Average Medicaid Office Visit Payments in Streator, IL: $24.18
Avg. Paid
$24.18
Range
$0.00 – $79.64
Total Claims
48,192
Providers
15
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 Streator, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Saint James Hospital
111 Spring St Fl 4 |
$0.00 | 23,304 | 20,870 |
|
Chetan Choksi
111 Spring St |
$49.74 | 8,307 | 6,710 |
|
Rosvida Anne B. San Gabriel
104 W 6Th St |
$42.66 | 6,702 | 5,885 |
|
Mark A Wargo
109 E Elm St |
$44.00 | 5,213 | 4,605 |
|
Sudha Pravinkumar
2377 Bloomington Ave |
$79.64 | 1,094 | 1,010 |
|
Indra Pal
104 E. Bridge St. |
$36.30 | 913 | 824 |
|
Chao-Ming Chen
104 W 6Th St |
$36.16 | 855 | 739 |
|
Dana Beth Yednock
1444 E Broadway St |
$72.56 | 767 | 660 |
|
Gary Richard Finkelstein
102 W Elm St |
$13.35 | 373 | 315 |
|
Glen L Ricca
109 E Elm St |
$46.88 | 359 | 338 |
|
Upendra K Sinha
205S Park St |
$14.34 | 97 | 83 |
|
Caner R Celeboglu
104 Sixth St |
$51.35 | 69 | 67 |
|
Laurie Sabol
111 Spring St |
$21.08 | 61 | 61 |
|
Robert Patrick Pode
102 W Elm St |
$14.60 | 48 | 39 |
|
Arika C Safranski
111 Spring St |
$35.90 | 30 | 30 |
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 Streator, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Streator, IL is $24.18 per claim, based on 48,192 claims from 15 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 Streator, IL?
There are 15 Medicaid providers offering Office Visit related services in Streator, IL according to public payment data.
What is the price range for Office Visit in Streator, IL?
Medicaid reimbursement for Office Visit in Streator, IL ranges from $0.00 to $79.64 per claim, with an average of $24.18. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Streator, IL
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Avg $15.49
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Avg $27.70
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Avg $92.18
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Avg $19.85
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Avg $21.81
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Avg $4.81
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Ambulance Transport
Avg $209.05
2,487 claims