Average Medicaid Office Visit Payments in West Frankfort, IL: $0.45
Avg. Paid
$0.45
Range
$0.00 – $46.11
Total Claims
75,958
Providers
6
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 West Frankfort, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southern Illinois Medical Services, Nfp
502 W Saint Louis St Ste 4 |
$0.00 | 53,023 | 39,708 |
|
Southern Illinois Hospital Services
2553 Ken Gray Blvd |
$0.00 | 18,962 | 14,843 |
|
Franklin Hospital District
309 W Saint Louis St Ste B |
$0.00 | 3,138 | 2,396 |
|
Krysten Taylor Whitehead
909 W Main St |
$46.11 | 441 | 419 |
|
Hind Al-Sharif
310 West St Louis Street |
$34.34 | 368 | 272 |
|
Beth Westell
909 W Main St |
$36.31 | 26 | 25 |
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 West Frankfort, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Frankfort, IL is $0.45 per claim, based on 75,958 claims from 6 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 West Frankfort, IL?
There are 6 Medicaid providers offering Office Visit related services in West Frankfort, IL according to public payment data.
What is the price range for Office Visit in West Frankfort, IL?
Medicaid reimbursement for Office Visit in West Frankfort, IL ranges from $0.00 to $46.11 per claim, with an average of $0.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in West Frankfort, IL
Substance Abuse Treatment
Avg $82.16
43,930 claims
Eye Exam
Avg $27.26
23,980 claims
Home Health Visit
Avg $34.63
13,847 claims
Case Management Services
Avg $33.10
12,227 claims
Speech Therapy
Avg $13.26
11,888 claims
Ambulance Transport
Avg $141.61
7,638 claims
Behavioral & Mental Health Therapy
Avg $97.93
5,088 claims
Urinalysis & Urine Tests
Avg $0.00
2,987 claims