Average Medicaid Office Visit Payments in Sterling, IL: $49.16
Avg. Paid
$49.16
Range
$7.85 – $102.86
Total Claims
144,887
Providers
75
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 Sterling, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Jason Luckey
101 E Miller Rd |
$48.04 | 13,497 | 12,250 |
|
Warren Cannell
101 E Miller Rd |
$41.63 | 9,707 | 8,641 |
|
Jason Reter
100 E Le Fevre Rd |
$43.85 | 8,149 | 6,825 |
|
Susan Burnette
15 W 3Rd St Lowr Level |
$44.21 | 7,994 | 7,316 |
|
Norma Alvarado-Urrutia
15 W 3Rd St |
$59.99 | 7,221 | 6,488 |
|
Tina Marie Frank
101 E Miller Rd |
$63.31 | 6,901 | 6,243 |
|
Kimberly A. Wolfe
101 E Miller Rd |
$65.50 | 6,768 | 5,970 |
|
Virginia Heal
100 E Le Fevre Rd |
$58.64 | 6,168 | 5,471 |
|
Marcia Jones
100 E. Lefevre Road |
$52.43 | 5,515 | 4,725 |
|
Maria C Miller
15 W 3Rd St |
$47.97 | 4,108 | 3,828 |
|
Eric Kuhns
100 E. Lefevre Road |
$52.48 | 3,430 | 3,137 |
|
Eric K. Riley
101 E Miller Rd |
$23.70 | 3,367 | 2,928 |
|
Jackie Greve
15 W 3Rd St |
$51.98 | 3,128 | 2,653 |
|
Angel Blazquez
101 E Miller Rd |
$50.25 | 3,016 | 2,653 |
|
Mir A Alikhan
101 E Miller Rd |
$35.97 | 2,782 | 2,534 |
|
Phong Dao Lam Dang
100 E Lefevre Rd |
$39.90 | 2,682 | 2,380 |
|
Ajay Kumar Varma Buddaraju
101 E Miller Rd |
$36.57 | 2,570 | 2,359 |
|
Jeffrey Robert Thormeyer
101 E Miller Rd |
$27.93 | 2,543 | 2,262 |
|
Cassie Wiersema
101 E Miller Rd |
$68.40 | 2,419 | 2,200 |
|
Chester Delacruz
101 E Miller Rd |
$33.50 | 2,316 | 2,152 |
|
Donna J Cook
101 E Miller Rd |
$67.45 | 2,237 | 1,837 |
|
Jorge Monteagudo
101 E Miller Rd |
$44.40 | 1,879 | 1,285 |
|
Toni Lynn Ikens
101 E. Miller Road |
$62.51 | 1,741 | 1,488 |
|
Shawn Hanlon
101 E Miller Rd |
$25.05 | 1,722 | 1,477 |
|
Bryan J Kemker
101 E Miller Rd |
$29.31 | 1,713 | 1,541 |
|
Michelle Lynn Hahn
100 E Lefevre Rd |
$85.35 | 1,698 | 1,505 |
|
Jennifer M Garriott
101 E Miller Rd |
$66.73 | 1,611 | 1,395 |
|
Jeffrey Lemay
101 E Miller Rd |
$54.25 | 1,403 | 1,153 |
|
Melissa J Armstrong
101 E Miller Rd |
$49.25 | 1,359 | 1,181 |
|
Courtney Ann Mohr
101 E Miller Rd |
$30.32 | 1,345 | 1,124 |
|
Jessica White
101 E Miller Rd |
$38.46 | 1,301 | 988 |
|
Shannon Scroggins
101 E Miller Rd |
$59.76 | 1,241 | 1,135 |
|
Hussein Zaioor
101 E Miller Rd |
$25.18 | 1,188 | 664 |
|
Kim Treviranus
101 E Miller Rd |
$30.60 | 1,076 | 1,049 |
|
Amanda C Dawson
101 E Miller Rd |
$58.75 | 1,002 | 904 |
|
Meredith Johnson
101 E Miller Rd |
$43.07 | 947 | 871 |
|
Kevin Rogers
101 E Miller Rd |
$27.22 | 932 | 891 |
|
Debra Hope Bowman
101 E Miller Rd |
$91.96 | 899 | 663 |
|
Kathleen Hamblen
100 E Lefevre Rd |
$31.35 | 881 | 799 |
|
Stefanie Woodfall
101 E Miller Rd |
$50.16 | 860 | 746 |
|
David Scott Almasy
101 E Miller Rd |
$88.50 | 859 | 571 |
|
Theresa A Rogers
101 E Miller Rd |
$35.67 | 845 | 727 |
|
Alhareth Alsayed
101 E Miller Rd |
$53.65 | 845 | 809 |
|
Jaziel Chavira
101 E Miller Rd |
$42.84 | 837 | 804 |
|
Laurie A Buckman
101 E Miller Rd |
$87.38 | 824 | 508 |
|
Danelle Saunders
101 E Miller Rd |
$37.60 | 810 | 757 |
|
Megan M Brandt
101 E Miller Rd |
$30.79 | 784 | 752 |
|
Vincent J. Racanelli
101 E. Miller Road |
$45.52 | 738 | 625 |
|
Concha Sitter
101 E Miller Rd |
$38.91 | 735 | 657 |
|
Stephanie Ernst
101 E Miller Rd |
$47.03 | 637 | 542 |
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 Sterling, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sterling, IL is $49.16 per claim, based on 144,887 claims from 75 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 Sterling, IL?
There are 75 Medicaid providers offering Office Visit related services in Sterling, IL according to public payment data.
What is the price range for Office Visit in Sterling, IL?
Medicaid reimbursement for Office Visit in Sterling, IL ranges from $7.85 to $102.86 per claim, with an average of $49.16. 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 Sterling, IL
Speech Therapy
Avg $12.35
59,120 claims
Home Health Visit
Avg $19.43
40,042 claims
Dental Cleaning & Exam
Avg $33.74
32,301 claims
Ambulance Transport
Avg $131.25
14,940 claims
Vaccines & Immunizations
Avg $11.42
12,492 claims
Physical Therapy
Avg $23.25
12,181 claims
Eye Exam
Avg $25.05
10,138 claims
Emergency Room Visit
Avg $55.31
9,988 claims