Average Medicaid Office Visit Payments in Marion, IL: $12.55
Avg. Paid
$12.55
Range
$0.00 – $93.78
Total Claims
358,121
Providers
89
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 |
|---|---|---|---|
|
Brenda Hutchison
1200 W Deyoung St |
$32.56 | 13 | 12 |
|
Sheila A Sneddon
1200 W Deyoung St |
$39.17 | 27 | 25 |
|
Kali Rae James
3408 Office Park Dr |
$83.70 | 33 | 26 |
|
Amar Nath Mukerji
3331 W Deyoung St Ste 305 |
$32.27 | 62 | 60 |
|
Jeremy Paul Gerwe
3412 Office Park Drive |
$64.94 | 63 | 62 |
|
Casie E Mosley
2401 W Main St |
$34.18 | 63 | 46 |
|
Luis A Lopez
1000 W Deyoung St |
$7.57 | 73 | 66 |
|
Jennifer L Alexander
1009 W Main St |
$1.11 | 83 | 65 |
|
Ukeme Umana
1200 W Deyoung St |
$31.70 | 87 | 79 |
|
Danneille C Trujillo-Hansen
1506 Sioux Dr |
$12.53 | 100 | 99 |
|
Geoffrey M Sneddon
1200 W Deyoung St |
$32.44 | 103 | 101 |
|
Pradeep Gopala Reddy
3412 Office Park Drive |
$50.42 | 113 | 106 |
|
Frank L Bleyer
3331 W Deyoung St |
$36.82 | 123 | 116 |
|
Naeem A Qureshi
3106 Outer Dr |
$14.54 | 128 | 87 |
|
Donna R Walters
3408 Office Park Dr |
$85.86 | 138 | 101 |
|
Sadashivaiah Bhaskar
3412 Office Park Dr |
$48.11 | 152 | 111 |
|
Lukasz Dabrowski
3106 Outer Dr |
$0.00 | 153 | 137 |
|
Medhat Elsherbini
2401 W Main St |
$12.56 | 171 | 155 |
|
Eric Weinbauer
1200 W Deyoung St |
$31.44 | 177 | 168 |
|
Patrick Sayavong
3331 W Deyoung St |
$32.24 | 181 | 157 |
|
Robert Carl Smith
1200 W Deyoung St |
$26.19 | 220 | 188 |
|
Robert Kippenbrock
1200 W Deyoung St |
$34.62 | 224 | 198 |
|
Elizabeth Ellen Lawler
1129 N Carbon St |
$2.37 | 291 | 291 |
|
James O Alexander
1009 W Main St |
$44.71 | 314 | 287 |
|
Gregory Scott Clark
3333 W Deyoung St |
$78.02 | 319 | 314 |
|
Omar Rizwan Ahmad
1200 W Deyoung |
$31.21 | 327 | 303 |
|
Joshme Rawal
2700 W Deyoung St Ste F |
$27.90 | 354 | 337 |
|
Kara Danielle Flatt
1700 Wildcat Dr Ste A |
$35.00 | 390 | 322 |
|
Debra Hall
1200 W Deyoung St |
$32.28 | 399 | 376 |
|
Kathy Amanda Long
108 Airway Dr |
$10.53 | 437 | 376 |
|
Sarah B Ford
3412 Office Park Dr |
$53.44 | 506 | 460 |
|
Cori Starkweather
2808 E Outer Dr |
$68.67 | 563 | 543 |
|
Tiffany A Brown
2401 W Main St |
$67.47 | 571 | 552 |
|
Sandra Tate
3412 Office Park Dr |
$72.18 | 601 | 500 |
|
Annie Imboden
3412 Office Park Dr |
$42.83 | 604 | 509 |
|
Amar Rawal
3331 W Deyoung St |
$33.94 | 634 | 581 |
|
Gina Gladson
3412 Office Park Dr |
$62.48 | 642 | 602 |
|
Dietra Leigh Angelly
3411 Professional Park Dr |
$45.36 | 664 | 593 |
|
Eric Sean Graham
2703 17Th St Apt D |
$29.34 | 675 | 630 |
|
Keith Tyhurst
1200 W Deyoung St |
$34.42 | 722 | 652 |
|
Faisel Ahmad
1200 W Deyoung St |
$17.87 | 740 | 623 |
|
Kara Tipsword
2700 W Deyoung St Ste F |
$54.17 | 765 | 724 |
|
Carline Mekem Mbeumo
3412 Office Park Drive |
$38.37 | 799 | 603 |
|
Heather Diane Alexander
2700 W Deyoung St Ste F |
$42.31 | 822 | 770 |
|
Ronald Chediak
3000 W Deyoung St |
$46.33 | 823 | 735 |
|
Jessica Hays
3333 W Deyoung St |
$34.42 | 828 | 744 |
|
Lindsey Sollers
3411 Professional Park Dr |
$52.14 | 867 | 803 |
|
Pamela Jellen
3408 Office Park Dr |
$93.78 | 895 | 696 |
|
Jessie Nicole Fox
2808 Outer Dr |
$33.89 | 920 | 763 |
|
George Ortiz
1200 W Deyoung St |
$81.63 | 965 | 929 |
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.
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 Marion, IL
Eye Exam
Avg $24.98
218,058 claims
Home Health Visit
Avg $6.40
195,321 claims
Speech Therapy
Avg $12.60
130,364 claims
Vaccines & Immunizations
Avg $1.73
92,173 claims
Blood Work & Lab Tests
Avg $18.16
76,873 claims
Emergency Room Visit
Avg $92.19
65,663 claims
Ultrasound
Avg $42.41
42,393 claims
Substance Abuse Treatment
Avg $80.58
41,950 claims