Average Medicaid Office Visit Payments in Washington, IL: $51.06
Avg. Paid
$51.06
Range
$24.50 – $105.06
Total Claims
69,660
Providers
26
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 Washington, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Katherine J Engelke
10 Saint Clare Ct |
$37.50 | 55 | 38 |
|
Kayla Marie Freeburg
10 Saint Clare Ct |
$105.06 | 126 | 112 |
|
Stacey Herring
201 N Cummings Ln |
$73.07 | 475 | 424 |
|
Amanda L Mcdonald
10 Saint Clare Ct Ste 100 |
$57.48 | 551 | 516 |
|
Mark D Hahn
8 Cherry Tree Center |
$24.50 | 595 | 543 |
|
Ashley M Getz
10 Saint Clare Ct |
$58.21 | 757 | 680 |
|
Shawn Piers
10 Saint Clare Ct |
$48.63 | 872 | 709 |
|
Alyse C Ringenberg
10 Saint Clare Ct |
$69.99 | 887 | 810 |
|
Rachel A Amsbaugh
1986 Freedom Pkwy Ste 1 |
$42.31 | 1,068 | 986 |
|
Stephanie L Mccabe
10 Saint Clare Ct Ste 100 |
$65.04 | 1,111 | 1,002 |
|
Kayla Zimmerman
10 Saint Clare Ct Ste 100 |
$59.89 | 1,384 | 1,253 |
|
Mallory Kelly
1113 Dixon St |
$43.74 | 1,461 | 1,282 |
|
Nikki Lynn Miller
209 N Cummings Ln |
$45.79 | 1,512 | 1,456 |
|
Leah Embree
10 Saint Clare Ct Ste 100 |
$42.60 | 1,536 | 1,370 |
|
Jill Wirth-Rissman
205 N Cummings Ln |
$52.74 | 1,752 | 1,547 |
|
Jennifer Van Autreve
1986 Freedom Pkwy |
$49.71 | 1,970 | 1,876 |
|
Rhett Miller
10 Saint Clare Ct |
$49.82 | 2,042 | 1,729 |
|
Sarah Anderson Joseph
10 Saint Clare Ct |
$54.59 | 2,401 | 2,118 |
|
Shannon R Lane
1960 Freedom Pkwy |
$48.97 | 2,420 | 2,280 |
|
Lynessa A Alonso
10 Saint Clare Ct |
$54.06 | 3,017 | 2,635 |
|
James F. Hensold
1201 N Cummings Ln |
$51.48 | 3,207 | 2,856 |
|
Jay Tyler Rohde
10 Saint Clare Ct |
$58.06 | 3,452 | 2,992 |
|
Scott Carlson
10 Saint Clare Ct |
$54.63 | 4,416 | 3,841 |
|
Charles K. Boley
10 Saint Clare Ct Ste 100 |
$53.58 | 5,509 | 4,731 |
|
Danielle Pray
201 N Cummings Ln |
$54.49 | 9,431 | 6,113 |
|
Matthew Gorman
10 Saint Clare Ct |
$44.90 | 17,653 | 15,509 |
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 Washington, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Washington, IL is $51.06 per claim, based on 69,660 claims from 26 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 Washington, IL?
There are 26 Medicaid providers offering Office Visit related services in Washington, IL according to public payment data.
What is the price range for Office Visit in Washington, IL?
Medicaid reimbursement for Office Visit in Washington, IL ranges from $24.50 to $105.06 per claim, with an average of $51.06. 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 Washington, IL
Eye Exam
Avg $30.44
14,580 claims
Speech Therapy
Avg $6.86
11,430 claims
Non-Emergency Medical Transportation
Avg $12.40
6,294 claims
Vaccines & Immunizations
Avg $10.95
3,569 claims
Ambulance Transport
Avg $139.48
2,823 claims
Physical Therapy
Avg $0.61
2,277 claims
Urinalysis & Urine Tests
Avg $3.24
1,800 claims
Psychiatric Evaluation
Avg $60.46
1,656 claims