Based on public Medicaid payment data.

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
Mbu Mongwa 611 W Park St	$13.19	12	12
Kenneth S Aronson 611 W Park St	$31.75	12	12
Saba Akram 611 W Park St	$49.22	12	12
Amrendra Singh Miranpuri 610 N Lincoln Ave	$22.38	13	13
Rebecca E Puher 611 W. Park St.	$19.62	13	12
Laura Kathryn Vricella 611 W Park St	$47.64	13	13
Amanda Wright 611 W Park St	$41.30	13	12
Rong Tina Chen 611 W Park St	$33.29	13	12
Allison Lanier Hennigan 509 W University Ave	$49.47	14	14
Walter Elrod 611 W. Park St.	$20.24	14	12
Brett A Fulks 611 W. Park St.	$36.81	14	14
Nancy E Fay 1818 E. Windsor Road	$45.70	14	14
Kourtney L Steinkamp 611 W. Park St.	$69.14	14	14
Kevin Patrick Quirke 611 W Park St	$34.76	14	14
Lori A Cross 611 W. Park St.	$12.42	14	14
Craig S Norbutt 611 W Park St	$36.56	15	14
Taryn A Rawdin 1818 E Windsor Rd	$59.54	15	15
Martina Gad Gabra 611 W Park St	$51.97	15	14
Shannon Marie Hadler 611 W Park St	$32.59	15	13
Sacha Kuester 611 W Park St	$34.00	15	13
Nazneen Sadiqua 611 West Park Street	$31.01	16	16
Promise Healthcare Nfp 1002 S Race St	$0.00	16	12
John Tholany 1818 E Windsor Rd	$109.97	16	16
Emma Jane Bradbury Robson 611 W Park St	$101.09	19	17
Neil Samir Mashruwala 611 W Park St	$172.07	20	16
Ryan Peddy 611 W Park St	$11.71	20	18
Adil Atta Cheema 611 W Park St	$20.69	24	23
Joshua Koopman 611 W Park St	$30.93	25	25
Paul M Arnold 611 W. Park St	$21.76	26	25
Jaime Mitchell 509 W University Ave	$42.13	26	24
Muhamad Amine 611 W Park St	$28.75	26	24
Jessica Jo Alumbaugh 611 W Park St	$91.37	27	27
Kara Umbarger 611 W Park St	$35.83	27	24
Wael Mostafa 610 N Lincoln Ave	$17.90	27	27
Chunling Gong 611 W. Park St.	$37.25	28	28
G. Michael M Swindle 611 W. Park Street	$37.12	29	25
Jonathan Lucking 611 W Park St	$30.34	30	28
Gabrielle Renee Crose 611 W Park St	$34.45	31	31
Regina L Murphy 611 W. Park St.	$35.66	31	31
Amy M Hall 1405 W Park St	$27.11	32	25
Deanna Wallace 611 W Park	$25.57	33	32
Anne Robin 204 W. University Ave.	$41.38	34	28
Donnetta Burgess 509 W University Ave	$32.57	34	30
Community Health Improvement Center 1002 South Race	$0.00	35	35
Carol J Harden 611 W Park St	$36.62	39	32
Bryce Yantis 611 W Park St	$40.34	39	37
Randolph S Martin 611 W Park St	$5.89	40	36
Dana L Miller 611 W Park St	$23.35	40	38
Emma Marr 611 W Park St	$40.46	44	44
Dana Morrison 611 W. Park St.	$51.89	46	45

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.

Average Medicaid Office Visit Payments in Urbana, IL: $57.42

Providers Offering Office Visit in Urbana, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Urbana, IL

Emergency Room Visit

X-Ray

Ultrasound

EKG / ECG (Electrocardiogram)

CT Scan (Computed Tomography)

Physical Therapy

Blood Work & Lab Tests

Ambulance Transport