Average Medicaid Office Visit Payments in Maryville, IL: $48.74
Avg. Paid
$48.74
Range
$0.00 – $100.43
Total Claims
81,596
Providers
59
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 Maryville, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rodolfo Scott Beer
2016 Vadalabene Dr |
$56.28 | 12,463 | 10,287 |
|
Haresh K Motwani
2133 Vadalabene Dr |
$53.46 | 7,883 | 7,065 |
|
Tara Suzanne Hilmes
6800 State Route 162 |
$51.45 | 7,142 | 6,350 |
|
Amanda Sue Anderson
144 Oak Hill Dr |
$57.73 | 6,757 | 5,092 |
|
Jennifer Dawn Krick
6828 State Route 162 |
$53.64 | 4,677 | 3,646 |
|
Jennifer Thery
6805 State Route 162 Ste 201 |
$57.18 | 4,209 | 3,562 |
|
Jaime Renee Mendoza
6805 State Route 162 Ste 201 |
$20.47 | 4,095 | 3,861 |
|
Chestnut Health Systems, Inc.
2148 Vadalabene Dr |
$0.00 | 3,847 | 3,454 |
|
Kathryn Followell
6812 State Route 162 |
$78.42 | 3,821 | 3,644 |
|
Riaz A Naseer
6828 State Route 162 |
$45.23 | 3,728 | 2,846 |
|
Sajjan K Nemani
6828 State Route 162 Ste 2 |
$29.09 | 2,968 | 2,431 |
|
Syed M Arshad
2227 Vadalabene Dr |
$32.44 | 2,311 | 2,053 |
|
Christina L Midkiff
2023 Vadalabene Dr |
$37.14 | 2,163 | 1,869 |
|
Rafe M Heng
6812 State Rte 162 Suite 202 |
$38.83 | 1,927 | 1,624 |
|
Morgan Miller
2016 Vadalabene Dr |
$92.11 | 1,694 | 968 |
|
Jennifer Anne Loethen
5 Professional Park Dr |
$50.27 | 1,528 | 1,388 |
|
Amanda Joy Kilzer
2401 S Center St |
$60.88 | 1,506 | 1,272 |
|
James Joseph Dalla Riva
6810 State Route 162 |
$70.24 | 1,200 | 908 |
|
Sanjay K Nigam
6805 State Route 162 |
$36.65 | 1,008 | 828 |
|
Justin Bradley Hill
2090 Vadalabene Dr |
$52.47 | 858 | 748 |
|
Diana Lynn Herrick
2016 Vadalabene Dr |
$64.96 | 667 | 629 |
|
Joann Marie Wilson
2023 Vadalabene Dr Ste 300 |
$3.73 | 538 | 497 |
|
Renee Lindner
2133 Vadalabene Dr Ste 5B |
$64.47 | 532 | 511 |
|
Norah Claire Farley Baker
10 Professional Park Dr. |
$70.94 | 353 | 302 |
|
Robert C. Mckee
4956 Autumn Oaks Dr |
$26.46 | 338 | 295 |
|
Dean Schueler
20B Professional Park Dr |
$42.01 | 310 | 274 |
|
Eddie Lynn Paulk
6812 State Route 162 Ste 21 |
$24.12 | 282 | 244 |
|
Ryan Parker
6812 State Route 162 Ste 202 |
$31.22 | 241 | 201 |
|
Markel L Owens
2236 Vadalabene Dr Ste 2 |
$40.38 | 230 | 171 |
|
Holly Harlow Shirley
2401 S Center St |
$51.56 | 218 | 167 |
|
Michael E Mandis
2236 Vadalabene Dr |
$57.20 | 184 | 169 |
|
Janet Anne Woloszynek
6805 State Route 162 Ste 201 |
$12.81 | 183 | 179 |
|
Samir K Shah
6810 State Route 162 Ste 102 |
$23.34 | 133 | 130 |
|
Zachary Paul Luchtefeld
2401 S Center St |
$45.66 | 132 | 108 |
|
Krystle Michelle Wisnasky
6812 State Route 162 Ste 200 |
$45.37 | 131 | 129 |
|
Jean E Swearingen
6810 State Route 162 |
$26.46 | 112 | 107 |
|
Kacey Panyik
2016 Vadalabene Dr |
$26.90 | 111 | 97 |
|
Tonya Ann Bosaw
6812 State Route 162 Ste 204 |
$69.96 | 108 | 89 |
|
George E Tzelepis
6810 State Route 162 Ste 202 |
$18.32 | 102 | 94 |
|
Joanna Kae Kurilla
6805 State Route 162 Ste 201 |
$36.57 | 91 | 75 |
|
Thomas Michael Hulsen
6810 State Route 162 |
$100.43 | 81 | 46 |
|
Tibor Charles Kopjas
6812 State Route 162 Ste 209 |
$34.23 | 73 | 65 |
|
Laura Beth Mulcahy
2023 Vadalabene Dr Ste 200 |
$67.49 | 71 | 45 |
|
Anita Sandhu
2102 Vadalabene Dr |
$14.79 | 70 | 66 |
|
Edmundo Alejandro Rodriguez-Frias
6812 State Route 162 |
$42.02 | 67 | 41 |
|
Kevin Bradley Garner
6812 State Route 162 |
$66.49 | 61 | 61 |
|
Sujata Sitaula
2133 Vadalabene Dr Ste 1 |
$42.86 | 59 | 55 |
|
Sara Marie Grotefendt
6810 State Route 162 Ste 105 |
$32.05 | 48 | 41 |
|
Patricia Teschke
2227 Vadalabene Dr Ste 300 |
$29.40 | 43 | 38 |
|
David E Johnson
6812 State Route 162 Ste 21 |
$16.41 | 38 | 37 |
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 Maryville, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Maryville, IL is $48.74 per claim, based on 81,596 claims from 59 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 Maryville, IL?
There are 59 Medicaid providers offering Office Visit related services in Maryville, IL according to public payment data.
What is the price range for Office Visit in Maryville, IL?
Medicaid reimbursement for Office Visit in Maryville, IL ranges from $0.00 to $100.43 per claim, with an average of $48.74. 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 Maryville, IL
Emergency Room Visit
Avg $65.04
51,645 claims
X-Ray
Avg $5.30
18,462 claims
Nursing Facility Care
Avg $8.30
15,400 claims
Ultrasound
Avg $63.74
11,406 claims
Blood Work & Lab Tests
Avg $10.54
10,245 claims
EKG / ECG (Electrocardiogram)
Avg $7.38
10,056 claims
Speech Therapy
Avg $55.01
8,880 claims
CT Scan (Computed Tomography)
Avg $56.42
8,138 claims