Average Medicaid Office Visit Payments in Rantoul, IL: $57.00
Avg. Paid
$57.00
Range
$44.92 – $106.12
Total Claims
28,489
Providers
8
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 Rantoul, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Krista Nichole Covert
1540 E Grove Ave |
$50.81 | 796 | 703 |
|
Alexis Fiscus
1540 E Grove Ave |
$50.58 | 1,724 | 1,581 |
|
Elizabeth Ann Franklin
841 Broadmeadow Rd |
$44.92 | 1,919 | 1,837 |
|
Benjamin Newell Windham
1540 E Grove Ave |
$106.12 | 2,498 | 2,084 |
|
Bruce W Kaplan
1540 E. Grove Street |
$52.27 | 2,726 | 2,493 |
|
Frances K. Kramer
1540 E Grove Ave |
$56.33 | 2,778 | 2,520 |
|
Thomas L Franzen
1540 E. Grove Street |
$51.94 | 7,322 | 6,830 |
|
Erich N Slocum
1540 E. Grove Street |
$53.37 | 8,726 | 7,823 |
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 Rantoul, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rantoul, IL is $57.00 per claim, based on 28,489 claims from 8 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 Rantoul, IL?
There are 8 Medicaid providers offering Office Visit related services in Rantoul, IL according to public payment data.
What is the price range for Office Visit in Rantoul, IL?
Medicaid reimbursement for Office Visit in Rantoul, IL ranges from $44.92 to $106.12 per claim, with an average of $57.00. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Rantoul, IL
Speech Therapy
Avg $11.72
21,695 claims
Eye Exam
Avg $35.69
6,637 claims
Hearing Test (Audiometry)
Avg $7.22
3,997 claims
Non-Emergency Medical Transportation
Avg $16.71
3,741 claims
Emergency Room Visit
Avg $59.13
2,208 claims
Physical Therapy
Avg $16.40
1,295 claims
Dental Cleaning & Exam
Avg $31.80
1,091 claims
Urinalysis & Urine Tests
Avg $2.49
839 claims