Based on public Medicaid payment data.

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
Tracy Kesinger 701 N 1St St	$13.84	12	12
Timothy A Vanfleet 1301 S Koke Mill Rd	$61.35	12	12
Canting Guo 901 S Koke Mill Rd	$35.62	12	12
Amanda Gostigian 800 E Carpenter Street Box 43	$17.75	12	12
Brett A Kesselring 3132 Old Jacksonville Rd Ste 110	$30.39	12	12
Jacob Manoj Kitchener 421 N 9Th St	$18.90	12	12
Frank V Aguirre 619 E Mason St	$23.79	12	12
Britney L Hoerbert 900 N 1St St	$69.42	12	12
Bharath Rajagopalan 619 E Mason St Ste 4P57	$50.50	12	12
Jenna Schrage 317 N 5Th St	$13.08	13	13
Elizabeth Lauren Stuart 751 N Rutledge St Ste 1100	$89.71	13	13
Zainab Alnafoosi 751 N Rutledge St Ste 2100	$62.61	13	13
Richard E. Brown 2901 Greenbriar Dr	$15.95	13	13
James R. Stegeman 2200 Wabash Ave	$50.73	13	12
Linda J. Read 751 N Rutledge St	$17.45	13	12
Maryann Oyinkeprebi Van Ryn 751 N Rutledge St Ste 2100	$44.11	13	12
Brette Camerann Harding 720 N Bond St	$68.33	13	12
Hesham A Allam 751 N Rutledge St Ste 3100	$19.03	13	13
Robin J. Wells 900 N 1St St	$55.28	13	13
Nichole Mcmillen 1836 S Macarthur Blvd	$26.80	14	14
Kim J Hodgson 340 W Miller St	$128.49	14	13
Bradley Christopher Holland 301 N 8Th St	$59.26	14	14
Abdur Rahman Fuzail Ahmad 619 E Mason St Ste 4P57	$12.35	14	13
Jarrod C Wall 747 N Rutledge St Fl 2	$67.84	14	14
Mary L Hitt 751 N Rutledge St Lowr Level	$59.15	14	13
Geela Jill Ruckman 900 N 1St St Fl 3	$39.76	14	13
Jennifer Gardner 901 S Koke Mill Rd	$90.00	14	13
Deana Stefko 900 N 1St St	$44.33	15	14
Kathy S Lee 710 N 8Th St	$14.81	15	15
Vivianne Carole Beyer 1025 S 6Th St	$25.65	15	12
Laura Carrihill Healy 747 N Rutledge St Fl 4	$30.31	15	12
Abdul Monem Swied 751 N Rutledge St Ste 1100	$49.95	15	15
Springfield Hospital, Inc. 5230 S 6Th Street Rd	$37.54	15	15
Scott David Schleunes 1301 S Koke Mill Rd	$43.65	15	14
Ashlee D. Wright 1025 S 6Th St	$50.94	15	14
Jessica J. Sanders 2200 Wabash Ave	$85.10	15	12
Rodney J Herrin 1301 S Koke Mill Rd	$25.80	15	12
Central Counties Health Centers, Inc. 120 N 11Th St	$0.00	15	13
Dana Lynn Crosby 301 N 8Th St	$75.20	16	13
Abhishek Kulkarni 747 N Rutledge St	$96.11	16	12
Teah Qvavadze 747 N Rutledge St Fl 4	$69.12	16	16
Jennifer Marie Arnold 751 N Rutledge St Ste 3100	$48.20	17	13
Susan Thompson Hingle 751 N Rutledge St	$65.10	18	15
Philip D Pan 520 N 4Th St	$12.13	19	19
Tomasz W. Borowiecki 800 N 1St Street	$19.82	19	17
Linsey Meloche 301 N 8Th St	$305.88	20	19
Mohammad Mahmoud 747 N Rutledge St Fl 5	$50.06	21	20
Mohammad Ali Sadiq 1025 S 6Th St	$0.00	21	12
Central Counties Health Centers, Inc. 221 N 11Th St	$0.00	22	12
Cheryl L. Brown 900 N. 1St Street	$107.85	22	12

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.

Average Medicaid Office Visit Payments in Springfield, IL: $38.46

Providers Offering Office Visit in Springfield, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Springfield, IL

Blood Work & Lab Tests

X-Ray

Urinalysis & Urine Tests

Emergency Room Visit

Speech Therapy

CT Scan (Computed Tomography)

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)