Average Medicaid Office Visit Payments in Mount Vernon, IL: $34.63
Avg. Paid
$34.63
Range
$0.00 – $122.82
Total Claims
201,538
Providers
107
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 Vernon, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Heartland Women'S Healthcare, Ltd
3130 Veterans Memorial Dr |
$0.00 | 17,946 | 12,728 |
|
Melanie Cross
4121 Veterans Memorial Dr |
$43.92 | 10,793 | 8,828 |
|
Jamie Smith
4121 Veterans Memorial Dr |
$33.59 | 8,534 | 7,559 |
|
Jefferson County
4102 S Water Tower Pl |
$11.89 | 7,562 | 6,603 |
|
Sudeep Nair
602 S 42Nd St |
$46.27 | 6,806 | 6,055 |
|
Nicole Marie Lewis
602 S 42Nd St |
$38.29 | 6,598 | 5,784 |
|
Ashley Daniels
602 S 42Nd St |
$47.79 | 6,527 | 5,603 |
|
Physician Rural Health Clinic Of Jefferson County
3307 Broadway St |
$0.05 | 6,473 | 3,749 |
|
Tyler Wishau
2 Good Samaritan Way Ste 420 |
$23.77 | 5,230 | 4,531 |
|
Walter A Parham
2 Good Samaritan Way |
$40.63 | 5,028 | 4,534 |
|
Evelyn B Yu
1007 S 42Nd St |
$57.83 | 4,666 | 3,787 |
|
Hammad Shafqat
8 Doctors Park Rd |
$35.77 | 4,570 | 3,964 |
|
Kerry Lynn Pitchford
602 S 42Nd St |
$46.64 | 4,321 | 3,557 |
|
National Healthcare Of Mt Vernon Inc
4101 N Water Tower Pl |
$0.00 | 4,262 | 3,946 |
|
Tamara Copeland
2 Good Samaritan Way Ste 420 |
$41.36 | 4,204 | 3,635 |
|
Prateek Srinet
2 Good Samaritan Way |
$37.51 | 3,825 | 3,521 |
|
Trina M Yenne
3130 Veterans Memorial Dr |
$84.36 | 3,749 | 2,671 |
|
Amanda K Mckee
4121 Veterans Memorial Dr |
$14.95 | 3,522 | 3,258 |
|
Kelli Mowrer
8 Cusumano Professional Plaza Dr |
$50.77 | 3,414 | 2,615 |
|
Emily Beth Boyd
3130 Veterans Memorial Dr |
$59.82 | 3,371 | 2,761 |
|
Jacques Papazian
4117 S Water Tower Pl |
$30.32 | 3,224 | 2,977 |
|
Karla Webb
2 Good Samaritan Way |
$43.36 | 3,174 | 2,669 |
|
Deaconess Illinois Crossroads Inc
4101 N Water Tower Pl |
$0.00 | 3,173 | 2,802 |
|
Ahmed Salem Mohamed
412 S 34Th St Ste 101 |
$28.34 | 3,146 | 2,886 |
|
Jason A Davison
2 Good Samaritan Way |
$51.38 | 3,043 | 2,610 |
|
Angela Freehill
4121 Veterans Memorial Dr |
$24.02 | 2,966 | 2,675 |
|
Annie Rae Lowery
1 Good Samaritan Way |
$47.67 | 2,884 | 2,639 |
|
Joon S Ahn
4121 Veterans Memorial Dr |
$22.78 | 2,790 | 2,475 |
|
Ferdinand Valencia Apostol
2 Good Samaritan Way |
$29.54 | 2,651 | 2,178 |
|
Marjorie Mabong Nwosu
3505 Broadway |
$122.82 | 2,581 | 2,363 |
|
Udaya K Liyanage
4200 Williamson Pl Ste 1A |
$41.06 | 2,507 | 2,118 |
|
Esther Schulz
5 Good Samaritan Way |
$60.09 | 2,381 | 2,056 |
|
Don A Kovalsky
4121 Veterans Memorial Dr |
$20.21 | 2,237 | 2,119 |
|
Stacy R Wright
5 Good Samaritan Way |
$38.60 | 2,142 | 1,614 |
|
Gary M Reagan
209 Crossroads Pl |
$20.26 | 2,096 | 1,942 |
|
Hayley Harris Martins
4103 S Water Tower Pl |
$49.76 | 1,951 | 1,662 |
|
Sharron Gingrich
2 Good Samaritan Way Ste 405 |
$47.58 | 1,908 | 1,611 |
|
Erica Lyn Prater
5 Good Samaritan Way |
$49.38 | 1,870 | 1,778 |
|
Sonya Mckinney
209 Crossroads Pl |
$37.17 | 1,746 | 657 |
|
Jean Benoit Houle
4121 Veterans Memorial Dr |
$21.06 | 1,621 | 1,498 |
|
Amanda Barton Shelton
3130 Veterans Memorial Dr |
$38.48 | 1,541 | 1,149 |
|
Scherrie Lynn Mclaskey
4119 S Water Tower Pl Ste A |
$49.77 | 1,341 | 1,176 |
|
Ashley May
2920 Veterans Memorial Dr |
$57.01 | 1,311 | 1,138 |
|
Ashley C Hofer
209 Crossroads Pl Ste 120 |
$54.27 | 1,262 | 1,078 |
|
Victoria Koch
602 S 42Nd St |
$37.33 | 1,256 | 1,210 |
|
Gloria Nicole Abenes
4117 Veterans Memorial Dr |
$31.35 | 1,145 | 993 |
|
Rachel Ellnetta Cox
1 Good Samaritan Way |
$52.26 | 1,093 | 1,023 |
|
David S Asbery
8 Cusumano Professional Plaza Dr |
$39.60 | 1,067 | 874 |
|
Shelby Guthrie
1007 S 42Nd St |
$48.69 | 1,044 | 970 |
|
Diana L Tomlianovich
2920 Veterans Memorial Dr |
$87.93 | 980 | 813 |
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 Vernon, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Vernon, IL is $34.63 per claim, based on 201,538 claims from 107 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 Vernon, IL?
There are 107 Medicaid providers offering Office Visit related services in Mount Vernon, IL according to public payment data.
What is the price range for Office Visit in Mount Vernon, IL?
Medicaid reimbursement for Office Visit in Mount Vernon, IL ranges from $0.00 to $122.82 per claim, with an average of $34.63. 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 Vernon, IL
X-Ray
Avg $6.56
55,119 claims
Ambulance Transport
Avg $136.08
35,654 claims
Speech Therapy
Avg $24.83
30,341 claims
Home Health Visit
Avg $80.98
26,407 claims
CT Scan (Computed Tomography)
Avg $45.93
25,578 claims
Substance Abuse Treatment
Avg $97.84
25,479 claims
EKG / ECG (Electrocardiogram)
Avg $7.49
24,060 claims
Vaccines & Immunizations
Avg $32.43
24,027 claims