Average Medicaid Office Visit Payments in Urbana, IL: $57.42
Avg. Paid
$57.42
Range
$0.00 – $318.75
Total Claims
262,519
Providers
298
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 Urbana, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rica Saligan
611 W. Park St |
$49.04 | 8,122 | 7,630 |
|
Samih Barcham
611 W Park St |
$53.64 | 7,613 | 7,162 |
|
Qingliang Tony Wang
611 W Park St |
$89.61 | 7,183 | 7,030 |
|
Franklyn C Christensen
611 W. Park St |
$67.09 | 6,258 | 5,533 |
|
Mu Wang
611 W. Park St. |
$87.99 | 5,193 | 4,810 |
|
Victoria J Johnson
610 N. Lincoln Avenue |
$52.15 | 5,077 | 4,820 |
|
Christine M Chu
1818 E. Windsor Rd. |
$47.82 | 4,656 | 4,173 |
|
Ada C Sum
1818 E Windsor Rd |
$48.34 | 4,523 | 4,170 |
|
Ahmed Tarek Elrakhawy
1818 E Windsor Rd |
$55.41 | 4,434 | 4,102 |
|
Jon Paul Youakim
1818 E. Windsor Rd |
$47.83 | 4,341 | 3,981 |
|
Donald F. Davison, Jr.
602 W.University Avenue |
$75.85 | 4,282 | 3,961 |
|
Anna Ziemer
1818 E Windsor Rd |
$46.68 | 4,214 | 3,859 |
|
Stefanie Anne Schroeder
1818 E. Windsor Rd |
$57.46 | 4,107 | 3,840 |
|
Christopher Thomas Mullett
611 W Park St |
$73.41 | 4,086 | 3,796 |
|
Ryan G Porter
611 W. Park St. |
$83.59 | 3,964 | 3,609 |
|
Jay A Patel
611 W Park St |
$53.92 | 3,892 | 3,653 |
|
Stanley S Wu
1818 E. Windsor Rd. |
$48.87 | 3,834 | 3,639 |
|
Megan M Gardner
611 W Park St |
$59.09 | 3,748 | 3,311 |
|
Dominique K Fons
611 W Park St |
$59.74 | 3,527 | 3,119 |
|
Harry C Yuan
611 W Park St |
$94.56 | 3,400 | 3,148 |
|
Bradley Joseph Thobe
611 W Park St |
$54.78 | 3,360 | 3,114 |
|
Joyce Ojella Peter
611 W Park St |
$56.30 | 3,208 | 3,009 |
|
Ralph Kehl
611 W. Park St. |
$87.05 | 3,027 | 2,521 |
|
Priyanka Gait
1405 W Park St Ste 301 |
$53.04 | 2,896 | 2,551 |
|
Ismail Bobat
1400 West Park St |
$33.20 | 2,837 | 2,641 |
|
Amanda Reahard Rizzari
1405 W Park St |
$55.84 | 2,707 | 1,874 |
|
Margaret Corso
1818 E Windsor Rd |
$36.95 | 2,701 | 2,490 |
|
Hector Lantigua
611 W Park St |
$94.72 | 2,443 | 2,273 |
|
Priyankkumar Pravinkumar Patel
509 W University Ave |
$43.75 | 2,439 | 2,037 |
|
Swathi Pullela
611 W Park St |
$38.59 | 2,374 | 2,144 |
|
Daniel Jin Hyouck Lee
1710 E Windsor Rd |
$48.55 | 2,353 | 2,204 |
|
Richard Offenback
611 W Park St |
$54.25 | 2,340 | 2,121 |
|
Tessa Lyn Rexroad
611 W Park St |
$57.24 | 2,320 | 1,983 |
|
Jacqueline Pena Velasco
611 W Park St |
$48.54 | 2,308 | 2,176 |
|
Heather E Ruthstrom
611 W Park St |
$73.37 | 2,283 | 2,029 |
|
Simone R Hampton
611 W Park St |
$51.55 | 2,272 | 2,081 |
|
Jerrad Paul Zimmerman
810 W. Anthony Drive |
$49.79 | 2,252 | 2,058 |
|
James R Egner
509 W. University Ave |
$33.84 | 2,223 | 1,826 |
|
Kevin Seungil Kim
1818 E Windsor Rd |
$51.51 | 2,207 | 1,976 |
|
Theresa E Montoya-Houser
1818 E Windsor Rd |
$46.63 | 2,151 | 2,024 |
|
Laura Meints
611 W Park St |
$39.64 | 2,124 | 1,598 |
|
Marianne M Kopmann
611 W Park St |
$55.84 | 2,082 | 1,854 |
|
Cathy S Kurtz
1818 E. Windsor Rd. |
$44.77 | 2,057 | 1,903 |
|
Rong Chen
602 W. University Avenue |
$78.82 | 2,036 | 1,899 |
|
Devon Oswald
611 W Park St |
$58.79 | 2,018 | 1,828 |
|
Neena Tripathy
1818 E. Windsor Rd. |
$46.52 | 1,931 | 1,768 |
|
Oormila P Kovilam
611 W Park St |
$93.39 | 1,884 | 1,530 |
|
John R Hoffman
1701 W. Curtis Rd. |
$47.58 | 1,850 | 1,704 |
|
Kendrith M Rowland
509 W. University Ave. |
$31.88 | 1,825 | 1,457 |
|
Kendall E Wallace
611 W Park St |
$54.36 | 1,761 | 1,720 |
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 Urbana, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Urbana, IL is $57.42 per claim, based on 262,519 claims from 298 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 Urbana, IL?
There are 298 Medicaid providers offering Office Visit related services in Urbana, IL according to public payment data.
What is the price range for Office Visit in Urbana, IL?
Medicaid reimbursement for Office Visit in Urbana, IL ranges from $0.00 to $318.75 per claim, with an average of $57.42. 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 Urbana, IL
Emergency Room Visit
Avg $68.84
222,538 claims
X-Ray
Avg $7.12
138,498 claims
Ultrasound
Avg $38.68
91,009 claims
EKG / ECG (Electrocardiogram)
Avg $8.60
86,180 claims
CT Scan (Computed Tomography)
Avg $53.35
61,441 claims
Physical Therapy
Avg $81.45
57,358 claims
Blood Work & Lab Tests
Avg $6.31
55,566 claims
Ambulance Transport
Avg $108.67
47,909 claims