Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Addison, IL: $45.76

Avg. Paid

$45.76

Range

$0.00 – $90.01

Total Claims

204,148

Providers

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 Addison, IL

Provider	Avg. Paid	Claims	Patients
Renu Jain 33 N Addison Road	$67.38	41,102	31,526
Hamdard Health Alliance 228 E Lake St	$0.05	17,254	13,595
Access Community Health Network 1111 W Lake St	$0.00	15,962	11,214
Hugo E Dulce 580 E Lake Street	$49.94	13,549	11,925
Mirza A Baig 350 W North Ave	$63.98	10,836	8,640
Mohammed Musadiq Saeed 276 West Fullerton Avenue	$44.08	9,594	7,660
Rolando Henriquez 1841 W Army Trail Rd	$45.66	9,346	7,509
Utpal Paul Parekh 1849 W. Army Trail Rd	$44.43	7,633	6,793
Ricardo Martinez 303 W Lake St Ste 200	$46.81	7,464	6,472
Ausencio Nunez 1841 W Army Trail Rd	$49.70	6,930	5,475
Kezia Philips 303 W Lake St Ste 200	$70.46	6,299	4,559
Legacy Medical Care Inc 2055 W Army Trail Rd	$0.02	5,942	4,896
Magdalena Marcinek 731 N Rumple Ln	$45.60	5,463	4,758
Hans Jonnathan Henriquez 1841 W Army Trail Rd	$51.58	4,368	3,639
Karen Ann Kowalczyk 303 W Lake St Ste 200	$57.58	3,909	3,306
Toseef Hasan 1050 N Rohlwing Rd	$69.31	3,891	3,678
Vineet Singla 303 W Lake St Ste 200	$64.67	3,798	3,323
Mohammad Vaseemuddin 240 E Lake St Ste 102	$51.89	3,208	2,482
Anna-Michelle Visak 2171 W Executive Dr	$68.86	3,131	2,551
Melissa R Edwards 303 W Lake St	$30.76	2,978	2,807
Asha N. Vijayakumar 303 W. Lake St	$67.27	2,871	2,414
Rodney H Berger 240 E Lake St	$48.04	2,870	2,366
Joanna Michele Rios 303 W Lake St Ste 200	$56.31	2,791	2,509
Anastasia Munoz 303 W Lake St Ste 200	$60.36	2,332	2,124
Erika E Gleeson 303 W Lake St	$34.05	1,500	1,340
Krunal Patel 303 W Lake St	$67.16	1,284	1,145
Laura B Boyd 303 W Lake St Ste 200	$50.80	1,016	938
Andrew W Francis 303 W Lake St	$50.57	950	858
Cara A. Martinez 303 W Lake St	$49.20	904	869
Jill Whelan 721 W Lake St	$57.81	880	715
Emmanuel C Linchangco 303 W Lake St Ste 200	$56.38	802	709
Magdalena Ottosen 303 W Lake St	$54.00	675	628
Sameera Syed 1339 W Lake St	$39.44	588	525
Shreya Patel 561 N 4Th Ave	$68.80	478	422
Patrick William Crowe 303 W Lake St	$55.37	431	375
Nicole M Zarth 303 W Lake St	$54.65	311	283
Crystal Banks Daniels 228 E Lake St	$57.27	220	202
Melissa J. James 1640 W Lake St Fl 2	$57.38	202	172
County Of Dupage Department Of Health 1111 W Lake St	$37.16	126	106
Agim Jusufi 303 W Lake St Ste 200	$81.71	106	84
Amy Lee 303 W Lake St	$43.43	69	51
Lizette Lagunas 29 S Iowa Ave	$90.01	61	27
Saba N Saeed 276 W Fullerton Ave	$41.02	12	12
Peter T Schubel 303 W Lake St	$32.36	12	12

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 Addison, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Addison, IL is $45.76 per claim, based on 204,148 claims from 44 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 Addison, IL?

There are 44 Medicaid providers offering Office Visit related services in Addison, IL according to public payment data.

What is the price range for Office Visit in Addison, IL?

Medicaid reimbursement for Office Visit in Addison, IL ranges from $0.00 to $90.01 per claim, with an average of $45.76. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Addison, IL: $45.76

Providers Offering Office Visit in Addison, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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