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 |
|---|---|---|---|
|
Sara Kneedler Modert
1 Doctors Park Rd Ste C |
$38.79 | 12 | 12 |
|
Danilo Achy Martins
5 Good Samaritan Way Ste 235 |
$78.67 | 13 | 13 |
|
Kevin B Claffey
4218 Lincolnshire Dr |
$33.38 | 13 | 13 |
|
Fariahh Fazil
2 Good Samaritan Way Ste 235 |
$30.64 | 13 | 13 |
|
Alan Scott Harad
4218 Lincolnshire Dr |
$15.33 | 15 | 14 |
|
Kimberly Evonne Miller-Hammond
1 Good Samaritan Way |
$21.04 | 16 | 13 |
|
Emmanuel Loutrianakis
1 Good Samaritan Way |
$68.71 | 17 | 17 |
|
Macey Gettinger
4200 Williamson Pl Ste 1A |
$18.96 | 25 | 25 |
|
Natasha Carol Rhodes
4121 Veterans Memorial Dr |
$22.85 | 26 | 24 |
|
Christopher Wilson Modert
1 Doctors Park Rd Ste C |
$23.55 | 55 | 51 |
|
Nicole Michelle Boyd
1 Good Samaritan Way |
$83.93 | 60 | 37 |
|
Peter Wong
2 Good Samaritan Way Ste 235 |
$32.39 | 75 | 75 |
|
Andrew Robert Johnson
4218 Lincolnshire Dr |
$71.10 | 79 | 74 |
|
Daniel Hoffman
2 Good Samaritan Way |
$54.84 | 105 | 103 |
|
Suzanne E Alt
4230 Lincolnshire Dr Ste G |
$34.02 | 116 | 73 |
|
John Gordon Rowe
302 Broadway St |
$25.33 | 117 | 104 |
|
Ahmed Sayed Youssef
1007 S 42Nd St Ste 1 |
$42.66 | 142 | 137 |
|
Allison Anne Frost
13 Windsor Pl |
$29.15 | 150 | 142 |
|
Edgardo S Emilia
1009 S 42Nd St |
$35.51 | 150 | 127 |
|
Janelle Renee Kirby
209 Crossroads Pl Ste 120 |
$49.22 | 155 | 147 |
|
Tina Hall
4107 S Water Tower Pl |
$35.65 | 161 | 154 |
|
Linden R Pearson
4230 Lincolnshire Dr Ste G |
$28.20 | 169 | 155 |
|
David L Deloso
2920 Veterans Memorial Dr |
$50.06 | 171 | 158 |
|
Carla R. Rogers
209 Crossroads Pl Ste 100 |
$42.17 | 175 | 162 |
|
Kimberly Rene Claffey
5100 Lake Ter Ne Ste Wc |
$39.22 | 184 | 178 |
|
Michael Ambrose
605 N 12Th St |
$27.15 | 197 | 157 |
|
Dennon W Davis
4105 N Water Tower Pl |
$68.66 | 220 | 200 |
|
Ronald A Weiss
2 Good Samaritan Way Ste 220 |
$48.07 | 220 | 180 |
|
Murke Franklin Harrison
2712 Broadway St |
$0.00 | 222 | 184 |
|
William D Huffstutler
4101 N Water Tower Pl |
$33.45 | 244 | 238 |
|
Tomasz A Kosierkiewicz
2605 Main St |
$8.58 | 267 | 243 |
|
Cynthia Dawn Phillips
4101 N Water Tower Pl |
$16.88 | 288 | 271 |
|
Mohammed Al-Zoubaidi
4119 S Water Tower Pl Ste A |
$31.23 | 300 | 293 |
|
Abdulmonam Ahmad Abulgasem Ali
4106 S Water Tower Pl |
$24.49 | 307 | 279 |
|
Mohammed Haseeb
4204 Williamson Pl |
$14.79 | 317 | 301 |
|
Cheryl L Emmons
1100 S 42Nd St |
$15.42 | 360 | 300 |
|
Laci Christine Jankowski
1501 Mcpherson Ave |
$16.34 | 381 | 373 |
|
Natalie Amason
4107 S Water Tower Pl |
$39.39 | 383 | 354 |
|
Rachelle Ranae May
4117 Veterans Memorial Dr |
$35.37 | 392 | 360 |
|
Neeta B Kaushal
4107 N Water Tower Pl |
$63.48 | 405 | 371 |
|
Karie Stewart
1407 Mcpherson Ave |
$66.27 | 430 | 354 |
|
Megan Jean Neely
4101 N Water Tower Pl |
$37.35 | 463 | 443 |
|
Naga Srinivas Sirikonda
2 Good Samaritan Way Ste 420 |
$33.30 | 486 | 426 |
|
Susan E Massey
3130 Veterans Memorial Dr |
$88.14 | 529 | 414 |
|
Naresh Kumar Ahuja
4230 Lincolnshire Dr Ste A |
$40.86 | 582 | 544 |
|
Angela Jane Arcuri
4230 Lincolnshire Dr Ste A |
$19.33 | 605 | 329 |
|
Adit Shah
8 Doctors Park Rd |
$84.17 | 606 | 569 |
|
Roxanna Elise Stevens
1 Good Samaritan Way |
$50.00 | 633 | 534 |
|
Alan L Froehling
302 Broadway St |
$15.85 | 648 | 542 |
|
Iqbal M Akhter
1007 S.42Nd St. |
$4.23 | 681 | 668 |
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