Average Medicaid Office Visit Payments in Mount Carmel, IL: $5.97
Avg. Paid
$5.97
Range
$0.01 – $71.65
Total Claims
58,709
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 Mount Carmel, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lauren Spencer Croft
1123 Chestnut St |
$49.22 | 14 | 13 |
|
Chelsea Ann Hon
120 Jaquess Ave |
$14.24 | 29 | 24 |
|
Eghe Egiebor
1418 College Dr |
$30.74 | 124 | 122 |
|
Sarah Kay Pinkston
1418 College Dr |
$22.89 | 242 | 162 |
|
Susan Leann Lear
1001 N Market St Ste 101 |
$53.76 | 528 | 337 |
|
Diane Lynn Destefano
1123 Chestnut St |
$33.83 | 587 | 479 |
|
Julko E Fullop
120 Jaquess Ave |
$24.20 | 803 | 706 |
|
S B Jani Md Pc
1106 Oak St |
$5.17 | 1,531 | 698 |
|
Siddharth B Jani
1106 Oak St |
$71.65 | 1,575 | 1,456 |
|
Karsten B Slater
1527 College Dr |
$32.67 | 1,794 | 1,606 |
|
Wabash General Hospital District
1123 Chestnut St |
$0.06 | 3,199 | 2,792 |
|
Wabash General Hospital District
1430 College Dr Ste A |
$0.01 | 3,629 | 2,553 |
|
Wabash General Hospital District
1106 Oak St |
$0.04 | 3,918 | 3,067 |
|
Wabash County Health Department
130 W 7Th St |
$11.82 | 7,663 | 6,497 |
|
Wabash General Hospital District
1418 College Dr |
$0.12 | 8,937 | 7,112 |
|
Wabash General Hospital District
1418 College Dr |
$0.03 | 24,136 | 18,140 |
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 Mount Carmel, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Carmel, IL is $5.97 per claim, based on 58,709 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 Mount Carmel, IL?
There are 16 Medicaid providers offering Office Visit related services in Mount Carmel, IL according to public payment data.
What is the price range for Office Visit in Mount Carmel, IL?
Medicaid reimbursement for Office Visit in Mount Carmel, IL ranges from $0.01 to $71.65 per claim, with an average of $5.97. 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 Mount Carmel, IL
Speech Therapy
Avg $10.04
9,240 claims
Vaccines & Immunizations
Avg $9.95
7,199 claims
Psychiatric Evaluation
Avg $27.55
7,075 claims
Substance Abuse Treatment
Avg $74.15
6,619 claims
Non-Emergency Medical Transportation
Avg $13.34
4,668 claims
Ambulance Transport
Avg $109.68
3,854 claims
Emergency Room Visit
Avg $59.21
3,175 claims
Physical Therapy
Avg $166.56
2,423 claims