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 |
|---|---|---|---|
|
Fidel Echevarria
4740 N Clark St |
$2.36 | 12 | 12 |
|
William Whittier
104 S Ashland Ave |
$46.21 | 12 | 12 |
|
Anushka Patel
1520 W Harrison St Fl 7 |
$45.88 | 12 | 12 |
|
Alpesh Ashwin Patel
675 N. St. Clair |
$37.31 | 12 | 12 |
|
Joanne Lam
1801 W Taylor St Fl 3 |
$31.01 | 12 | 12 |
|
Andrew Ligsay
676 N Saint Clair St Fl 7 |
$89.00 | 12 | 12 |
|
Karen Goldstein
800 E 55Th St |
$14.17 | 12 | 12 |
|
Rochelle L Hawkins
2315 E 93Rd St |
$81.02 | 12 | 12 |
|
Michael Duarte
4417 W Diversey Ave |
$13.24 | 12 | 12 |
|
Tracy S Gertler
225 E Chicago Ave |
$82.32 | 12 | 12 |
|
Kyle Wylie
1725 W Harrison St Ste 1106 |
$74.95 | 12 | 12 |
|
Mount Sinai Community Foundation
1501 S California Ave |
$35.94 | 12 | 12 |
|
Christine E Fleischmann
7435 W Talcott Ave |
$0.00 | 12 | 12 |
|
Jason Paul Sulkowski
5841 S Maryland Ave |
$33.15 | 12 | 12 |
|
So Lim Kim
251 E Huron St |
$147.24 | 12 | 12 |
|
Jeannette Suzanne Codere Kelly
180 N Michigan Ave Ste 1605 |
$73.78 | 12 | 12 |
|
Azhar Awan
5841 S Maryland Ave |
$17.47 | 12 | 12 |
|
Erika J Flores
1460 N Halsted St Ste 202 |
$46.25 | 12 | 12 |
|
Henry A. Finn
4646 N Marine Dr |
$6.18 | 12 | 12 |
|
Patricia Vassallo
675 N Saint Clair St Ste 1900 |
$53.11 | 12 | 12 |
|
Joseph Olusola
2845 N Sheridan Rd Ste 708 |
$64.01 | 12 | 12 |
|
Aruna Ganju
675 N Saint Clair St |
$28.17 | 12 | 12 |
|
Joy Liu
259 E Erie St Ste 1600 |
$42.14 | 12 | 12 |
|
Beth Volin
1645 W Jackson Blvd |
$78.02 | 12 | 12 |
|
Christina Ofelia Foreman
1901 W Harrison St |
$216.35 | 12 | 12 |
|
Jennett Kyen Atanga
820 S Damen Ave |
$318.75 | 12 | 12 |
|
Arrthy Gnanendran
1740 W Taylor St |
$46.10 | 12 | 12 |
|
Ugonwa Gloria Izuegbu
10551 S Ewing Ave |
$318.75 | 12 | 12 |
|
Aubrey Dyl Breithaupt
3241 S Michigan Ave Ste 1 |
$30.12 | 12 | 12 |
|
Natalie P Polk
3241 S Michigan Ave Ste 1 |
$26.96 | 12 | 12 |
|
Karin Ziesmann Fiedler
5600 W Addison St |
$43.81 | 12 | 12 |
|
Maanasi Samant
676 N Saint Clair St Ste 2100 |
$30.20 | 12 | 12 |
|
Charles L Mitchell
1424 E 53Rd St |
$20.24 | 12 | 12 |
|
Jagan K Kansal
1030 N Clark St Ste 310 |
$68.71 | 12 | 12 |
|
Chyna Turnbull
676 N Saint Clair St Ste 2140 |
$98.08 | 12 | 12 |
|
Katherine Orengo Gomez
2231 E 95Th St |
$64.03 | 12 | 12 |
|
Dempsey Hughes
259 E Erie St Ste 1600 |
$91.34 | 12 | 12 |
|
Richard Cockerill
3838 N Ravenswood Ave |
$128.65 | 12 | 12 |
|
Amelia Bazzi
875 N Rush St Fl 2 |
$13.80 | 12 | 12 |
|
May Martin
5901 N Cicero Ave Ste 600 |
$0.00 | 12 | 12 |
|
Philomena Okonkwo
1740 W Taylor St |
$99.64 | 12 | 12 |
|
Cuoghi C Edens
5841 S Maryland Ave |
$46.35 | 12 | 12 |
|
Sara M Bradley
675 N Saint Clair St |
$0.00 | 12 | 12 |
|
Sapna Sareen
1653 W Congress Pkwy |
$99.47 | 12 | 12 |
|
Jasmine Moreno
1740 W Taylor St |
$25.07 | 12 | 12 |
|
Suzette Chevere
2409 N Clybourn Ave |
$51.64 | 12 | 12 |
|
Isaac F Holmes
1653 W Congress Pkwy |
$63.23 | 12 | 12 |
|
Tanya R. Sorrell
1645 W Jackson Blvd Ste 302 |
$201.97 | 12 | 12 |
|
Petra Peteva Angelova
259 E Erie St Ste 2150 |
$53.35 | 12 | 12 |
|
Anju Thomas
675 N Saint Clair St Ste 18-250 |
$120.00 | 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 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.
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
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
Columbus, OH
Avg $62.00
8,388,006 claims · 3806 providers
Other Procedures in Chicago, IL
Blood Work & Lab Tests
Avg $5.03
10,887,691 claims
Dental Cleaning & Exam
Avg $29.66
4,929,791 claims
Emergency Room Visit
Avg $84.83
4,391,753 claims
Vaccines & Immunizations
Avg $3.36
3,818,199 claims
X-Ray
Avg $8.48
2,515,281 claims
Urinalysis & Urine Tests
Avg $2.23
2,467,995 claims
Substance Abuse Treatment
Avg $93.51
2,283,492 claims
Case Management Services
Avg $72.76
1,956,668 claims