Average Medicaid Office Visit Payments in Normal, IL: $50.87
Avg. Paid
$50.87
Range
$1.78 – $261.51
Total Claims
167,445
Providers
103
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 Normal, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert A. Braastad
1302 Franklin Ave |
$41.04 | 12 | 12 |
|
Unnati Upadhyay
1300 Franklin Ave |
$49.22 | 12 | 12 |
|
Muhammad S Akhtar
1302 Franklin Ave Ste 4500 |
$44.98 | 13 | 13 |
|
Jennifer Lynn Lanz
1302 Franklin Ave |
$33.51 | 13 | 12 |
|
Aaron K. Frailey
1304 Franklin Ave Ste 380 |
$27.75 | 13 | 13 |
|
Travis Holt
1300 Franklin Ave Ste 210 |
$28.62 | 13 | 13 |
|
Ryan Michael Johnson
1300 Franklin Ave Ste 110 |
$42.99 | 14 | 14 |
|
John Migas
1606 Hunt Dr |
$14.12 | 14 | 14 |
|
Alan S Ginzburg
1302 Franklin Ave |
$24.31 | 16 | 15 |
|
Marcia K. Hauter
1302 Franklin Ave Lowr Level |
$16.43 | 17 | 13 |
|
Kelly J Abrams
1302 Franklin Ave |
$59.87 | 17 | 15 |
|
Rachel Erin Wood
211 Rachel Cooper Campus 4720 |
$56.25 | 20 | 20 |
|
Rachael A Plantholt
1437 E College Ave |
$52.03 | 21 | 20 |
|
Tyler James Pascavis
1302 Franklin Ave Ste 1100 |
$65.08 | 21 | 19 |
|
Ali Marie Joos
1302 Franklin Ave Ste 4500 |
$45.16 | 24 | 24 |
|
Ronald L Richmond
1700 Parkway Plaza Dr |
$34.79 | 27 | 27 |
|
Siddharth J Gandhi
1302 Franklin Ave |
$41.46 | 29 | 26 |
|
Bijoy Shankar Kar
1300 Franklin Ave Ste 380 |
$43.61 | 35 | 12 |
|
Caroline M. Halperin
1302 Franklin Ave Lowr Level |
$27.94 | 37 | 26 |
|
Parveen Naaz-Ikramuddin
1302 Franklin Ave Ste 3000 |
$33.52 | 43 | 29 |
|
Mariyam Yasmeen Houston
1300 Franklin Ave Ste 110 |
$54.54 | 57 | 49 |
|
Kartik B Mehta
1302 Franklin Ave Ste 4500 |
$32.33 | 61 | 51 |
|
David Jordan
1304 Franklin Ave |
$48.15 | 66 | 57 |
|
Julie Marie Mcdaniel
1304 Franklin Ave |
$73.10 | 69 | 67 |
|
Sulaiman Sultan
1300 Franklin Ave Ste 380 |
$51.13 | 69 | 68 |
|
Marwan Dib
1302 Franklin Ave Ste 4500 |
$30.31 | 78 | 76 |
|
Sydney Marie Gilmer
2200 Fort Jesse Rd Ste 110 |
$54.71 | 78 | 70 |
|
Jugal R Thaker
1302 Franklin Ave Ste 3000 |
$67.79 | 82 | 77 |
|
Christa Jaglinski
1304 Franklin Ave |
$48.48 | 84 | 81 |
|
Joshua Sterling Bentley
1304 Franklin Ave |
$53.76 | 86 | 83 |
|
Kathryn Grahs
1302 Franklin Ave Ste 4500 |
$261.51 | 87 | 78 |
|
Maneesha T Joseph
1302 Franklin Ave |
$41.01 | 88 | 79 |
|
Erin Kay Schmitt
900 Franklin Ave |
$48.08 | 110 | 106 |
|
Nicole M Lord
1730 Bradford Ln |
$63.12 | 145 | 119 |
|
Chae Chu
1302 Franklin Ave |
$33.90 | 153 | 133 |
|
Elizabeth Anne Madlem
1304 Franklin Ave |
$11.46 | 173 | 160 |
|
Ali Raza Ghani
1302 Franklin Ave Ste 4500 |
$70.85 | 191 | 169 |
|
Uyen Thanh Pham Le
1304 Franklin Ave |
$59.81 | 195 | 191 |
|
Jordan Michael Forney
1300 Franklin Ave Ste 110 |
$43.71 | 214 | 203 |
|
Jessica Johann
2200 Fort Jesse Rd |
$58.24 | 256 | 217 |
|
Faisal Ahmed
403 W Virginia Ave |
$2.22 | 300 | 266 |
|
Sonia Gajula
2005 Jacobssen Dr |
$37.79 | 317 | 292 |
|
Virginia J Moody
405 Kays Drive |
$43.22 | 342 | 260 |
|
Lindsay Connor
2200 Fort Jesse Rd |
$49.58 | 366 | 336 |
|
Robert Bruha
1302 Franklin Ave Ste 3000 |
$27.87 | 466 | 449 |
|
Michelle Caroline Kronmiller
1302 Franklin Ave |
$45.48 | 469 | 442 |
|
James Steven Vales
109 Veronica Way |
$45.09 | 478 | 409 |
|
Adam Brown
2200 Fort Jesse Rd Ste 110 |
$68.53 | 563 | 476 |
|
Tara Malinowski
207 Landmark Dr Ste A |
$79.39 | 638 | 591 |
|
Natalie Louise Jordan
1765 Bradford Ln |
$56.56 | 670 | 556 |
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 Normal, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Normal, IL is $50.87 per claim, based on 167,445 claims from 103 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 Normal, IL?
There are 103 Medicaid providers offering Office Visit related services in Normal, IL according to public payment data.
What is the price range for Office Visit in Normal, IL?
Medicaid reimbursement for Office Visit in Normal, IL ranges from $1.78 to $261.51 per claim, with an average of $50.87. 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 Normal, IL
Blood Work & Lab Tests
Avg $4.63
229,076 claims
Speech Therapy
Avg $14.61
93,122 claims
Emergency Room Visit
Avg $76.66
69,820 claims
Urinalysis & Urine Tests
Avg $2.21
57,029 claims
X-Ray
Avg $6.34
55,102 claims
EKG / ECG (Electrocardiogram)
Avg $8.84
39,129 claims
Dental Cleaning & Exam
Avg $31.88
38,322 claims
Substance Abuse Treatment
Avg $93.11
27,719 claims