Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Pekin, IL: $42.04

Avg. Paid

$42.04

Range

$0.00 – $75.96

Total Claims

94,229

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 Pekin, IL

Provider	Avg. Paid	Claims	Patients
Heartland Community Health Clinic 19 Olt Ave	$0.01	10,837	8,537
Charles S Vandyke 600 S 13Th St	$45.41	8,433	7,655
Theresa Abbadusky 1800 Broadway St	$41.57	8,043	6,751
Volkan Sumer 1491 Valle Vista Blvd	$50.76	7,725	6,490
Pratap Attaluri 3248 Vandever Ave	$32.11	7,194	5,750
Reginald Bowman 600 S 13Th St	$61.63	6,706	5,984
Buffi Sue Oberle 600 S 13Th St	$61.53	5,710	4,513
Heartland Community Health Clinic 3248 Vandever Ave Ste B	$0.00	5,305	4,618
Ashley Fischer 3223 Griffin Ave	$57.97	4,534	3,914
Kurt Larson Glesne 2351 Broadway St	$25.93	3,118	2,776
Jonathan Rider 600 S 13Th St	$62.34	2,732	2,354
Generoso Najera Sison 600 S 13Th St	$53.55	2,679	2,328
Dory Mickna 2301 Court St	$49.06	1,944	1,821
Heidi Kellerstrass 2301 Court St	$50.75	1,732	1,503
Janelle Fenski 19 Olt Ave	$64.94	1,725	1,561
Lindsay Briann Tate 19 Olt Ave	$63.69	1,600	1,330
Jessica Nash 3422A Court St	$64.64	1,589	1,401
William Irving Bond 725 S 14Th St	$41.16	1,486	1,361
Kristi S Kroenlein 2401 Broadway St	$62.62	1,442	1,059
Maria Rhodora Kabatay-Lee Ho 600 S 13Th St	$61.67	1,285	1,200
Mohammed Ali Khan 3212 Court St	$51.71	979	876
Roger Todd Adler 725 S 14Th St	$50.48	921	880
Michael P Honan 600 S 13Th St	$55.30	792	699
Jana Huston 600 S 13Th St	$70.54	760	607
Donald A Mitzelfelt 2351 Broadway St	$26.51	717	619
Emily Crebo 610 Park Ave	$60.21	717	681
Abigail Leigh Johnson 3422A Court St	$67.33	636	525
Kylie Ervin 6 Marion Pt	$55.13	536	435
Michael Allen Rossetto 3422A Court St	$69.65	446	366
Robert John Lucia 3248 Van De Ver Ave	$75.96	402	387
Carrie Ann Downing-Larick 3591 Griffin Ave	$68.49	325	270
Lariven Beltran Franada 3591 Griffin Ave	$59.22	296	267
Louise M Medearis 2301 Court St	$41.81	293	291
Kayla Ferman 3591 Griffin Ave	$66.08	168	113
Yves Raymond Makhoul 600 S 13Th St	$19.23	118	118
Brogan Edward Bahler 19 Olt Ave	$55.03	112	86
Curtis William Fisher 2401 Broadway St Ste B	$37.78	73	57
Eric Vincent Reinertson 2401 Broadway St	$34.36	43	38
Kamala S Chittivelu 2501 Allentown Rd	$30.33	42	34
Tazwood Mental Health Center, Inc. 3248 Vandever Ave	$1.21	20	19
Brendon J Johnson 2611 Broadway St	$47.97	14	12

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 Pekin, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pekin, IL is $42.04 per claim, based on 94,229 claims from 41 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 Pekin, IL?

There are 41 Medicaid providers offering Office Visit related services in Pekin, IL according to public payment data.

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

Medicaid reimbursement for Office Visit in Pekin, IL ranges from $0.00 to $75.96 per claim, with an average of $42.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Pekin, IL: $42.04

Providers Offering Office Visit in Pekin, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Pekin, IL

Speech Therapy

Eye Exam

Substance Abuse Treatment

Dental Cleaning & Exam

Physical Therapy

Psychiatric Evaluation

Vaccines & Immunizations

Case Management Services