Average Medicaid Office Visit Payments in Peoria, IL: $44.09
Avg. Paid
$44.09
Range
$0.00 – $677.17
Total Claims
1,063,890
Providers
701
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 Peoria, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Heartland Community Health Clinic
1800 N Knoxville Ave Ste A |
$0.00 | 66,499 | 54,156 |
|
Luke Yang Xie
5903 W Ivybridge Pl |
$49.42 | 51,340 | 44,644 |
|
Heartland Community Health Clinic
2321 N Wisconsin Ave |
$0.01 | 50,204 | 41,493 |
|
Heartland Community Health Clinic
1701 W Garden St |
$0.00 | 39,939 | 32,644 |
|
Ban Gia Truong
530 Ne Glen Oak Ave |
$17.73 | 24,828 | 23,693 |
|
Heartland Community Health Clinic
711 W John H Gwynn Jr Ave |
$0.00 | 18,035 | 15,021 |
|
Osf Multi-Specialty Group
8600 N State Route 91 |
$51.05 | 10,373 | 9,929 |
|
Kali Taylor
530 Ne Glen Oak Ave |
$38.56 | 10,313 | 9,083 |
|
Heartland Community Health Clinic
228 Ne Jefferson Avenue |
$0.00 | 10,227 | 6,839 |
|
Michael Johnson
8914 N Knoxville Ave |
$57.83 | 9,637 | 8,732 |
|
Ghassan Bitar
228 Ne Jefferson |
$73.11 | 8,869 | 6,721 |
|
Emily Denham Ward
9010 N Allen Rd # Condoj |
$33.97 | 8,838 | 8,035 |
|
Troy Pequette
2900 N Knoxville Ave |
$51.42 | 8,495 | 7,337 |
|
Christopher Robert Wakid
530 Ne Glen Oak Ave |
$60.79 | 7,440 | 6,412 |
|
Dejan Maksimovic
5114 N Glen Park Place Rd |
$50.68 | 7,187 | 6,104 |
|
Melinda Lucille Lange
530 Ne Glen Oak Ave |
$46.94 | 6,879 | 6,337 |
|
George Carlton Gilbert
3525 N University St |
$57.53 | 6,824 | 5,957 |
|
Larry F Overcash
7309 N Knoxville Ave |
$54.24 | 6,760 | 5,522 |
|
Karen Cadet-Saintilus
5111 N Glen Park Place Rd |
$59.92 | 6,241 | 5,386 |
|
Jason E. Becker
2900 N Knoxville Ave |
$55.55 | 6,024 | 5,316 |
|
Pallavi Murari
815 Main St |
$45.86 | 6,014 | 5,625 |
|
Brandon Bockewitz
5401 N Knoxville Ave Ste 112 |
$61.53 | 5,943 | 4,999 |
|
Maqbool B Ali
4930 N Executive Dr |
$52.09 | 5,589 | 4,729 |
|
Benali Girish Deshpande
420 Ne Glen Oak Ave |
$57.84 | 5,489 | 4,807 |
|
Tracy L Schierer
7309 N Knoxville Ave |
$39.05 | 5,405 | 4,685 |
|
Lourdes Delgado-Serrano
Dept Of Pediatrics |
$94.75 | 5,084 | 4,421 |
|
Jamie Schupbach
900 Main St |
$330.12 | 5,043 | 4,667 |
|
Tamara L. Olt
6915 N Knoxville Ave |
$76.17 | 4,898 | 3,564 |
|
Robert Leysaht
10408 N Centerway Dr |
$50.94 | 4,841 | 4,528 |
|
Yolanda Renfroe
4911 N Executive Dr |
$43.96 | 4,806 | 3,241 |
|
Michael Leonardi
4911 N Executive Dr |
$46.78 | 4,783 | 3,665 |
|
Michael Joseph Gootee
420 Ne Glen Oak Ave |
$61.49 | 4,759 | 4,221 |
|
Hady Sfeir
5105 Glen Park Pl |
$40.90 | 4,750 | 4,282 |
|
Megha Mungee
5111 N Glen Park Place Rd |
$52.93 | 4,711 | 3,968 |
|
Chad M Conklin
3335 N Sterling Ave |
$53.20 | 4,653 | 4,043 |
|
Michael Endris
530 Ne Glen Oak Ave |
$54.58 | 4,642 | 4,141 |
|
Aimee Renee Sarchet
9031 N Allen Rd Ste 3 |
$62.40 | 4,546 | 3,815 |
|
Renaldo A Jacques
2321 N Wisconsin Avenue |
$63.44 | 4,513 | 3,987 |
|
Jeffrey Jones
8600 N State Route 91 |
$66.06 | 4,507 | 4,031 |
|
Julian Jwchun Lin
200 E Pennsylvania Ave |
$36.21 | 4,504 | 4,152 |
|
Barbara L Johnston
2338 N. Van Winkle Way |
$55.50 | 4,496 | 3,946 |
|
Kevin M Henry
5401 N Knoxville Ave |
$41.98 | 4,412 | 4,078 |
|
Steven J Lichtenstein
8921 N. Wood Sage Rd. |
$40.99 | 4,395 | 4,164 |
|
John Galbreath
2900 N Knoxville Ave |
$56.54 | 4,365 | 3,659 |
|
Kenneth Arnett
200 E Pennsylvania Ave |
$70.20 | 4,301 | 3,757 |
|
Christian Ann Stremmel
221 Ne Glen Oak Ave |
$51.51 | 4,227 | 3,780 |
|
Kristine Michelle Papis
320 E Armstrong Ave |
$77.36 | 4,214 | 3,523 |
|
Michelle Warning
8600 State Route 91 Ste 130 |
$52.10 | 4,181 | 3,943 |
|
Alain Vilatte
5111 N Glen Park Place Rd |
$53.93 | 4,097 | 3,474 |
|
Wade Carlson
5114 N Glen Park Place Rd |
$57.58 | 4,088 | 3,533 |
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 Peoria, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Peoria, IL is $44.09 per claim, based on 1,063,890 claims from 701 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 Peoria, IL?
There are 701 Medicaid providers offering Office Visit related services in Peoria, IL according to public payment data.
What is the price range for Office Visit in Peoria, IL?
Medicaid reimbursement for Office Visit in Peoria, IL ranges from $0.00 to $677.17 per claim, with an average of $44.09. 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 Peoria, IL
Blood Work & Lab Tests
Avg $4.80
958,624 claims
Emergency Room Visit
Avg $74.72
561,795 claims
X-Ray
Avg $7.26
361,467 claims
Dental Cleaning & Exam
Avg $31.41
340,147 claims
Urinalysis & Urine Tests
Avg $2.89
300,640 claims
Ambulance Transport
Avg $163.96
291,502 claims
EKG / ECG (Electrocardiogram)
Avg $9.95
204,348 claims
Substance Abuse Treatment
Avg $89.87
177,429 claims