Average Medicaid Office Visit Payments in Aurora, IL: $34.46
Avg. Paid
$34.46
Range
$0.00 – $269.79
Total Claims
849,771
Providers
318
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 Aurora, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vna Health Care
400 N Highland Ave |
$0.18 | 200,343 | 157,799 |
|
Vna Health Care
1400 Indian Avenue |
$0.04 | 51,603 | 42,293 |
|
Cristina S Brotea
1300 N Highland Ave |
$49.33 | 34,156 | 28,169 |
|
Sifatur R Sayeed
1300 N Highland Ave Ste 4A |
$53.93 | 32,054 | 24,136 |
|
Mukeshchandra D Patel
475 N Farnsworth Ave |
$66.67 | 30,363 | 22,680 |
|
Abdul Qadir
1414 W Illinois Ave |
$53.55 | 28,455 | 22,618 |
|
Aunt Marthas Youth Service Center Inc
2124 Ogden Ave |
$0.01 | 26,618 | 22,123 |
|
Nadia Abu-Nijmeh
2121 Ridge Ave |
$50.13 | 15,215 | 12,113 |
|
William M Zander
1221 N Highland Ave |
$69.38 | 12,090 | 10,227 |
|
Brenda L Jefferson-Byrd
3535 E New York St Ste 115 |
$63.68 | 11,950 | 9,864 |
|
Louis E Camras
1300 N Highland Ave |
$50.74 | 10,350 | 8,258 |
|
Ivan R Lopez
2003 Montgomery Rd |
$53.04 | 9,896 | 8,520 |
|
Aunt Martha'S Youth Service Center, Inc
680 S River St |
$0.00 | 9,762 | 8,201 |
|
Akil Moinuddin
302 E New York St |
$48.69 | 9,621 | 8,408 |
|
Majad Ali
2020 Ogden Ave Ste 400 |
$57.50 | 9,269 | 8,008 |
|
Gustavo Ricardo Sanchez-Vargas
523 W Galena Blvd |
$71.30 | 8,669 | 5,320 |
|
Luis A Bolanos
2121 Ridge Ave |
$46.46 | 8,240 | 6,850 |
|
Imelda Dawis
364 N Farnsworth Ave |
$44.99 | 8,101 | 6,169 |
|
Paula Joyce Melone
2020 Ogden Ave Ste 260 |
$73.99 | 7,259 | 6,294 |
|
Sanjiv Upadhyay
2040 Ogden Ave Ste 401 |
$48.46 | 7,203 | 6,511 |
|
Syed Shah M A Warsi
581 Sullivan Rd |
$63.39 | 7,062 | 5,600 |
|
Rashmi C Tomur
2121 Ridge Ave Ste 103 |
$63.10 | 6,682 | 3,951 |
|
Maria Fernanda Chacon-Horn
2000 Ogden Ave |
$61.35 | 6,523 | 5,810 |
|
Community Health Partnership Of Illinois
157 S Lincoln Ave |
$16.88 | 6,467 | 5,223 |
|
Muhammad A Habib
2285 Sequoia Dr |
$53.20 | 6,352 | 5,753 |
|
Nageswara R Nagarakanti
400 Mercy Ln |
$37.69 | 6,295 | 5,080 |
|
Kevin Lue
3925 75Th St Ste 105 |
$47.38 | 6,267 | 5,222 |
|
Alafia Nomani
2003 Montgomery Rd |
$57.72 | 6,070 | 5,099 |
|
Miguel A Salas
2635 Church Rd Ste 101 |
$48.00 | 5,851 | 5,299 |
|
Asma Bano
4075 Fox Valley Center Dr |
$48.59 | 5,811 | 4,868 |
|
Eileen Magill
400 N Highland Ave |
$79.33 | 5,712 | 5,417 |
|
Kevin Peters
444 N Eola Rd Ste 110 |
$48.13 | 5,114 | 4,493 |
|
Niel K Gandhi
1901 W Galena Blvd |
$47.09 | 5,106 | 4,248 |
|
Romy K. Patel
400 N Highland Ave |
$27.47 | 4,994 | 4,221 |
|
Hinna Khan
2121 Ridge Ave Ste 101 |
$50.67 | 4,708 | 4,031 |
|
Kenneth Yokosawa
2020 Ogden Avenue |
$46.10 | 4,704 | 3,920 |
|
Alithea Celina Milagros Dacanay
400 N Highland Ave |
$54.60 | 4,510 | 3,586 |
|
Lulu Ozcakir
2000 Ogden Ave |
$50.00 | 4,349 | 4,042 |
|
Stephen M Kelanic
2040 Ogden Ave Ste 401 |
$38.09 | 4,286 | 3,866 |
|
Armeet P Singh
400 N Highland Ave |
$43.01 | 4,276 | 3,781 |
|
Jennifer Ann Kleinfeld
2121 Ridge Ave Ste 101 |
$46.76 | 4,174 | 3,540 |
|
John William Lamiot
1300 N Highland Ave |
$26.02 | 4,095 | 1,784 |
|
Diane Marie Butterfield
400 N Highland Ave |
$35.87 | 3,945 | 3,497 |
|
Ho Myong
2000 Ogden Ave |
$30.86 | 3,924 | 3,291 |
|
Muhammad Y Siddiq
4075 Fox Valley Center Dr Ste 3 |
$55.89 | 3,835 | 3,411 |
|
Jolene Henion
400 N Highland Ave |
$0.00 | 3,604 | 2,677 |
|
Milena Jones
1315 N Highland Ave Ste 203 |
$31.44 | 3,469 | 2,735 |
|
Ronald F Vilbar
400 N Highland Ave |
$58.05 | 3,410 | 2,875 |
|
Jeffrey William Watkins
2111 Ogden Ave |
$29.31 | 3,278 | 2,851 |
|
Mary Ann Hollenback
2020 Ogden Ave Ste 400 |
$50.32 | 3,222 | 2,854 |
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 Aurora, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Aurora, IL is $34.46 per claim, based on 849,771 claims from 318 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 Aurora, IL?
There are 318 Medicaid providers offering Office Visit related services in Aurora, IL according to public payment data.
What is the price range for Office Visit in Aurora, IL?
Medicaid reimbursement for Office Visit in Aurora, IL ranges from $0.00 to $269.79 per claim, with an average of $34.46. 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 Aurora, IL
Dental Cleaning & Exam
Avg $31.16
437,498 claims
Substance Abuse Treatment
Avg $99.72
326,771 claims
Blood Work & Lab Tests
Avg $4.14
274,773 claims
Speech Therapy
Avg $19.04
270,379 claims
Vaccines & Immunizations
Avg $5.78
219,243 claims
Emergency Room Visit
Avg $61.67
148,898 claims
Non-Emergency Medical Transportation
Avg $20.13
126,407 claims
Urinalysis & Urine Tests
Avg $2.09
111,452 claims