Average Medicaid Office Visit Payments in Lincoln, IL: $8.93
Avg. Paid
$8.93
Range
$0.01 – $77.04
Total Claims
112,181
Providers
20
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 Lincoln, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Memorial Physician Services
515 N College St |
$0.60 | 58,700 | 43,766 |
|
Springfield Clinic, Llp
100 Stahlhut Dr |
$0.01 | 16,220 | 12,220 |
|
Board Of Trustees Of Southern Illinois University
109 3Rd St |
$0.07 | 11,925 | 8,682 |
|
County Of Logan
109 3Rd St |
$11.93 | 9,726 | 8,287 |
|
Connie A Duda
515 N College St |
$67.23 | 5,924 | 5,365 |
|
Carrie Goodrum Alexander
1096 1350Th St |
$40.61 | 2,974 | 2,779 |
|
Kristen Green
100 Stahlhut Dr |
$42.79 | 1,069 | 898 |
|
Saira Wahab-Silas
515 N College St |
$48.82 | 966 | 899 |
|
Don A. Sielaff
145 10Th St |
$25.35 | 898 | 707 |
|
Ashley J Kaesebier
100 Stahlhut Dr |
$66.53 | 800 | 668 |
|
Lindsay Otero
515 N College St |
$67.09 | 706 | 621 |
|
Randi Hope
515 N College St |
$58.52 | 530 | 473 |
|
Jessica L. Schnebly
100 Stahlhut Dr |
$50.65 | 452 | 428 |
|
Jenna N Dean
100 Stahlhut Dr |
$60.83 | 398 | 361 |
|
Dennis M Carroll
100 Stahlhut Dr |
$6.85 | 251 | 173 |
|
Sydney L Rosacker
515 N College St |
$68.43 | 249 | 210 |
|
Jing Lee
100 Stahlhut Dr |
$58.74 | 234 | 180 |
|
Julie A Gifford
515 N College St |
$6.45 | 118 | 117 |
|
Andrea Kay Perkins
100 Stahlhut Dr |
$37.70 | 25 | 25 |
|
Kevin S Londe
515 N College St |
$77.04 | 16 | 16 |
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 Lincoln, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lincoln, IL is $8.93 per claim, based on 112,181 claims from 20 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 Lincoln, IL?
There are 20 Medicaid providers offering Office Visit related services in Lincoln, IL according to public payment data.
What is the price range for Office Visit in Lincoln, IL?
Medicaid reimbursement for Office Visit in Lincoln, IL ranges from $0.01 to $77.04 per claim, with an average of $8.93. 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 Lincoln, IL
Dental Cleaning & Exam
Avg $21.11
25,632 claims
Eye Exam
Avg $30.28
20,041 claims
Speech Therapy
Avg $14.61
18,225 claims
Vaccines & Immunizations
Avg $14.02
18,214 claims
Ambulance Transport
Avg $115.10
15,488 claims
Emergency Room Visit
Avg $45.41
9,731 claims
Physical Therapy
Avg $90.44
9,020 claims
EKG / ECG (Electrocardiogram)
Avg $8.20
8,699 claims