Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Marion, IL: $12.55

Avg. Paid

$12.55

Range

$0.00 – $93.78

Total Claims

358,121

Providers

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 Marion, IL

Provider	Avg. Paid	Claims	Patients
Pediatric Group Llc 3412 Office Park Drive	$0.19	107,013	85,753
Heartland Pediatric Clinic 1000 W Deyoung St	$0.00	39,812	30,732
Shawnee Health Service And Development Corp 3111 Williamson County Parkway	$0.00	37,439	30,444
Harrisburg Medical Center Inc 3106 Outer Dr	$0.38	19,426	16,203
Heartland Women'S Healthcare Ltd 3408 Office Park Dr	$0.01	17,620	13,277
Marion Diagnostic Center, Llc 3003 Civic Circle Blvd Suite 200	$0.08	12,621	9,616
Jodi L Fox 3411 Professional Park Dr	$39.08	7,810	6,548
Nicole Lynette Kennedy 3411 Professional Park Drive	$46.57	7,389	6,374
Kevin C Chen 3405 Office Park Dr	$12.52	6,961	6,266
Michael A Covlin 3408 Office Park Dr	$52.89	5,990	4,686
Heartland Women'S Healthcare Ltd 3408 Office Park Dr	$20.67	5,647	5,150
Franklin-Williamson Bi-County Health Dept. 8160 Express Dr	$11.44	5,025	4,228
Mitchell Andrew Cook 3329 W Deyoung St	$26.10	4,890	4,242
Eugene Becker 2401 W Main St	$21.06	3,999	2,919
Rhonda Raye Heatherly 106 S Vicksburg St	$46.87	3,827	3,233
Amy Jo Blandford 3333 W Deyoung St	$45.89	3,505	2,998
Alberto Dejesus Cuartas 3008 Civic Circle Blvd	$31.14	3,306	3,047
Michael J. Schifano 3408 Office Park Dr	$52.61	3,159	2,755
Pamela J Clarida 2808 E Outer Dr	$36.54	3,102	2,868
Garrett William Smith 2808 East Outer Dr	$35.62	2,845	2,718
Bindu Reddy 900 East Walnut	$56.19	2,798	2,408
Antoinette Marie Miller 3331 W Deyoung St Ste 301	$38.09	2,702	2,500
Shawnee Health Service And Development Corp 1506 Sioux Dr	$0.00	2,546	1,954
Victor Mwansa 3331 W Deyoung St	$36.11	2,516	2,211
Michael K Delaney 3331 W Deyoung St	$28.02	2,416	2,103
Shawnee Health Service And Development Corp 1700 Wildcat Dr Ste A	$0.00	2,166	1,578
Robin Ann Dailey 3411 Professional Park Dr	$53.45	2,157	1,835
Marion Reyes 3408 Office Park Dr	$68.31	2,100	1,585
Michael Patrick Lawler 1129 N Carbon St	$3.74	2,089	1,283
Mariah Gloria Teriet 2808 East Outer Dr	$35.71	1,897	1,818
Scott A. Joyner 3408 Office Park Dr	$39.17	1,834	1,481
Raymund O Pineda 2401 W Main St	$18.45	1,817	1,726
Elisabeth Gail Beyer-Nolen 3408 Office Park Dr	$46.02	1,805	1,491
Anja B Schifano 3408 Office Park Dr	$57.56	1,782	1,306
Lacie M Hitchens 2808 East Outer Dr	$32.67	1,543	1,462
Terry Michael Brown 8305 Express Dr Ste C	$27.37	1,362	1,296
Elizabeth Hope Eversmann 3106 Outer Dr	$54.45	1,174	1,022
Robert Lawrence Hatchett 3401 Heartland St	$30.36	1,061	990
Kalinda Jo Dunning 3411 Professional Park Dr	$65.38	1,046	920
George Ortiz 1200 W Deyoung St	$81.63	965	929
Jessie Nicole Fox 2808 Outer Dr	$33.89	920	763
Pamela Jellen 3408 Office Park Dr	$93.78	895	696
Lindsey Sollers 3411 Professional Park Dr	$52.14	867	803
Jessica Hays 3333 W Deyoung St	$34.42	828	744
Ronald Chediak 3000 W Deyoung St	$46.33	823	735
Heather Diane Alexander 2700 W Deyoung St Ste F	$42.31	822	770
Carline Mekem Mbeumo 3412 Office Park Drive	$38.37	799	603
Kara Tipsword 2700 W Deyoung St Ste F	$54.17	765	724
Faisel Ahmad 1200 W Deyoung St	$17.87	740	623
Keith Tyhurst 1200 W Deyoung St	$34.42	722	652

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 Marion, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marion, IL is $12.55 per claim, based on 358,121 claims from 89 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 Marion, IL?

There are 89 Medicaid providers offering Office Visit related services in Marion, IL according to public payment data.

What is the price range for Office Visit in Marion, IL?

Medicaid reimbursement for Office Visit in Marion, IL ranges from $0.00 to $93.78 per claim, with an average of $12.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Marion, IL: $12.55

Providers Offering Office Visit in Marion, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Emergency Room Visit

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