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 |
|---|---|---|---|
|
Thomas Pliura
Virginia & Franklin Streets |
$40.30 | 18,955 | 14,801 |
|
Anita M. Tillman
1302 Franklin Ave |
$51.56 | 11,730 | 10,688 |
|
Summer Mustafa Hassan
1300 Franklin Ave |
$45.75 | 8,936 | 7,990 |
|
Pramern Sriratana
1606 Hunt Dr |
$29.35 | 8,388 | 6,692 |
|
Lacie Petro
1302 Franklin Ave Ste 1100 |
$53.63 | 6,683 | 5,590 |
|
Lawrence Vincent Gratkins
1300 Franklin Ave Ste 270 |
$72.60 | 6,628 | 4,921 |
|
Robert Scott Hamilton
405 Kays Dr Ste C |
$84.60 | 5,045 | 4,125 |
|
Molly Lundy
2005 Jacobssen Dr |
$50.32 | 4,117 | 3,402 |
|
Andrew Keto
1304 Franklin Ave |
$50.70 | 4,029 | 3,671 |
|
Summer Alyssa Hinthorne
2200 Jacobssen Dr Ste B |
$37.34 | 3,976 | 3,765 |
|
Kimberly P. Marshall
1302 Franklin Ave Ste 2500 |
$57.09 | 3,906 | 3,312 |
|
Joseph Liu
2200 Fort Jesse Rd |
$54.73 | 3,889 | 3,428 |
|
Shad Beaty
2005 Jacobssen Dr |
$53.12 | 3,674 | 3,058 |
|
Brenda J Fuss
1302 Franklin Ave |
$50.49 | 3,090 | 2,751 |
|
Maria Fernanda Saavedra
1302 Franklin Ave |
$62.57 | 2,984 | 2,524 |
|
Susan Sheppard
2200 Fort Jesse Rd |
$53.66 | 2,923 | 2,508 |
|
Hwan G Jeong
1606 Hunt Dr |
$56.26 | 2,889 | 2,320 |
|
Artur Djagarian
1302 Franklin Ave |
$48.30 | 2,779 | 2,319 |
|
Jeffrey J Galvan
1300 Franklin Ave |
$48.36 | 2,737 | 2,356 |
|
Tolulope T Efam
1437 E College Ave |
$53.21 | 2,591 | 2,305 |
|
Rachael Hudgins
201N University |
$49.01 | 2,530 | 2,355 |
|
Michelle Steele
482 Wylie Dr |
$38.93 | 2,477 | 2,341 |
|
Marlito P. Favila
1437 E College Ave |
$48.99 | 2,263 | 1,632 |
|
Laine E Galardini
1765 Bradford Ln. |
$53.52 | 2,240 | 1,993 |
|
Todd Owen Kettering
1300 Franklin Avenue, Suite 100 |
$50.26 | 2,175 | 1,954 |
|
Jonathan David Benson
1300 Franklin Avenue, Suite 100 |
$47.80 | 2,130 | 1,894 |
|
Madhavi Madugula
2200 Fort Jesse Rd |
$54.07 | 1,936 | 1,569 |
|
Nicole M. Warmac
1304 Franklin Ave |
$55.65 | 1,906 | 1,766 |
|
Joseph V Piller
1300 Franklin Ave Ste 210 |
$78.18 | 1,884 | 1,856 |
|
Thomas Charles Kelly
207 Landmark Dr |
$54.00 | 1,816 | 1,664 |
|
Lynn A Parker
1700 Parkway Plaza Dr |
$42.24 | 1,806 | 1,679 |
|
John A. Pollastrini
1302 Franklin Ave Ste 1100 |
$47.92 | 1,788 | 1,543 |
|
Syed Javed Hasan Zaidi
1302 Franklin Ave |
$67.08 | 1,752 | 1,445 |
|
Emily Jean Schieler
207 Landmark Dr Ste A |
$42.47 | 1,625 | 1,506 |
|
Allyson Kay Lindgren
1304 Franklin Ave |
$33.87 | 1,540 | 1,416 |
|
Bhanu K Vakkalanka
407 E Vernon Ave |
$33.09 | 1,501 | 1,267 |
|
Liza Carolina Yambay Valiente
1302 Franklin Ave |
$56.26 | 1,480 | 1,416 |
|
Melissa A Hardesty
2200 Fort Jesse Rd Ste 110 |
$54.38 | 1,477 | 1,395 |
|
Adam Ebreo
1302 Franklin Ave |
$1.78 | 1,474 | 1,440 |
|
Trisha Filliman
1100 Beech St Bldg 10-6 |
$135.61 | 1,354 | 1,222 |
|
Andrew James Lerrick
207 Landmark Dr Ste A |
$50.95 | 1,292 | 1,263 |
|
Lakshmi Mohan Viji Das
1302 Franklin Ave |
$60.22 | 1,227 | 1,178 |
|
Joel Nilles
Virginia & Franklin Streets |
$31.83 | 1,207 | 1,099 |
|
Carmen D. Chase
403 W Virginia Ave |
$58.54 | 1,120 | 984 |
|
Jessica Ashley Olson
1603 Visa Dr |
$48.95 | 1,091 | 754 |
|
Kristin Kendrick
2200 Fort Jesse Rd Ste 110 |
$68.57 | 1,023 | 887 |
|
Nathaniel John Craig
1304 Franklin Ave Ste 380 |
$48.61 | 928 | 787 |
|
Bethani Christianson
2200 Fort Jesse Rd Ste 110 |
$56.96 | 918 | 810 |
|
Lori Verkler
2200 Fort Jesse Rd Ste 110 |
$66.46 | 897 | 823 |
|
Stephen S Matter
2200 Jacobssen Dr |
$15.50 | 879 | 833 |
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