Average Medicaid Office Visit Payments in Chatham, IL: $57.16
Avg. Paid
$57.16
Range
$26.97 – $76.12
Total Claims
20,817
Providers
21
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 Chatham, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Emily Wiezorek
101 E Plummer Blvd |
$58.13 | 4,402 | 3,960 |
|
Kenneth Wayne Schmidt
125 E Plummer Blvd Ste A |
$54.17 | 3,969 | 3,448 |
|
Doris Marie Williams
345 N Main St |
$57.48 | 2,130 | 1,784 |
|
John C Rollet
125 E Plummer Blvd Ste A |
$46.89 | 1,271 | 1,137 |
|
Kathleen A Sigle
101 E Plummer Blvd |
$62.58 | 1,260 | 1,130 |
|
Gustavo Mosquera
101 E Plummer Blvd |
$57.33 | 1,219 | 1,082 |
|
Angela Faith Mccormick
125 E Plummer Blvd Ste A |
$62.60 | 991 | 755 |
|
Mirjam J Naughton
101 E Plummer Blvd |
$55.99 | 844 | 754 |
|
Kristina Waggoner
101 E Plummer Blvd |
$67.11 | 833 | 752 |
|
Sahar Yazdani
125 E Plummer Blvd Ste A |
$60.41 | 668 | 551 |
|
Erin L Collinsworth
101 E Plummer Blvd |
$54.65 | 644 | 592 |
|
Sarah L. Wilks
420 E Spruce St |
$47.99 | 615 | 566 |
|
Nicole M Beard
101 E Plummer Blvd |
$64.54 | 604 | 569 |
|
Katie Sloman
101 E Plummer Blvd |
$71.03 | 424 | 396 |
|
Marissa Paige Mahan
101 E Plummer Blvd |
$59.84 | 275 | 262 |
|
Brock A Phillips
125 E Plummer Blvd Ste A |
$49.97 | 231 | 198 |
|
Tara M. Dillon
116 Candlestick Dr |
$26.97 | 169 | 162 |
|
Joanne Mayberry
125 E Plummer Blvd |
$61.93 | 106 | 103 |
|
Michael Edwin Sheedy
101 E Plummer Blvd |
$59.06 | 84 | 80 |
|
Christina L Scheibler-Ventress
101 E Plummer Blvd |
$54.41 | 52 | 47 |
|
Kendra Lynn Sullivan
101 E Plummer Blvd |
$76.12 | 26 | 16 |
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 Chatham, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Chatham, IL is $57.16 per claim, based on 20,817 claims from 21 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 Chatham, IL?
There are 21 Medicaid providers offering Office Visit related services in Chatham, IL according to public payment data.
What is the price range for Office Visit in Chatham, IL?
Medicaid reimbursement for Office Visit in Chatham, IL ranges from $26.97 to $76.12 per claim, with an average of $57.16. 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 Chatham, IL
Speech Therapy
Avg $13.31
15,845 claims
Physical Therapy
Avg $5.23
10,745 claims
Home Health Visit
Avg $16.92
9,908 claims
Ambulance Transport
Avg $217.69
2,424 claims
Nursing Facility Care
Avg $15.37
2,312 claims
X-Ray
Avg $10.97
1,690 claims
Non-Emergency Medical Transportation
Avg $13.32
919 claims
Hearing Test (Audiometry)
Avg $8.28
198 claims