Average Medicaid Office Visit Payments in Monticello, IL: $12.74
Avg. Paid
$12.74
Range
$0.00 – $66.89
Total Claims
35,016
Providers
17
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 Monticello, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kirby Medical Center
1000 Medical Center Dr |
$0.02 | 25,822 | 20,471 |
|
William K Lanker
1002 Medical Center Dr |
$57.16 | 1,802 | 1,604 |
|
Alina Paul
1000 Medical Center Dr |
$41.54 | 1,768 | 1,558 |
|
Jennifer N Meinhart
1000 Medical Center Dr |
$49.01 | 1,193 | 1,151 |
|
Habeeba Sirajuddin
1002 Medical Center Dr |
$53.65 | 1,186 | 1,095 |
|
Steven J Sparenberg
1002 Medical Center Dr |
$35.87 | 1,045 | 837 |
|
Mitchell Hammel
100 W Washington St Ste 101 |
$59.81 | 994 | 884 |
|
Laci M Rascher
1000 Medical Center Dr |
$43.75 | 728 | 620 |
|
Glen E Dust
1000 Medical Center Dr |
$46.93 | 170 | 133 |
|
Jennifer Shawn Mahannah
1000 Medical Center Dr |
$39.16 | 97 | 96 |
|
Christy Barre
1002 Medical Center Dr |
$38.01 | 72 | 69 |
|
Lauren L Fore
1000 Medical Center Dr |
$0.00 | 70 | 36 |
|
Amber Oberheim
100 W Washington St Ste 101 |
$51.25 | 17 | 16 |
|
Santia Fitzpatrick
1000 Medical Center Dr |
$44.72 | 15 | 15 |
|
Brittany Hicks
100 W Washington St Ste 101 |
$57.80 | 13 | 12 |
|
Ann C Marty
1002 Medical Center Dr |
$66.89 | 12 | 12 |
|
Brian C Yocks
1000 Medical Center Dr |
$43.59 | 12 | 12 |
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 Monticello, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monticello, IL is $12.74 per claim, based on 35,016 claims from 17 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 Monticello, IL?
There are 17 Medicaid providers offering Office Visit related services in Monticello, IL according to public payment data.
What is the price range for Office Visit in Monticello, IL?
Medicaid reimbursement for Office Visit in Monticello, IL ranges from $0.00 to $66.89 per claim, with an average of $12.74. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Avg $33.16
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