Average Medicaid Office Visit Payments in Salem, IL: $16.94
Avg. Paid
$16.94
Range
$0.00 – $118.19
Total Claims
153,073
Providers
22
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 Salem, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sara E Mckinzie
1275 Hawthorn Rd |
$0.00 | 25 | 12 |
|
Catherine Durbin
518 South Broadway |
$0.00 | 28 | 14 |
|
Roger Young
1250 W Whittaker St |
$0.00 | 32 | 15 |
|
Sherry L Lynch
1201 Ricker Rd |
$33.07 | 395 | 349 |
|
Miriam A. Baumgart
1321 W Whittaker St |
$33.55 | 410 | 361 |
|
Angela Betters
1201 Ricker Rd |
$118.19 | 500 | 465 |
|
Deborah L Malone
1275 Hawthorn Rd |
$29.75 | 601 | 495 |
|
Kathern Joan Norman
1250 W Whittaker St |
$64.20 | 1,092 | 942 |
|
Travis James
1325 W Whittaker St |
$69.73 | 1,220 | 949 |
|
Amber S Bruce
1201 Ricker Rd |
$43.53 | 1,227 | 1,125 |
|
Lori Landreth
1275 Hawthorn Rd |
$7.17 | 1,301 | 1,155 |
|
Melissa J Kohnen
1275 Hawthorn Rd |
$47.87 | 1,515 | 795 |
|
Mary K Piper
1250 W Whittaker St |
$43.96 | 2,248 | 1,819 |
|
Salem Township Hospital
1321 W Whittaker St |
$0.00 | 2,349 | 2,073 |
|
Stella C Johnson
1321 W Whittaker St |
$46.68 | 2,833 | 2,413 |
|
Gautam Jha
1325 W. Whittaker |
$41.22 | 4,695 | 3,976 |
|
Tamara Dee Foltz
1250 W Whittaker St |
$52.57 | 6,557 | 4,587 |
|
County Of Marion
118 Cross Creek Blvd |
$11.81 | 6,607 | 5,703 |
|
Heidi V. Thompson
1250 W. Whittaker |
$56.30 | 8,937 | 6,929 |
|
Mahvish Zahoor
1250 W Whittaker St |
$44.03 | 18,382 | 14,455 |
|
Southern Illinois Healthcare Foundation, Inc.
1275 Hawthorn Rd |
$0.00 | 43,884 | 34,427 |
|
Salem Township Hospital
1201 Ricker Drive |
$0.81 | 48,235 | 39,175 |
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 Salem, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Salem, IL is $16.94 per claim, based on 153,073 claims from 22 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 Salem, IL?
There are 22 Medicaid providers offering Office Visit related services in Salem, IL according to public payment data.
What is the price range for Office Visit in Salem, IL?
Medicaid reimbursement for Office Visit in Salem, IL ranges from $0.00 to $118.19 per claim, with an average of $16.94. 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 Salem, IL
Ambulance Transport
Avg $168.31
59,134 claims
Eye Exam
Avg $30.55
22,639 claims
Psychiatric Evaluation
Avg $86.26
19,299 claims
Emergency Room Visit
Avg $39.18
16,100 claims
Vaccines & Immunizations
Avg $9.64
11,323 claims
Non-Emergency Medical Transportation
Avg $5.35
10,186 claims
Blood Work & Lab Tests
Avg $2.92
7,806 claims
Substance Abuse Treatment
Avg $73.39
6,554 claims