Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Chicago, IL: $30.31

Avg. Paid

$30.31

Range

$0.00 – $695.30

Total Claims

13,989,780

Providers

5,801

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 Chicago, IL

Provider	Avg. Paid	Claims	Patients
Erie Family Health Center, Inc 1701 W Superior St	$0.13	635,650	486,704
Access Community Health Network 600 W Fulton St	$0.02	518,969	421,666
Lawndale Christian Health Center 3860 W Ogden Ave	$0.30	501,817	383,222
Friend Family Health Center Inc 6250 S Cottage Grove Ave	$1.94	375,301	294,747
The Board Of Trustees Of The University Of Illinois 1220 S. Wood Street	$3.29	329,133	280,872
Tapestry 360 Health 1301 W Devon Ave	$0.33	318,695	247,477
Chicago Family Health Center, Inc. 9119 S. Exchange Ave.	$0.08	258,205	214,282
Seema Elahi 6374 N Lincoln Ave	$23.98	242,365	134,625
Cook County 1901 W Harrison St	$1.32	192,051	150,572
Esperanza Health Centers 2001 S. California Ave	$0.02	167,709	135,095
Christian Community Health Center 9718 S Halsted	$0.02	118,834	97,619
Esperanza Health Centers 4700 S California Ave	$0.01	115,207	92,824
Howard Brown Health Center 4025 N Sheridan Rd	$0.10	105,720	95,471
Heartland Alliance Health 4009 N Broadway St	$0.15	88,227	67,943
Nada Aldallal 1900 W 47Th St	$60.48	83,359	59,500
Infant Welfare Society Of Chicago 3600 W Fullerton Ave	$0.07	82,803	65,125
Near North Health Service Corporation 1276 N Clybourn Ave	$1.81	78,953	64,247
Lisa Memmel 2800 W 87Th St	$103.27	70,973	67,302
Access Community Health Network 3303 W 26Th St	$0.02	69,160	49,785
Esperanza Health Centers 3059 W 26Th St	$0.03	63,630	52,942
Manish M Shukla 3943 W 31St St	$45.35	63,200	52,296
Erie Family Health Center Inc 2418 W Division St	$0.16	63,034	46,777
Erie Family Health Center Inc 5215 N California Ave Ste F700	$0.09	61,261	42,980
Near North Health Service Corporation 4259 S Berkeley Ave	$0.37	59,747	48,738
Erie Family Health Center Inc 1701 W Superior St	$0.04	58,195	34,129
Beloved Community Family Wellness Center 6821 S Halsted St	$0.21	58,100	45,949
Abdulmassih Abdulmassih 6201 W Touhy Ave	$37.72	57,710	42,918
Primecare Community Health Inc. 5635 W Belmont Ave	$0.02	57,317	41,399
Primecare Community Health, Inc. 1431 N Western Ave	$0.07	56,448	41,027
Linda Anne Palumbo 40 W 75Th Street	$57.90	54,858	43,770
Access Community Health Network 2653 W Ogden Ave	$0.03	54,628	41,131
Tca Health Inc Nfp 1029 E 130Th St	$0.27	53,864	45,230
Mitchell Goldflies 6445 N Central Ave	$33.02	52,186	41,531
Access Community Health Network 3800 W Madison St	$0.02	51,346	37,734
Erie Family Health Center, Inc 2750 W North Ave	$0.21	50,451	37,113
Anuj Jain 6508 S Halsted St	$52.48	49,149	41,997
Ghassan D Aswad 3754 W Irving Park Rd	$44.15	45,644	36,773
Cook County 500 E. 51St Street	$1.34	43,608	34,449
Primecare Community Health, Inc. 1649 N Pulaski Rd	$0.03	43,541	33,324
Primecare Community Health Inc 1127 N Oakley Blvd	$0.07	43,502	32,395
Access Community Health Network 2701 W 68Th St	$0.02	40,054	30,190
Alivio Medical Center, Inc. 2355 S. Western Ave.	$0.26	39,623	33,740
Access Community Health Network 5159 S Ashland Ave	$0.01	38,463	29,801
Najat Shaba George 2004 N Pulaski Rd	$64.29	38,001	28,692
Access Community Health Network 3450 S Archer Ave	$0.02	37,981	29,538
Natvarlal P Patel 743 S Pulaski Rd	$50.62	37,220	32,227
Asian Human Services Family Health Center, Inc. 6301 N Western Ave	$0.11	36,921	29,480
Access Community Health Network 3229-43 W 47Th Pl	$0.02	36,524	28,378
Ascension St John Hospital 3187 Solutions Ctr	$47.28	35,576	34,039
James R Diesfeld 1044 N Francisco Ave Ste 404	$36.36	35,047	25,106

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 Chicago, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Chicago, IL is $30.31 per claim, based on 13,989,780 claims from 5801 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 Chicago, IL?

There are 5801 Medicaid providers offering Office Visit related services in Chicago, IL according to public payment data.

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

Medicaid reimbursement for Office Visit in Chicago, IL ranges from $0.00 to $695.30 per claim, with an average of $30.31. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Chicago, IL: $30.31

Providers Offering Office Visit in Chicago, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Columbus, OH

Other Procedures in Chicago, IL

Blood Work & Lab Tests

Dental Cleaning & Exam

Emergency Room Visit

Vaccines & Immunizations

X-Ray

Urinalysis & Urine Tests

Substance Abuse Treatment

Case Management Services