hospital
270 Maple Summit Rd |
$0.06 | 23,904 | 18,463 |
|
Jersey Community Hospital
903 S State St |
$0.00 | 17,784 | 15,393 |
|
Jersey Community Hospital
220 E County Rd |
$0.01 | 10,581 | 8,740 |
|
Jersey County Health Department
1307 State Highway 109 |
$15.95 | 4,539 | 4,014 |
|
Jersey County Health Department
1307 State Highway 109 |
$12.76 | 1,968 | 1,643 |
|
Timothy Mark Ruff
390 Maple Summit Rd |
$25.34 | 1,328 | 989 |
|
Dustin Stewart
270 Maple Summit Rd |
$39.36 | 958 | 900 |
|
Jersey Community Hospital District
400 Maple Summit Rd |
$0.19 | 940 | 620 |
|
Lauren Mccarthy
400 Maple Summit Rd Suite 200 |
$23.81 | 690 | 596 |
|
Tim C Kisabeth
270 Maple Summit Rd |
$23.83 | 594 | 414 |
|
Kristin Elmore
270 Maple Summit Road |
$74.13 | 510 | 456 |
|
William H Thom
400 Maple Summit Rd |
$50.52 | 307 | 289 |
|
Beth Ann Dalrymple-Woods
400 Maple Summit Rd |
$30.47 | 159 | 129 |
|
Cristy A Elving-Dial
390 Maple Summit Rd |
$0.28 | 152 | 142 |
|
Timothy Lyons
390 Maple Summit Rd |
$0.00 | 100 | 93 |
|
Lester A Crancer
390 Maple Summit Rd |
$0.49 | 86 | 75 |
|
Leoncio S Dizon
390 Maple Summit Rd |
$0.36 | 78 | 75 |
|
Jon E Andersen
390 Maple Summit Rd |
$19.68 | 68 | 40 |
|
John L Palcheff
390 Maple Summit Rd |
$0.14 | 55 | 51 |
|
Donald E Murray
270 Maple Summit Rd |
$0.00 | 39 | 39 |
|
Robert D Childers
400 Maple Summit Rd |
$17.04 | 28 | 24 |
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 Jerseyville, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jerseyville, IL is $2.84 per claim, based on 91,998 claims from 22 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 Jerseyville, IL?
There are 22 Medicaid providers offering Office Visit related services in Jerseyville, IL according to public payment data.
What is the price range for Office Visit in Jerseyville, IL?
Medicaid reimbursement for Office Visit in Jerseyville, IL ranges from $0.00 to $74.13 per claim, with an average of $2.84. 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 Jerseyville, IL
Emergency Room Visit
Avg $60.09
27,939 claims
Speech Therapy
Avg $6.68
20,924 claims
Blood Work & Lab Tests
Avg $6.87
10,019 claims
Non-Emergency Medical Transportation
Avg $17.73
9,265 claims
Physical Therapy
Avg $89.92
9,130 claims
X-Ray
Avg $4.90
5,943 claims
Dental Cleaning & Exam
Avg $34.52
4,972 claims
Vaccines & Immunizations
Avg $11.03
4,735 claims