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 |
|---|---|---|---|
|
Erin Michal Wright
6810 State Route 162 Ste 215 |
$89.58 | 12 | 12 |
|
Brett R Grebing
6812 State Route 162 |
$22.19 | 12 | 12 |
|
Barbara Joy Foner
6812 State Rte 162 Suite 202 |
$0.00 | 13 | 13 |
|
Srikanth Nadella
2133 Vadalabene Dr Ste 1 |
$53.38 | 15 | 12 |
|
Christopher P Lipsmeyer
6800 State Route 162 |
$8.07 | 22 | 20 |
|
Ann M. Altgilbers
2133 Vadalabene Dr Ste 1 |
$44.28 | 24 | 24 |
|
Jessica Leigh Gibson
2704 N Center St |
$90.41 | 33 | 32 |
|
Marsheika Filer
6800 State Route 162 |
$5.48 | 35 | 30 |
|
David E Johnson
6812 State Route 162 Ste 21 |
$16.41 | 38 | 37 |
|
Paul G Malcharek
2401 S Center St |
$39.87 | 38 | 38 |
|
Patricia Teschke
2227 Vadalabene Dr Ste 300 |
$29.40 | 43 | 38 |
|
Sara Marie Grotefendt
6810 State Route 162 Ste 105 |
$32.05 | 48 | 41 |
|
Sujata Sitaula
2133 Vadalabene Dr Ste 1 |
$42.86 | 59 | 55 |
|
Kevin Bradley Garner
6812 State Route 162 |
$66.49 | 61 | 61 |
|
Edmundo Alejandro Rodriguez-Frias
6812 State Route 162 |
$42.02 | 67 | 41 |
|
Anita Sandhu
2102 Vadalabene Dr |
$14.79 | 70 | 66 |
|
Laura Beth Mulcahy
2023 Vadalabene Dr Ste 200 |
$67.49 | 71 | 45 |
|
Tibor Charles Kopjas
6812 State Route 162 Ste 209 |
$34.23 | 73 | 65 |
|
Thomas Michael Hulsen
6810 State Route 162 |
$100.43 | 81 | 46 |
|
Joanna Kae Kurilla
6805 State Route 162 Ste 201 |
$36.57 | 91 | 75 |
|
George E Tzelepis
6810 State Route 162 Ste 202 |
$18.32 | 102 | 94 |
|
Tonya Ann Bosaw
6812 State Route 162 Ste 204 |
$69.96 | 108 | 89 |
|
Kacey Panyik
2016 Vadalabene Dr |
$26.90 | 111 | 97 |
|
Jean E Swearingen
6810 State Route 162 |
$26.46 | 112 | 107 |
|
Krystle Michelle Wisnasky
6812 State Route 162 Ste 200 |
$45.37 | 131 | 129 |
|
Zachary Paul Luchtefeld
2401 S Center St |
$45.66 | 132 | 108 |
|
Samir K Shah
6810 State Route 162 Ste 102 |
$23.34 | 133 | 130 |
|
Janet Anne Woloszynek
6805 State Route 162 Ste 201 |
$12.81 | 183 | 179 |
|
Michael E Mandis
2236 Vadalabene Dr |
$57.20 | 184 | 169 |
|
Holly Harlow Shirley
2401 S Center St |
$51.56 | 218 | 167 |
|
Markel L Owens
2236 Vadalabene Dr Ste 2 |
$40.38 | 230 | 171 |
|
Ryan Parker
6812 State Route 162 Ste 202 |
$31.22 | 241 | 201 |
|
Eddie Lynn Paulk
6812 State Route 162 Ste 21 |
$24.12 | 282 | 244 |
|
Dean Schueler
20B Professional Park Dr |
$42.01 | 310 | 274 |
|
Robert C. Mckee
4956 Autumn Oaks Dr |
$26.46 | 338 | 295 |
|
Norah Claire Farley Baker
10 Professional Park Dr. |
$70.94 | 353 | 302 |
|
Renee Lindner
2133 Vadalabene Dr Ste 5B |
$64.47 | 532 | 511 |
|
Joann Marie Wilson
2023 Vadalabene Dr Ste 300 |
$3.73 | 538 | 497 |
|
Diana Lynn Herrick
2016 Vadalabene Dr |
$64.96 | 667 | 629 |
|
Justin Bradley Hill
2090 Vadalabene Dr |
$52.47 | 858 | 748 |
|
Sanjay K Nigam
6805 State Route 162 |
$36.65 | 1,008 | 828 |
|
James Joseph Dalla Riva
6810 State Route 162 |
$70.24 | 1,200 | 908 |
|
Amanda Joy Kilzer
2401 S Center St |
$60.88 | 1,506 | 1,272 |
|
Jennifer Anne Loethen
5 Professional Park Dr |
$50.27 | 1,528 | 1,388 |
|
Morgan Miller
2016 Vadalabene Dr |
$92.11 | 1,694 | 968 |
|
Rafe M Heng
6812 State Rte 162 Suite 202 |
$38.83 | 1,927 | 1,624 |
|
Christina L Midkiff
2023 Vadalabene Dr |
$37.14 | 2,163 | 1,869 |
|
Syed M Arshad
2227 Vadalabene Dr |
$32.44 | 2,311 | 2,053 |
|
Sajjan K Nemani
6828 State Route 162 Ste 2 |
$29.09 | 2,968 | 2,431 |
|
Riaz A Naseer
6828 State Route 162 |
$45.23 | 3,728 | 2,846 |
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