Average Medicaid Office Visit Payments in Peru, IL: $40.38
Avg. Paid
$40.38
Range
$0.00 – $97.92
Total Claims
42,969
Providers
32
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 Peru, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ram Goel
920 West St |
$24.79 | 12 | 12 |
|
Michelle Vasquez
920 West St |
$58.57 | 12 | 12 |
|
Amy Lynn Smith
925 West St |
$58.04 | 13 | 12 |
|
Shyrlena L Bogard
920 West St |
$38.50 | 16 | 16 |
|
Jane Battles
5307 Route 251 |
$34.40 | 46 | 26 |
|
Donna J. Sweetland
1436 Midtown Rd |
$74.03 | 112 | 72 |
|
John M Curtin
1650 Midtown Rd |
$8.74 | 139 | 116 |
|
Neelam Goel
920 West St |
$45.61 | 253 | 198 |
|
Joseph Barry Jackson
3323 Frontage Rd |
$36.81 | 280 | 259 |
|
Rakesh K Garg
4231 Progress Blvd |
$22.58 | 298 | 278 |
|
Anju Patel
920 West St Ste 311 |
$50.20 | 370 | 332 |
|
Nicole Marie Chum
920 West St Ste 216 |
$40.59 | 514 | 502 |
|
Shannon Lynn Hiller
1650 Midtown Rd |
$40.83 | 556 | 529 |
|
Gynger Lentz
3602 Marquette Rd |
$46.54 | 603 | 556 |
|
Robert J Mitchell
920 West St |
$46.56 | 799 | 711 |
|
Connor Kasik
920 West St Ste 211 |
$39.39 | 846 | 729 |
|
Heather Lynn Miller
1305 6Th St |
$97.92 | 1,136 | 779 |
|
Alisha Jackson
1650 Midtown Rd |
$60.39 | 1,167 | 1,070 |
|
Bridget A Pratt
1650 Midtown Rd |
$38.59 | 1,246 | 1,208 |
|
Melissa Elvira Ramirez
1650 Midtown Rd |
$48.61 | 1,306 | 1,248 |
|
Dale R Chilson
4040 Progress Blvd |
$20.05 | 1,348 | 1,271 |
|
Candace R Ramirez
1650 Midtown Road |
$46.29 | 1,430 | 1,376 |
|
Laura Oberholz
1650 Midtown Rd |
$62.12 | 1,551 | 1,419 |
|
Amy Gail Corsolini
1650 Midtown Rd |
$46.86 | 1,709 | 1,660 |
|
Keith Christensen
1650 Midtown Rd |
$50.56 | 1,948 | 1,887 |
|
Debra Herz
1650 Midtown Rd |
$52.30 | 2,143 | 1,819 |
|
Kamal Kishore
3602 Marquette Rd |
$22.79 | 2,458 | 2,287 |
|
Grant M Reed
1650 Midtown Rd |
$51.86 | 2,738 | 2,362 |
|
St. Margaret'S Health-Peru
920 West St |
$0.21 | 2,741 | 1,976 |
|
St. Margaret'S Health-Peru
920 West St |
$0.00 | 2,830 | 1,796 |
|
Andrew Zidow
1650 Midtown Rd |
$51.81 | 3,067 | 2,685 |
|
Alejandro B Bernal
1515 36Th Street |
$43.26 | 9,282 | 8,117 |
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 Peru, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Peru, IL is $40.38 per claim, based on 42,969 claims from 32 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 Peru, IL?
There are 32 Medicaid providers offering Office Visit related services in Peru, IL according to public payment data.
What is the price range for Office Visit in Peru, IL?
Medicaid reimbursement for Office Visit in Peru, IL ranges from $0.00 to $97.92 per claim, with an average of $40.38. 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 Peru, IL
Eye Exam
Avg $27.25
27,875 claims
Speech Therapy
Avg $10.77
10,421 claims
Emergency Room Visit
Avg $47.59
8,329 claims
Ambulance Transport
Avg $127.56
6,266 claims
Physical Therapy
Avg $80.07
5,003 claims
Psychiatric Evaluation
Avg $101.72
3,761 claims
Dental Cleaning & Exam
Avg $32.11
3,475 claims
Vaccines & Immunizations
Avg $4.19
2,440 claims