Average Medicaid Office Visit Payments in Macomb, IL: $31.93
Avg. Paid
$31.93
Range
$0.00 – $109.57
Total Claims
95,150
Providers
54
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 Macomb, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mary Kathleen Lockard
505 E Grant St |
$45.84 | 24,957 | 18,711 |
|
Mcdonough County Hospital District
515 E Grant St Ste 213 |
$0.00 | 18,992 | 17,026 |
|
Mcdonough County Hospital District
505 E Grant St Ste 202 |
$0.00 | 4,910 | 4,283 |
|
Springfield Clinic Llp
505 E Grant St Ste 110 |
$0.00 | 4,641 | 3,982 |
|
Kaye Stone
525 E Grant St |
$78.32 | 4,256 | 3,936 |
|
Michelle M Bowen
1400 E Carroll St |
$51.30 | 3,080 | 2,378 |
|
Julie Marie Bartlow
505 E Grant St Ste 202 |
$40.33 | 2,937 | 2,141 |
|
Susan Adams
1600 E Jackson St |
$41.89 | 2,302 | 2,075 |
|
Lyndsay J Bedwell
505 E Grant St |
$34.44 | 2,294 | 1,955 |
|
Jodi Heller
525 E Grant St |
$36.11 | 2,174 | 1,857 |
|
Idol Ray Mitchell
437 East Grant Street |
$24.48 | 1,844 | 1,395 |
|
Nicholas G Viyuoh
525 E Grant St |
$60.44 | 1,663 | 1,191 |
|
Weili Zhang
515 E Grant St |
$27.92 | 1,400 | 1,232 |
|
Layne Stambaugh
525 E Grant St |
$82.06 | 1,374 | 1,299 |
|
County Of Mcdonough Mcdonough County Clerk
505 E Jackson St |
$11.52 | 1,354 | 1,171 |
|
Kamie Dee Mckee
515 E Grant St |
$26.25 | 1,336 | 1,211 |
|
Ladawna Jo Royer
525 E Grant St |
$46.99 | 1,302 | 1,098 |
|
Troy D Eckman
505 E Grant St |
$63.09 | 1,197 | 782 |
|
Amy S Waschull
505 E Grant St |
$45.06 | 1,060 | 933 |
|
Richard Earl Minter
505 E Grant St Ste 202 |
$34.17 | 993 | 894 |
|
Ashley M Martin
1601 West Jackson Street |
$43.71 | 950 | 764 |
|
Ronald D. Wheeler
503 E Grant St |
$18.96 | 859 | 804 |
|
Aman Khurana
505 E Grant St Ste 110 |
$26.80 | 859 | 796 |
|
Sharie Harden
505 E Grant St |
$65.77 | 806 | 691 |
|
Michael Paul Bednarz
1601 West Jackson Street |
$109.57 | 691 | 655 |
|
Melissa L Pounders
515 E Grant St Ste 211 |
$43.35 | 636 | 529 |
|
Brittany Ann Cromer
515 E Grant St |
$34.39 | 523 | 378 |
|
Mary C Thompson
525 E Grant St Fl 3 |
$74.32 | 497 | 385 |
|
Scott Eric Urch
503 E Grant St |
$24.35 | 492 | 408 |
|
Trudy Maria Buster
426 E Jackson St |
$40.44 | 460 | 454 |
|
David L Miller
505 E Grant St |
$23.96 | 446 | 285 |
|
Prayag Naineshkumar Patel
525 E Grant St |
$28.61 | 427 | 402 |
|
Christopher Damian Stortzum
505 E Grant St |
$48.15 | 425 | 378 |
|
Michelle Renee Reeves
505 E Grant St |
$44.90 | 363 | 322 |
|
Jeffrey Ryan Sparks
515 E Grant St |
$24.67 | 359 | 324 |
|
Tamara Marie Smith
525 E. Grant Street |
$39.64 | 355 | 325 |
|
James Joseph Gonzales
515 E Grant St |
$31.22 | 292 | 254 |
|
Heather Harrison
505 E Grant St |
$6.72 | 248 | 192 |
|
Curtis Corman Farr
505 E Grant St |
$39.80 | 186 | 170 |
|
Andrea B. Lawrence
700 N Glenoak Dr |
$54.46 | 177 | 105 |
|
Charles John Oneill
505 E Grant St |
$43.04 | 140 | 127 |
|
George Roodhouse
525 E Grant St |
$28.04 | 135 | 102 |
|
Sarah Beth Skiles
155 Jamestown Rd |
$26.33 | 115 | 94 |
|
Tim A Bengtson
820 E Jackson St |
$9.35 | 101 | 95 |
|
Brigette Anne Colley
820 E Jackson St |
$16.44 | 95 | 91 |
|
Hannah Lauren Bengtson
820 E. Jackson St. |
$33.72 | 82 | 77 |
|
Megan Clemens
525 E Grant St |
$28.03 | 79 | 78 |
|
Kirsten Diane Clerkin
505 E Grant St |
$47.48 | 78 | 73 |
|
Eric Botts
1730 E Jackson St |
$23.05 | 75 | 50 |
|
Drake B White
505 E Grant St |
$48.27 | 65 | 54 |
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 Macomb, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Macomb, IL is $31.93 per claim, based on 95,150 claims from 54 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 Macomb, IL?
There are 54 Medicaid providers offering Office Visit related services in Macomb, IL according to public payment data.
What is the price range for Office Visit in Macomb, IL?
Medicaid reimbursement for Office Visit in Macomb, IL ranges from $0.00 to $109.57 per claim, with an average of $31.93. 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 Macomb, IL
Eye Exam
Avg $28.32
25,498 claims
Substance Abuse Treatment
Avg $102.60
21,354 claims
Case Management Services
Avg $87.58
20,380 claims
Physical Therapy
Avg $29.11
19,460 claims
Vaccines & Immunizations
Avg $9.35
18,631 claims
Speech Therapy
Avg $10.09
15,026 claims
Ambulance Transport
Avg $140.28
14,439 claims
Blood Work & Lab Tests
Avg $0.75
12,163 claims