Average Medicaid Office Visit Payments in Metropolis, IL: $9.04
Avg. Paid
$9.04
Range
$0.00 – $88.30
Total Claims
78,403
Providers
16
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 Metropolis, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Timothy William Cox
1203 W 10Th St |
$20.63 | 14 | 14 |
|
Adam Connell
28 Chick St Ste 100 |
$88.30 | 43 | 28 |
|
Comprehensive Health Center Ltd
1204 W 10Th St |
$0.00 | 49 | 34 |
|
John Larrison
28 Chick St Ste 100 |
$26.40 | 212 | 187 |
|
Randy Eugene Oliver
1203 W 10Th St |
$23.58 | 778 | 719 |
|
Jonathan E Walters
28 Chick St Ste 100 |
$29.59 | 782 | 659 |
|
Cheryl L Brookshier
1203 W 10Th St |
$30.32 | 876 | 742 |
|
Theresa Renee Curlin
1203 W 10Th St |
$25.85 | 2,091 | 1,653 |
|
Thomas Waldon Staton
28 Chick St Ste 100 |
$33.00 | 2,181 | 1,967 |
|
Blake M Woods
1203 W 10Th St |
$41.27 | 2,402 | 2,125 |
|
Bharat K Patel
12 Hospital Dr |
$29.76 | 4,227 | 3,586 |
|
Ashley Hagerty
1204 W 10Th St Ste A |
$51.64 | 5,133 | 4,312 |
|
Massac Memorial Hospital
28 Chick St Ste 100 |
$0.00 | 5,796 | 4,876 |
|
Massac Memorial Hospital
1204 W 10Th St Ste C |
$1.32 | 10,889 | 7,781 |
|
Rural Health, Inc.
1003 E 5Th St |
$0.00 | 16,113 | 11,342 |
|
Massac Memorial Hospital
1204 W 10Th St Ste A&B |
$0.01 | 26,817 | 21,731 |
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 Metropolis, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Metropolis, IL is $9.04 per claim, based on 78,403 claims from 16 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 Metropolis, IL?
There are 16 Medicaid providers offering Office Visit related services in Metropolis, IL according to public payment data.
What is the price range for Office Visit in Metropolis, IL?
Medicaid reimbursement for Office Visit in Metropolis, IL ranges from $0.00 to $88.30 per claim, with an average of $9.04. 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 Metropolis, IL
Substance Abuse Treatment
Avg $102.93
17,307 claims
Speech Therapy
Avg $13.49
16,522 claims
Home Health Visit
Avg $18.28
13,598 claims
Ambulance Transport
Avg $79.53
11,433 claims
Case Management Services
Avg $35.66
8,228 claims
EKG / ECG (Electrocardiogram)
Avg $9.32
4,761 claims
Physical Therapy
Avg $94.64
4,525 claims
Emergency Room Visit
Avg $41.38
3,268 claims