Average Medicaid Office Visit Payments in Shiloh, IL: $57.38
Avg. Paid
$57.38
Range
$8.84 – $107.10
Total Claims
27,659
Providers
49
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 Shiloh, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Albert E Kombe
1116 Hartman Ln |
$91.48 | 21 | 17 |
|
Kevin T Barnett
1414 Cross Street |
$18.51 | 26 | 25 |
|
Deirdre Hart
1414 Cross St Ste 330 |
$23.04 | 37 | 37 |
|
Julia Wiegers
1418 Cross St Ste 250 |
$43.71 | 39 | 25 |
|
Douglas B Aach
1414 Cross Street |
$8.84 | 40 | 40 |
|
Jason Dole Lee
1418 Cross St |
$20.78 | 50 | 50 |
|
David William Lesko
1179 Fortune Blvd |
$35.13 | 54 | 53 |
|
Paul E Loethen
1414 Cross Street |
$34.40 | 60 | 49 |
|
Kourtney Hughey
1170 Fortune Blvd |
$90.86 | 94 | 88 |
|
Amy Louise Redmer
1116 Hartman Ln |
$62.72 | 95 | 78 |
|
James C Clanahan
1414 Cross Street |
$20.81 | 95 | 93 |
|
Brett Howard Herzog
1418 Cross St |
$54.70 | 106 | 79 |
|
Michael G Guignon
1414 Cross St Ste 230 |
$54.07 | 107 | 101 |
|
William James Popovic
1418 Cross St |
$20.47 | 124 | 112 |
|
Kelly S Evans
1414 Cross St Ste 230 |
$74.10 | 145 | 124 |
|
Amanda D Allen
1418 Cross St |
$46.00 | 211 | 179 |
|
Paul Kogan
1418 Cross St |
$20.15 | 238 | 202 |
|
Christina Marie Zagorski
1414 Cross St Ste 240 |
$90.93 | 248 | 168 |
|
Robert W Garner
1414 Cross St Ste 230 |
$54.00 | 255 | 225 |
|
Jasmine Aline Clay
1170 Fortune Blvd |
$87.54 | 270 | 236 |
|
Suzanne Depaulo
1190 Fortune Blvd |
$32.64 | 289 | 280 |
|
Jennifer Feder
1414 Cross St Ste 240 |
$94.08 | 297 | 192 |
|
Susannah K Koch
1414 Cross St Ste 240 |
$91.60 | 297 | 220 |
|
Carly L Galli
1414 Cross St Ste 240 |
$29.86 | 307 | 249 |
|
Bethany Ilene Bowen
1418 Cross St Ste 250 |
$14.19 | 320 | 307 |
|
Swastik Kumar Sinha
1191 Fortune Blvd Ste 2 |
$29.61 | 321 | 276 |
|
Elizabeth Anne George
1197 Fortune Blvd |
$46.33 | 375 | 321 |
|
Kathryn C Renner
1116 Hartman Lane |
$47.55 | 384 | 334 |
|
Bertram E Drury
1414 Cross St Ste 240 |
$75.15 | 421 | 354 |
|
Muhammad Farooq Asghar
1404 Cross St Ste 2114 |
$41.53 | 423 | 409 |
|
Ashley A. Wittler
1170 Fortune Blvd |
$81.75 | 424 | 340 |
|
Katy Helene Wine
1414 Cross St Ste 240 |
$107.10 | 503 | 382 |
|
Danielle Lynn Frueh
1170 Fortune Blvd |
$75.42 | 518 | 462 |
|
Aimee Elise White
1197 Fortune Blvd Ste 1 |
$31.38 | 526 | 446 |
|
Holly Laura Steiner
1414 Cross St Ste 240 |
$72.54 | 661 | 536 |
|
Lindsey Nicole Erickson
1414 Cross St Ste 230 |
$92.94 | 724 | 696 |
|
Kristen Kapalka Griffin
1170 Fortune Blvd |
$45.63 | 851 | 584 |
|
Lisa Rene Reno
1414 Cross St Ste 210 |
$78.24 | 955 | 733 |
|
Abigail Kenney
1414 Cross St Ste 230 |
$51.03 | 1,033 | 625 |
|
Kathryn Marie Dominick
1170 Fortune Blvd |
$93.33 | 1,203 | 915 |
|
Sekou Khary Kelsey
1414 Cross St Ste 240 |
$81.22 | 1,226 | 897 |
|
Alfred O Greco
1418 Cross St |
$19.22 | 1,249 | 1,058 |
|
Kaitlin Mcclenahan Campbell
1414 Cross St Ste 210 |
$64.86 | 1,324 | 1,115 |
|
Lowell Grey Sensintaffar
1116 Hartman Ln |
$58.89 | 1,551 | 1,266 |
|
Blake Conley Rodgers
1414 Cross St Ste 230 |
$68.17 | 1,579 | 1,414 |
|
Christina Marie Weibley
1170 Fortune Blvd |
$72.94 | 1,592 | 1,311 |
|
Kristy Wienstroer
1191 Fortune Blvd |
$44.79 | 1,864 | 1,202 |
|
Erynn Elizabeth Elleby
1116 Hartman Ln |
$56.07 | 1,951 | 1,734 |
|
John L Visconti
1418 Cross St |
$15.13 | 2,176 | 2,021 |
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 Shiloh, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shiloh, IL is $57.38 per claim, based on 27,659 claims from 49 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 Shiloh, IL?
There are 49 Medicaid providers offering Office Visit related services in Shiloh, IL according to public payment data.
What is the price range for Office Visit in Shiloh, IL?
Medicaid reimbursement for Office Visit in Shiloh, IL ranges from $8.84 to $107.10 per claim, with an average of $57.38. 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 Shiloh, IL
Speech Therapy
Avg $71.70
2,962 claims
Urinalysis & Urine Tests
Avg $4.77
2,322 claims
Chemotherapy
Avg $56.55
2,283 claims
Blood Work & Lab Tests
Avg $4.33
2,237 claims
Non-Emergency Medical Transportation
Avg $36.06
2,015 claims
Pulmonary Function Test
Avg $5.33
1,664 claims
Chiropractic Care
Avg $19.07
1,488 claims
Prescription Medications
Avg $2.63
1,291 claims