Average Medicaid Office Visit Payments in Lawrenceville, IL: $3.53
Avg. Paid
$3.53
Range
$0.00 – $239.64
Total Claims
90,843
Providers
13
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 Lawrenceville, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Valerie Burns
Rr 3 Box 414 |
$5.99 | 15 | 14 |
|
Steven Mark Ramsaran
2111 Lexington Ave |
$0.00 | 21 | 16 |
|
Ashley R Keepes
2101 James St |
$87.11 | 32 | 31 |
|
Gary D Carr
11020 State Route 250 |
$0.00 | 42 | 40 |
|
Andrew Vasconcellos
2200 State St |
$49.80 | 302 | 300 |
|
Dianne Elizabeth Adams
2111 Lexington Ave |
$239.64 | 353 | 318 |
|
Ashley Ann Smith
2200 State St |
$43.04 | 472 | 417 |
|
Rachel Ann Winters
2111 Lexington Ave |
$37.17 | 489 | 447 |
|
Michelle Macey Thacker
2111 Lexington Ave |
$49.83 | 718 | 648 |
|
Emma Ray Engel
11741 Sizemore Ln |
$82.47 | 930 | 815 |
|
County Of Lawrence Health Department
2101 James St |
$10.51 | 6,298 | 4,921 |
|
County Of Lawrence Health Department
2101 James St |
$0.05 | 20,179 | 15,785 |
|
Lawrence County Memorial Hospital
2111 Lexington Ave |
$0.00 | 60,992 | 46,185 |
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 Lawrenceville, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lawrenceville, IL is $3.53 per claim, based on 90,843 claims from 13 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 Lawrenceville, IL?
There are 13 Medicaid providers offering Office Visit related services in Lawrenceville, IL according to public payment data.
What is the price range for Office Visit in Lawrenceville, IL?
Medicaid reimbursement for Office Visit in Lawrenceville, IL ranges from $0.00 to $239.64 per claim, with an average of $3.53. 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 Lawrenceville, IL
Substance Abuse Treatment
Avg $73.65
27,669 claims
Case Management Services
Avg $41.63
22,951 claims
Behavioral & Mental Health Therapy
Avg $102.42
20,304 claims
Speech Therapy
Avg $6.18
7,913 claims
Vaccines & Immunizations
Avg $9.87
7,736 claims
Ambulance Transport
Avg $98.38
6,946 claims
Emergency Room Visit
Avg $91.56
6,076 claims
Blood Work & Lab Tests
Avg $4.41
3,607 claims