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
Deanna Lambert 3 Saint Elizabeth Blvd Ste 2800	$13.83	12	12
Samuel Carlton Haywood 3 Saint Elizabeth Blvd Ste 3200	$34.56	12	12
Michael J Hushion Three Saint Elizabeth Blvd Ste 2800	$55.86	13	12
Claire M Vargo 3 Saint Elizabeth Blvd Ste 1800	$0.00	13	12
Kenneth G. Reinert 1512 N Green Mount Rd	$46.89	14	13
David Hooman Shervin 670 Pierce Blvd	$40.49	14	14
Kristina Naseer 3 Saint Elizabeth Blvd Ste 200	$41.60	14	14
Kevin L Pritchett 100 Springfield Ct	$16.30	15	15
Andres Lerner 670 Pierce Blvd	$24.99	18	16
Atul Shah Three Saint Elizabeth Blvd Ste 2800	$31.41	33	27
Jodi Jany 3 Saint Elizabeth Blvd Ste 3800	$38.07	39	39
Randall E Dooley 3 Saint Elizabeth Blvd Ste 5000	$25.59	39	39
Christopher Charles Sutton 3 Saint Elizabeth Blvd	$51.46	48	38
Kevin James Mccarthy 670 Pierce Blvd	$20.53	80	65
Rema Sanghavi 1512 N Green Mount Rd Ste 108	$44.38	85	73
Kimberly Burgess 670 Pierce Blvd	$52.98	93	67
Susan Grace Drabing 320 E Highway 50	$46.01	112	112
Frederick Otieno Ochieng' 3 Saint Elizabeth Blvd Ste 2800	$47.82	113	107
Hasan Rehman 3 Saint Elizabeth Blvd Ste 1800	$15.83	118	82
Christina H Dothager 787 Sunset Blvd Ste 200	$36.73	137	96
Regina Y Chiu Three Saint Elizabeth Blvd Ste 2800	$25.25	169	157
Rachael Demattei 321 Regency Park Ste 100	$61.44	177	170
Marianne Guthrie 3 Saint Elizabeth Blvd Ste 200	$55.73	177	168
Scott C Carrizales 930 Talon Dr Ste 1	$47.69	181	177
James Leon Jablonski 100 Springfield Ct	$62.41	191	167
Dana A Baugher Three Saint Elizabeth Blvd Ste 2800	$27.26	204	180
Adaku Mennwa Uzo-Okereke 3 Saint Elizabeth Blvd Ste 5000	$33.23	204	197
Zachary Berg 3 Saint Elizabeth Blvd Ste 5000	$30.23	211	201
Raghav Govindarajan 3 Saint Elizabeth Blvd	$44.96	222	207
Christine Walthes Three Saint Elizabeth Blvd Ste 2800	$45.14	224	195
Ashraf Salah Al Dadah 3 Saint Elizabeth Blvd Ste 2800	$24.94	232	219
Pavan Kumar Gupta Three Saint Elizabeth Blvd Ste 2800	$25.46	256	231
Scott Benjamin Marrus Three Saint Elizabeth Blvd Ste 2800	$20.73	316	297
Richard Gerhard Knight 320 E Highway 50	$44.36	321	314
Nell Ann Schmits Hennon 1512 N Green Mount Rd	$53.51	325	265
Katherine Ann Corbin Three Saint Elizabeth Blvd Ste 2800	$37.39	366	340
Venkatesh Anjan Three Saint Elizabeth Blvd Ste 2800	$29.28	371	343
Bethany Varel 320 E Highway 50	$44.05	439	409
Keisha Marie Young 604 Pierce Blvd Ste 150	$40.84	490	452
Bryon John Gorton 1 Saint Elizabeth Blvd	$13.20	515	359
John Patrick Scally Three Saint Elizabeth Blvd Ste 2800	$21.53	535	515
Kellsey R Thole Three Saint Elizabeth Blvd Ste 2800	$31.40	563	531
Gladys Schmees 408 Wolfpass Dr	$53.65	613	552
Derek Pechacek 320 E Highway 50	$40.04	685	670
Lori Beth Helmers Three Saint Elizabeth Blvd Ste 2800	$28.50	687	647
Brian August Reichardt 3 Saint Elizabeth Blvd	$27.28	776	715
Jennifer Schaefer 3 Saint Elizabeth Blvd Ste 5000	$47.68	782	710
Bassim Assioun 3 Saint Elizabeth Blvd Ste 5000	$22.97	825	767
Richard Derby 670 Pierce Blvd	$49.15	829	667
Chih Jen Wang 1560 W Us Highway 50	$39.39	1,141	1,043

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

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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