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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Swansea, IL: $48.42

Avg. Paid

$48.42

Range

$0.00 – $99.20

Total Claims

58,643

Providers

30

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 Swansea, IL

Provider Avg. Paid Claims Patients
Khaja G Mohsin

10 Emerald Ter

 $51.66 15,086 12,692
Julia Suzanne Harms

3 Park Pl

 $61.52 8,602 6,480
Southern Illinois Healthcare Foundation, Inc.

3214 N Illinois St

 $0.00 5,353 3,901
Ashley Renee Bingman

1 Bronze Pointe Blvd Ste 1A

 $23.35 4,982 4,373
Scott Robert Keller

3 Park Pl

 $72.12 4,472 3,360
Melody Santos

3 Park Pl

 $68.52 3,715 2,839
Joseph Silhavy

3 Park Pl

 $64.37 3,363 2,721
Southern Illinois Healthcare Foundation, Inc.

4969 Benchmark Centre Dr Ste 100

 $0.00 2,304 2,031
Jennine Beckmann

4000 N Illinois Ln Ste 110

 $58.73 1,716 1,582
Toni Sue Baldwin-Dufour

4000 N Illinois Ln

 $42.54 1,519 1,220
Qamar U Zaman

1 Bronze Pointe Blvd Ste 1A

 $99.20 1,437 1,374
Jill A Johnston

4941 Benchmark Centre Dr

 $48.72 1,276 1,097
Charles W Ampadu

15 Park Pl

 $62.83 749 694
Eleanor M Shaw

4969 Benchmark Centre Dr

 $66.47 704 617
Brandy Eichelberger

208 W Pointe Dr Ste D

 $53.87 562 532
Mounir Shenouda

4972 Benchmark Centre Dr Ste 400

 $11.45 462 412
Eric Hunt Wigton

3990 N Illinois St

 $29.91 430 423
Kathryn Kerr Wade

4969 Benchmark Centre Dr Ste 100

 $47.61 375 322
Elliot Neil Wool

6 Park Place

 $44.63 365 246
Brittanie Bardon

4941 Benchmark Centre Dr

 $86.65 350 340
Ki Ristia J Allen-Lampe

4941 Benchmark Centre Dr Ste 200

 $69.45 290 92
Joseph Patrick Costello

4212 N Illinois St

 $48.69 212 197
Mark Allen Nekola

3990 N Illinois St

 $29.81 82 80
Charity Wambui Nyuguto

15 Park Pl

 $68.19 64 60
Clara Ampadu

15 Park Pl

 $66.16 61 47
Melissa Schleeper Kiel

3990 N Illinois St

 $26.50 45 43
Angela L Long

19 Wolf Creek Dr

 $29.17 28 27
Apeksha Saxena-Reddy

4941 Benchmark Centre Dr Ste 100

 $55.93 14 12
Carl Wesley Lee

19 Wolf Creek Dr

 $0.00 13 12
Katherine E House

12 Wolf Creek Dr

 $0.00 12 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 Swansea, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Swansea, IL is $48.42 per claim, based on 58,643 claims from 30 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 Swansea, IL?

There are 30 Medicaid providers offering Office Visit related services in Swansea, IL according to public payment data.

What is the price range for Office Visit in Swansea, IL?

Medicaid reimbursement for Office Visit in Swansea, IL ranges from $0.00 to $99.20 per claim, with an average of $48.42. 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 Swansea, IL

Dental Cleaning & Exam

Avg $32.23

39,801 claims

Home Health Visit

Avg $144.68

18,886 claims

Substance Abuse Treatment

Avg $61.58

12,947 claims

Nursing Facility Care

Avg $17.58

12,777 claims

Vaccines & Immunizations

Avg $8.25

9,646 claims

Durable Medical Equipment (DME)

Avg $44.33

6,111 claims

X-Ray

Avg $4.02

6,057 claims

Physical Therapy

Avg $61.94

5,620 claims