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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Carol Stream, IL: $44.05

Avg. Paid

$44.05

Range

$0.00 – $124.42

Total Claims

55,614

Providers

31

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 Carol Stream, IL

Provider Avg. Paid Claims Patients
Joy Kim

327 Gundersen Dr

 $0.00 14 14
Joseph Anthony Lagattuta

630 E North Ave Dept Of

 $43.07 32 29
Angelo Miele

501 Thornhill Dr

 $44.09 58 54
Erin Kathleen Evans

26W212 Geneva Rd

 $26.78 95 86
Steven Thein Singh

630 E North Ave

 $77.73 123 118
Brian A Briggs

630 E North Ave

 $46.90 130 118
Lawrence J Schouten

501 Thornhill Dr # Ddr

 $51.96 164 109
O. Kent Mercado

501 Thornhill Dr

 $27.60 164 133
Jennifer M. Felske

327 Gundersen Dr

 $36.03 203 176
Sheena Aleena Eettickal

200 N Gary Ave

 $47.77 288 248
Kayla Hranka

630 E North Ave

 $98.54 346 164
Krishna Dipak Modi

630 E North Ave

 $84.15 348 300
Frank C Chao

630 E North Ave

 $62.14 383 244
Brett Chamernik

630 E North Ave

 $54.94 439 390
Jean K Kombwa

26W212 Geneva Rd

 $11.00 654 609
William Bayer

501 Thornhill Dr

 $57.90 737 641
Nicole Ethridge

1076 Regency Ln

 $124.42 744 725
Asad Rafiq

630 E North Ave Dept Of

 $55.81 789 742
Susan Ignatius

501 Thornhill Dr

 $42.61 1,161 1,016
Thida Maw

892 Hampton Dr

 $63.50 1,288 1,020
Lydia E Odell

630 E North Ave

 $52.45 1,606 1,440
James H Kim

630 E North Ave

 $88.65 1,689 1,113
Mark Richard Bednard

501 Thornhill Dr

 $61.49 1,983 1,542
Aileen Westrick

501 Thornhill Dr

 $46.36 2,162 1,938
Shagufta Naaz Khader

630 E North Ave

 $63.74 2,233 1,545
Chong-Hsiang Liang

630 E North Ave

 $82.51 2,734 1,745
Imelda S Carlos

511 Thornhill Dr

 $49.81 4,030 3,400
Guido Grasso-Knight

630 E North Ave

 $63.42 5,869 4,769
Vna Health Care

350 S Schmale Rd

 $0.01 6,655 4,652
Vna Health Care

397 S Schmale Rd

 $0.04 8,003 6,789
Nausheen Hasan

560 Belmont Ln

 $54.07 10,490 9,381

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 Carol Stream, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carol Stream, IL is $44.05 per claim, based on 55,614 claims from 31 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 Carol Stream, IL?

There are 31 Medicaid providers offering Office Visit related services in Carol Stream, IL according to public payment data.

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

Medicaid reimbursement for Office Visit in Carol Stream, IL ranges from $0.00 to $124.42 per claim, with an average of $44.05. 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 Carol Stream, IL

Dental Cleaning & Exam

Avg $31.99

40,787 claims

Nursing Facility Care

Avg $14.38

24,290 claims

Ambulance Transport

Avg $539.40

11,403 claims

Urinalysis & Urine Tests

Avg $2.51

9,911 claims

Vaccines & Immunizations

Avg $6.53

7,055 claims

Durable Medical Equipment (DME)

Avg $71.26

5,800 claims

Dental Filling

Avg $59.04

5,515 claims

Eye Exam

Avg $37.63

5,475 claims