Average Medicaid Office Visit Payments in Taylorville, IL: $3.37
Avg. Paid
$3.37
Range
$0.00 – $47.11
Total Claims
101,220
Providers
23
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 Taylorville, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Springfield Clinic, Llp
600 N Main St |
$0.02 | 81,953 | 63,316 |
|
Board Of Trustees Of Southern Illinois University
303 E Bidwell St |
$0.00 | 7,289 | 5,958 |
|
Wendy D Dorworth
1304 Burnett Dr |
$44.98 | 3,967 | 3,463 |
|
Central Counties Health Centers, Inc.
1141 N Cheney St |
$0.00 | 2,202 | 1,264 |
|
County Of Christian
902 W Springfield Rd |
$11.58 | 1,359 | 1,204 |
|
Richard K Delvalle
1304 Burnett Dr |
$47.11 | 709 | 648 |
|
Toofan Medical Holdings, Ltd.
1510 W Springfield Rd Ste A |
$4.63 | 590 | 563 |
|
Karen A Koenig
1304 Burnett Dr |
$40.36 | 589 | 521 |
|
Alicia Altheimer
1141 N Cheney St |
$46.41 | 553 | 478 |
|
Kelsey Marie Levault
1304 Burnett Dr |
$45.65 | 315 | 273 |
|
Lynn Marie Kink
600 N Main St |
$28.34 | 292 | 268 |
|
Patricia A. Schneider
600 N Main St |
$46.71 | 223 | 195 |
|
Pavinderpal S. Gill
600 N Main St |
$0.78 | 206 | 161 |
|
Wendi L Campbell
1304 Burnett Dr |
$45.21 | 200 | 191 |
|
Scott M Bilyeu
600 N Main St |
$43.26 | 165 | 157 |
|
Jennifer Marie Deluka
600 N Main St |
$30.44 | 136 | 126 |
|
Timothy J Graham
708 W Springfield Rd |
$20.08 | 129 | 107 |
|
Roger S. Mcclintock
600 N Main St |
$4.92 | 103 | 79 |
|
Kristina M. Rexroad
600 N Main St |
$10.13 | 97 | 87 |
|
Megan A. Winters
600 N Main St |
$29.96 | 47 | 42 |
|
Kimberly Virginia Turner
600 N Main St |
$22.56 | 46 | 43 |
|
Brenda M. Hemann
600 N Main St |
$0.00 | 38 | 34 |
|
Maxx M Craggs
900 W Springfield Rd |
$21.68 | 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 Taylorville, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Taylorville, IL is $3.37 per claim, based on 101,220 claims from 23 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 Taylorville, IL?
There are 23 Medicaid providers offering Office Visit related services in Taylorville, IL according to public payment data.
What is the price range for Office Visit in Taylorville, IL?
Medicaid reimbursement for Office Visit in Taylorville, IL ranges from $0.00 to $47.11 per claim, with an average of $3.37. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Taylorville, IL
Speech Therapy
Avg $9.06
43,542 claims
Physical Therapy
Avg $16.02
30,649 claims
Eye Exam
Avg $22.34
19,063 claims
Ambulance Transport
Avg $147.51
17,915 claims
Vaccines & Immunizations
Avg $0.93
17,377 claims
EKG / ECG (Electrocardiogram)
Avg $8.24
6,470 claims
Psychiatric Evaluation
Avg $30.51
4,202 claims
Dental Cleaning & Exam
Avg $24.60
1,515 claims