Average Medicaid Office Visit Payments in Mattoon, IL: $35.68
Avg. Paid
$35.68
Range
$0.00 – $110.11
Total Claims
310,990
Providers
135
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 Mattoon, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hoopeston Community Memorial Hospital
2512 Hurst Dr |
$0.01 | 61,674 | 39,817 |
|
Daniel Bommelje
1000 Health Center Dr |
$43.87 | 20,629 | 14,456 |
|
Naresh Nekkanti
2512 Hurst Dr |
$52.76 | 13,693 | 12,406 |
|
Southern Illinois Healthcare Foundation, Inc
911 Remington Rd Ste B |
$0.00 | 11,049 | 8,430 |
|
Nafees Khan
2512 Hurst Dr Ste 130 |
$50.10 | 10,206 | 8,466 |
|
Karri L. Brown
2512 Hurst Dr. |
$51.63 | 8,682 | 7,755 |
|
Ashley Adams
1004 Health Center Dr Ste 100 |
$46.37 | 7,459 | 6,419 |
|
Dawn Miesner
2512 Hurst Dr |
$54.87 | 7,376 | 6,563 |
|
Amy J Leifheit
1000 Health Center Dr |
$56.93 | 6,549 | 5,642 |
|
Rachel T Lape
200 Richmond Ave E Ste 4 |
$62.44 | 5,852 | 5,195 |
|
Randy R Isaacs
1000 Health Center Dr |
$37.48 | 5,805 | 5,162 |
|
Southern Illinois Healthcare Foundation, Inc
750 Broadway Ave E |
$0.00 | 5,430 | 4,064 |
|
Eric M Brewer
1004 Health Center Dr Ste 100 |
$43.07 | 5,314 | 4,568 |
|
Penelope Shields
1005 Health Center Dr Ste 102 |
$46.92 | 5,036 | 4,154 |
|
Gregory Deters
200 Richmond Ave E |
$43.53 | 4,625 | 4,207 |
|
Kuppuswamy Jagarlamudi
1000 Health Center Dr |
$25.33 | 4,392 | 3,448 |
|
Louis B Mendella
1004 Health Center Dr Ste 100 |
$31.33 | 4,327 | 3,821 |
|
Abdur R. Shakir
1000 Health Center Dr |
$24.83 | 4,083 | 3,020 |
|
Lucas L Catt
1005 Health Center Dr Ste 103 |
$46.07 | 3,687 | 3,303 |
|
Kristina Nicole Smith
1201 Wooddell Way Ste B |
$38.70 | 3,666 | 3,508 |
|
Ashley K Tennill
1000 Health Center Dr |
$45.46 | 3,486 | 3,120 |
|
Fatima Alao
1000 Health Center Dr Ste 107 |
$37.02 | 3,297 | 2,509 |
|
Toni Lampe
1000 Health Center Dr |
$47.83 | 3,203 | 3,067 |
|
Lori Cudone
1005 Health Center Dr Ste 201 |
$40.27 | 3,097 | 2,751 |
|
Antonios Papadopoulos
200 Richmond Ave E Ste 3 |
$52.50 | 3,069 | 2,819 |
|
James Samuel Polek
200 Richmond Ave E Ste 4 |
$47.86 | 3,006 | 2,757 |
|
Laurie E Mooney
1005 Health Center Dr Ste 100 |
$66.63 | 2,895 | 2,573 |
|
Michael Smith
1005 Health Center Dr Ste 201 |
$37.88 | 2,857 | 2,705 |
|
Dorothy Jeanine Hinshaw
2512 Hurst Dr Ste 120 |
$51.14 | 2,782 | 2,528 |
|
Constantine Dean Katsamakis
1000 Health Center Dr |
$41.20 | 2,544 | 2,340 |
|
Eliza J Smith
1201 Wooddell Way Ste B |
$56.97 | 2,532 | 2,345 |
|
Allison T. Alumbaugh
200 Richmond Ave E Ste 2 |
$59.32 | 2,484 | 2,275 |
|
Jeremy Shane Stevens
1004 Health Center Dr Ste 100 |
$38.46 | 2,469 | 2,261 |
|
Andrew Mcdevitt
1004 Health Center Dr Ste 212 |
$66.24 | 2,447 | 2,308 |
|
Heather A Heicher
1000 Health Center Dr Ste 106 |
$54.48 | 2,414 | 2,249 |
|
Jennifer Lynne Hall
1005 Health Center Dr Ste 201 |
$47.75 | 2,345 | 2,199 |
|
Karen Phylis Wiarda
100 Lerna Rd S |
$50.91 | 2,279 | 2,052 |
|
Batlagundu S Lakshminarayanan
1000 Health Center Dr |
$25.15 | 2,276 | 2,163 |
|
Matthew James Dorner
3555 E Cr 250N |
$43.88 | 2,229 | 1,911 |
|
Kimberly Dawn Peery
1005 Health Center Dr Ste 100 |
$55.58 | 2,209 | 1,866 |
|
Scott E Meyer
1000 Health Center Dr Ste 201 |
$70.00 | 2,037 | 1,693 |
|
Elbert C. Lee
1005 Health Center Drive |
$36.09 | 2,022 | 1,410 |
|
Amanda Zumbahlen
1201 Wooddell Way Ste B |
$44.38 | 2,013 | 1,725 |
|
Allyson K. Gough
1000 Health Center Dr Ste 107 |
$34.66 | 1,994 | 1,897 |
|
Rick Miller
1000 Health Center Dr Ste 201 |
$65.37 | 1,980 | 1,611 |
|
Nora Porter
1000 Health Center Dr Ste 204 |
$72.37 | 1,977 | 1,873 |
|
Jodi M. Morrisey
1000 Health Center Dr Ste 305 |
$30.08 | 1,961 | 1,796 |
|
Lori A. Nottmeyer
200 Richmond Ave E |
$48.43 | 1,938 | 1,607 |
|
Kristy Dawn Shafer
1000 Health Center Dr Ste 107 |
$44.83 | 1,688 | 1,596 |
|
Monica N Scott
1000 Health Center Dr |
$41.10 | 1,656 | 1,467 |
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 Mattoon, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mattoon, IL is $35.68 per claim, based on 310,990 claims from 135 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 Mattoon, IL?
There are 135 Medicaid providers offering Office Visit related services in Mattoon, IL according to public payment data.
What is the price range for Office Visit in Mattoon, IL?
Medicaid reimbursement for Office Visit in Mattoon, IL ranges from $0.00 to $110.11 per claim, with an average of $35.68. 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 Mattoon, IL
X-Ray
Avg $8.11
138,137 claims
Emergency Room Visit
Avg $58.82
76,576 claims
EKG / ECG (Electrocardiogram)
Avg $8.84
52,818 claims
Dental Cleaning & Exam
Avg $30.65
37,575 claims
Physical Therapy
Avg $73.21
36,659 claims
Vaccines & Immunizations
Avg $6.99
36,150 claims
Pathology & Lab Services
Avg $31.44
29,344 claims
Substance Abuse Treatment
Avg $87.33
28,376 claims