Average Medicaid Office Visit Payments in Vandalia, IL: $11.00
Avg. Paid
$11.00
Range
$0.00 – $58.98
Total Claims
86,298
Providers
18
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 Vandalia, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Bush Lincoln Health Center
660 W Taylor St |
$0.10 | 21,227 | 16,520 |
|
Southern Illinois Healthcare Foundation, Inc.
1510 Sunset Dr |
$0.00 | 14,246 | 10,450 |
|
Brian W Dossett Md Ltd
1029 N 8Th St |
$0.01 | 12,948 | 9,762 |
|
Penny Attaway
1404 N 5Th St |
$0.92 | 9,948 | 6,460 |
|
Michael Darmadi
1003 N 8Th St |
$58.98 | 9,803 | 8,074 |
|
Veronica Lynn Schaufelberger
825 New York Dr |
$0.00 | 6,605 | 4,472 |
|
Fayette County
509 W Edwards St |
$11.71 | 4,288 | 3,870 |
|
Deidre Langston
650 W Taylor St |
$46.73 | 1,953 | 1,735 |
|
Brent Wayne Schwarm
650 W Taylor St |
$34.41 | 1,519 | 1,366 |
|
Glenn Skow
650 W Taylor St |
$43.66 | 1,143 | 1,006 |
|
Joseph Anthony Blaser
650 W Taylor St |
$43.32 | 1,077 | 931 |
|
Robert Butts
1442 N 8Th St |
$56.00 | 731 | 615 |
|
Amy Lynn Armstrong
1121 N 6Th St |
$49.84 | 430 | 386 |
|
Julie Ann Dunn
1029 N 8Th Street |
$22.28 | 248 | 200 |
|
Brian W. Dossett
1029 N 8Th St |
$25.18 | 49 | 49 |
|
Kimberly A Niebrugge
1029 N 8Th St |
$0.00 | 42 | 30 |
|
Kevin Jay Childers
2202 W Randolph St |
$11.30 | 28 | 28 |
|
Richard Dean Funneman
1442 N 8Th St |
$0.00 | 13 | 13 |
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 Vandalia, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vandalia, IL is $11.00 per claim, based on 86,298 claims from 18 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 Vandalia, IL?
There are 18 Medicaid providers offering Office Visit related services in Vandalia, IL according to public payment data.
What is the price range for Office Visit in Vandalia, IL?
Medicaid reimbursement for Office Visit in Vandalia, IL ranges from $0.00 to $58.98 per claim, with an average of $11.00. 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 Vandalia, IL
Dental Cleaning & Exam
Avg $31.21
30,901 claims
Speech Therapy
Avg $9.72
25,403 claims
Eye Exam
Avg $29.23
24,009 claims
Vaccines & Immunizations
Avg $11.41
11,424 claims
Substance Abuse Treatment
Avg $75.43
8,707 claims
Tooth Extraction
Avg $63.41
4,644 claims
Dental Filling
Avg $56.64
3,411 claims
Emergency Room Visit
Avg $34.06
3,335 claims