Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in O Fallon, IL: $32.51

Avg. Paid

$32.51

Range

$0.00 – $91.69

Total Claims

144,742

Providers

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 O Fallon, IL

Provider	Avg. Paid	Claims	Patients
Southern Illinois Healthcare Foundation Inc 3 Saint Elizabeth Blvd Ste 4000	$0.00	43,207	31,890
Bassam N Maalouf 321 Regency Park Ste 100	$28.93	8,633	6,371
Shaunte Moore 604 Pierce Blvd	$64.44	7,146	5,375
Robert Andrew Thain 100 Springfield Ct	$45.16	5,451	4,636
Tara Topper 1512 N Green Mount Rd	$51.17	5,381	4,330
Mark Andrew Walshauser 321 Regency Park Ste 100	$31.65	5,312	4,122
Rebecca Lynn Harris 3 Saint Elizabeth Blvd	$55.67	5,063	3,357
Justin D Floyd 321 Regency Park Ste 100	$33.20	4,727	3,381
Amardeep Shrestha 1480 N Green Mount Rd	$51.10	4,407	3,535
Bachir Farah 321 Regency Park Ste 100	$36.82	3,866	3,452
Dawn Drewes 320 E Highway 50	$37.49	3,637	2,706
Ahmed A. Radwan 670 Pierce Blvd	$57.31	3,622	2,920
Donna Jewell 331 Logan Dr	$33.02	3,340	2,123
Mollie Wetstein 310 N 7 Hills Rd Ste 220	$65.82	3,092	2,920
Daniel Joseph Thouvenot 784 Wall St Ste C	$38.59	2,934	2,474
Kevin Corrigan 103 N Oak St	$61.95	2,674	1,490
Kevin M Ponciroli 793 Sunset Blvd	$51.83	2,221	1,938
Amy Marie Buck 670 Pierce Blvd	$55.45	2,210	1,900
Steven Allen Taylor 1512 N Green Mount Rd Ste 108	$57.95	2,194	1,792
Emily Caufield 604 Pierce Blvd	$77.46	1,922	1,624
Ricki Loar 670 Pierce Blvd	$58.96	1,867	1,568
Miranda Francis Pogue 320 E Highway 50	$50.14	1,540	1,396
Shiyam Kumar Satwani Three Saint Elizabeth Blvd Ste 2800	$36.28	1,344	1,250
Scott F Morrison 310 N 7 Hills Rd Ste 220	$63.02	1,327	1,147
Mechelle E Elosiebo 3 Saint Elizabeth Blvd Ste 4000	$91.69	1,223	1,125
Sarah Jane Poirot 670 Pierce Blvd	$54.96	1,211	1,009
Thomas B. Cahill Three Saint Elizabeth Blvd Ste 2800	$30.34	1,142	1,041
Chih Jen Wang 1560 W Us Highway 50	$39.39	1,141	1,043
Richard Derby 670 Pierce Blvd	$49.15	829	667
Bassim Assioun 3 Saint Elizabeth Blvd Ste 5000	$22.97	825	767
Jennifer Schaefer 3 Saint Elizabeth Blvd Ste 5000	$47.68	782	710
Brian August Reichardt 3 Saint Elizabeth Blvd	$27.28	776	715
Lori Beth Helmers Three Saint Elizabeth Blvd Ste 2800	$28.50	687	647
Derek Pechacek 320 E Highway 50	$40.04	685	670
Gladys Schmees 408 Wolfpass Dr	$53.65	613	552
Kellsey R Thole Three Saint Elizabeth Blvd Ste 2800	$31.40	563	531
John Patrick Scally Three Saint Elizabeth Blvd Ste 2800	$21.53	535	515
Bryon John Gorton 1 Saint Elizabeth Blvd	$13.20	515	359
Keisha Marie Young 604 Pierce Blvd Ste 150	$40.84	490	452
Bethany Varel 320 E Highway 50	$44.05	439	409
Venkatesh Anjan Three Saint Elizabeth Blvd Ste 2800	$29.28	371	343
Katherine Ann Corbin Three Saint Elizabeth Blvd Ste 2800	$37.39	366	340
Nell Ann Schmits Hennon 1512 N Green Mount Rd	$53.51	325	265
Richard Gerhard Knight 320 E Highway 50	$44.36	321	314
Scott Benjamin Marrus Three Saint Elizabeth Blvd Ste 2800	$20.73	316	297
Pavan Kumar Gupta Three Saint Elizabeth Blvd Ste 2800	$25.46	256	231
Ashraf Salah Al Dadah 3 Saint Elizabeth Blvd Ste 2800	$24.94	232	219
Christine Walthes Three Saint Elizabeth Blvd Ste 2800	$45.14	224	195
Raghav Govindarajan 3 Saint Elizabeth Blvd	$44.96	222	207
Zachary Berg 3 Saint Elizabeth Blvd Ste 5000	$30.23	211	201

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 O Fallon, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in O Fallon, IL is $32.51 per claim, based on 144,742 claims from 77 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 O Fallon, IL?

There are 77 Medicaid providers offering Office Visit related services in O Fallon, IL according to public payment data.

What is the price range for Office Visit in O Fallon, IL?

Medicaid reimbursement for Office Visit in O Fallon, IL ranges from $0.00 to $91.69 per claim, with an average of $32.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in O Fallon, IL: $32.51

Providers Offering Office Visit in O Fallon, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in O Fallon, IL

Emergency Room Visit

Eye Exam

Speech Therapy

EKG / ECG (Electrocardiogram)

Blood Work & Lab Tests

Physical Therapy

Dental Cleaning & Exam

Ambulance Transport