Average Medicaid Office Visit Payments in Princeton, IL: $12.95
Avg. Paid
$12.95
Range
$0.00 – $87.14
Total Claims
43,407
Providers
18
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 Princeton, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Osf Healthcare System
535 Park Ave E |
$0.01 | 17,506 | 15,239 |
|
Julia Rackley Perry Memorial Hospital
535 Park Ave E |
$0.05 | 9,251 | 6,357 |
|
Elie Chukri Daniel
530 Park Ave E |
$29.18 | 3,073 | 2,560 |
|
Deofil Luzod Orteza
530 Park Ave E |
$38.81 | 3,010 | 2,799 |
|
Julia Rackley Perry Memorial Hospital
2128 N Main St |
$0.27 | 2,509 | 1,597 |
|
County Of Bureau
526 S Bureau Valley Pkwy |
$11.22 | 1,907 | 1,767 |
|
Jenny Gaworski
530 Park Ave E |
$62.26 | 1,364 | 1,303 |
|
Kellie Marie Kozlowski
1916 North Main Street |
$87.14 | 1,184 | 1,088 |
|
Karen S Nenne
535 Park Ave E |
$59.27 | 1,146 | 1,007 |
|
Osf Healthcare System
2128 N Main St |
$0.00 | 584 | 443 |
|
Julie M Flanagan
530 Park Ave E |
$47.90 | 547 | 506 |
|
Paul H Bonucci
2128 N Main St |
$24.51 | 391 | 359 |
|
Elizabeth Marie Birkey
15549 1400 North Ave |
$66.66 | 353 | 221 |
|
Geetha Dodda
530 Park Ave E |
$31.64 | 304 | 284 |
|
Allen Uyen Van
530 Park Ave E Ste 306 |
$31.31 | 103 | 101 |
|
Michael H Berkson
530 Park Ave E Ste 306 |
$31.44 | 86 | 81 |
|
Ketan Patel
530 Park Ave E |
$15.34 | 66 | 62 |
|
Arnold Faber
530 Park Ave E |
$36.44 | 23 | 14 |
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 Princeton, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Princeton, IL is $12.95 per claim, based on 43,407 claims from 18 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 Princeton, IL?
There are 18 Medicaid providers offering Office Visit related services in Princeton, IL according to public payment data.
What is the price range for Office Visit in Princeton, IL?
Medicaid reimbursement for Office Visit in Princeton, IL ranges from $0.00 to $87.14 per claim, with an average of $12.95. 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 Princeton, IL
Substance Abuse Treatment
Avg $79.14
24,582 claims
Speech Therapy
Avg $12.20
14,406 claims
Eye Exam
Avg $30.71
11,612 claims
Physical Therapy
Avg $64.24
10,366 claims
Psychiatric Evaluation
Avg $43.92
4,744 claims
Ambulance Transport
Avg $279.59
4,494 claims
Case Management Services
Avg $45.45
3,897 claims
Non-Emergency Medical Transportation
Avg $25.99
2,778 claims