Average Medicaid Office Visit Payments in Springfield, IL: $38.46
Avg. Paid
$38.46
Range
$0.00 – $305.88
Total Claims
1,154,993
Providers
764
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 Springfield, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Board Of Trustees Of Southern Illinois University
520 N 4Th St |
$0.05 | 152,427 | 108,350 |
|
Central Counties Health Centers, Inc.
2239 E Cook St |
$0.01 | 143,998 | 112,427 |
|
Board Of Trustees Of Southern Illinois University
710 N 8Th St |
$0.11 | 32,023 | 23,887 |
|
County Of Sangamon
2833 S Grand Ave E |
$11.66 | 29,699 | 25,948 |
|
Kwesi Grant-Acquah
701 N 1St St |
$35.38 | 19,312 | 14,538 |
|
David Goldman
4000 Westgate Dr |
$13.56 | 9,364 | 7,802 |
|
Board Of Trustees Of Southern Illinois University
751 N Rutledge St Ste 1100 |
$0.00 | 8,008 | 7,073 |
|
Jennifer Brennan Nelson
1025 S 6Th St |
$59.17 | 7,927 | 7,168 |
|
Jesse Tao Buedefeldt-Pollard
421 N 9Th St Bldg Q |
$53.38 | 7,891 | 4,784 |
|
Michael J. Wilson
1025 S 6Th St |
$67.67 | 6,949 | 5,650 |
|
Allison M Trigg
3132 Old Jacksonville Rd |
$55.81 | 6,773 | 6,106 |
|
Zahangir Khaled
301 N 8Th St |
$56.41 | 6,761 | 6,071 |
|
Gerard Georges Bitar
2329 N Dirksen Pkwy |
$49.86 | 6,759 | 6,080 |
|
Carol J Lantz
3132 Old Jacksonville Rd |
$57.74 | 6,702 | 6,237 |
|
Andrew W Messmore
3132 Old Jacksonville Rd |
$59.22 | 6,507 | 6,035 |
|
Craig E Batterman
301 N 8Th St |
$69.23 | 6,127 | 4,900 |
|
Jennifer F. Frank
775 Engineering Dr |
$50.82 | 6,034 | 5,718 |
|
Kelly Ann Luciano
520 N 4Th St |
$55.02 | 5,758 | 4,884 |
|
Susan Willer
701 N 1St St |
$76.46 | 5,657 | 5,492 |
|
Maria Khattak
1836 S Macarthur Blvd |
$41.81 | 5,644 | 4,986 |
|
Karen L Ridenour
701 N First St Memorial Health System |
$44.82 | 5,553 | 5,232 |
|
Thandeka Myeni
2020 W Iles Ave |
$74.78 | 5,489 | 5,030 |
|
Mischaela N Aring
401 E Carpenter St |
$52.59 | 5,449 | 4,969 |
|
Nicole R Johnson
3132 Old Jacksonville Rd |
$52.39 | 5,354 | 4,469 |
|
Michelle Renee Baker
800 East Carpenter Hshs St Johns Hospital |
$39.11 | 5,172 | 4,402 |
|
Jessica Lynne Heil
701 N 1St St |
$56.88 | 5,166 | 4,659 |
|
Kathryn E Carnes
3132 Old Jacksonville Rd |
$54.43 | 4,956 | 4,528 |
|
Peggy Knowski
701 N 1St St |
$65.21 | 4,903 | 4,477 |
|
Stephanie Doolin
3132 Old Jacksonville Rd |
$62.47 | 4,827 | 4,614 |
|
Mhd Yahia Zeino
415 N 9Th St |
$85.00 | 4,804 | 3,397 |
|
Melinda Rader
3008 Happy Landing Dr |
$10.78 | 4,788 | 4,254 |
|
Arun Gunda
1836 S Macarthur Blvd |
$48.58 | 4,739 | 3,986 |
|
Amber Sperry
3132 Old Jacksonville Rd |
$61.99 | 4,720 | 4,501 |
|
Prasanta Bhamidipati
301 N 8Th St |
$93.27 | 4,661 | 3,478 |
|
John Andrew Shoudel
2070 W Iles Ave |
$57.26 | 4,469 | 3,514 |
|
Lacey Dively Moy
3220 Atlanta St |
$53.02 | 4,374 | 3,899 |
|
Anwar Shafi
301 N 8Th St |
$116.69 | 4,330 | 3,492 |
|
John Lee
2950 S 6Th St |
$55.98 | 4,157 | 3,812 |
|
Brian Bostwick
301 N 8Th St |
$87.11 | 4,117 | 3,147 |
|
Carlos Miguel Avila
520 N 4Th St |
$64.50 | 4,084 | 3,300 |
|
Elisabeth C. Robinson
747 N Rutledge St |
$53.18 | 4,053 | 3,652 |
|
Claudine Gillison
2532 Farragut Dr |
$48.18 | 4,026 | 3,564 |
|
Alexandra L Huddleston
400 N 9Th St |
$63.91 | 4,025 | 3,705 |
|
Shannon D Walle
800 N 1St St |
$59.53 | 4,024 | 3,835 |
|
Kelsey Lynne Reed
751 N Rutledge St Ste 2100 |
$57.69 | 4,017 | 3,664 |
|
Madeleine D Heckenkamp
401 E Carpenter St |
$43.88 | 4,011 | 3,781 |
|
Candace N Benner
1025 S 6Th St |
$46.14 | 3,815 | 3,499 |
|
Erica E Nelson
415 N 9Th St |
$71.94 | 3,776 | 2,595 |
|
Louis Kienzler Graham
751 N Rutledge St |
$71.07 | 3,768 | 3,079 |
|
Terry L. Jones
819 Coventry Pt |
$45.30 | 3,754 | 3,208 |
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 Springfield, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Springfield, IL is $38.46 per claim, based on 1,154,993 claims from 764 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 Springfield, IL?
There are 764 Medicaid providers offering Office Visit related services in Springfield, IL according to public payment data.
What is the price range for Office Visit in Springfield, IL?
Medicaid reimbursement for Office Visit in Springfield, IL ranges from $0.00 to $305.88 per claim, with an average of $38.46. 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 Springfield, IL
Blood Work & Lab Tests
Avg $5.40
1,969,993 claims
X-Ray
Avg $6.66
606,310 claims
Urinalysis & Urine Tests
Avg $3.01
520,146 claims
Emergency Room Visit
Avg $69.78
490,116 claims
Speech Therapy
Avg $17.02
248,732 claims
CT Scan (Computed Tomography)
Avg $50.70
241,309 claims
Dental Cleaning & Exam
Avg $32.13
212,993 claims
EKG / ECG (Electrocardiogram)
Avg $9.86
210,692 claims