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 |
|---|---|---|---|
|
Roy Clifton Crompton
4920 N Central Ave |
$48.32 | 12 | 12 |
|
Madeleine Joanna Gust
675 N Saint Clair St |
$0.00 | 12 | 12 |
|
Deslyn S Browne
1431 N Western Ave Ste 203 |
$36.37 | 12 | 12 |
|
Dana Mara Thompson
225 E Chicago Ave # 25 |
$79.78 | 12 | 12 |
|
Ali Amin Khan
1725 W Harrison St Ste 54 |
$32.22 | 12 | 12 |
|
Boney Mattathethu Ninan
1900 W Polk St |
$0.00 | 12 | 12 |
|
Lakshmaiah B N Setty
4955 N Milwaukee Ave |
$15.81 | 12 | 12 |
|
Christina Ciaccio
5841 S Maryland Ave |
$42.50 | 12 | 12 |
|
Vittorio Guerriero
45 W 111Th St |
$38.93 | 12 | 12 |
|
George V Bucciero
150 E Huron St |
$4.66 | 12 | 12 |
|
Gene H Kim
5841 S Maryland Ave |
$47.00 | 12 | 12 |
|
Whitney E. Liddy
676 N Saint Clair St |
$48.80 | 12 | 12 |
|
Peter H. Hwan
1460 N Halsted St |
$39.06 | 12 | 12 |
|
Sachin Dilip Shah
5841 S Maryland Ave |
$78.09 | 12 | 12 |
|
Sri Madhavi Cholleti
5306 N Cumberland Ave |
$106.25 | 12 | 12 |
|
Jacqueline Lee Harrison
1969 W Ogden Ave |
$31.46 | 12 | 12 |
|
Andrew M Pavlatos
2845 N Sheridan Rd Ste 801 |
$50.66 | 12 | 12 |
|
Neda Laiteerapong
5841 S Maryland Ave |
$7.76 | 12 | 12 |
|
Ariane Abcarian
1950 W Polk St |
$34.05 | 12 | 12 |
|
Jennifer Best
675 N Saint Clair St |
$114.17 | 12 | 12 |
|
Michael Z Kharouta
900 W Nelson St |
$28.88 | 12 | 12 |
|
Nicole Prabhu
5841 S Maryland Ave |
$0.85 | 12 | 12 |
|
Ana Bedon
900 W Nelson St |
$47.08 | 12 | 12 |
|
Elizabeth Isak
680 N Lake Shore Dr Ste 810 |
$108.87 | 12 | 12 |
|
Michael Roger Keating
1653 W Congress Pkwy |
$90.58 | 12 | 12 |
|
Matthew Thomas Moynihan
1740 W Taylor St |
$52.91 | 12 | 12 |
|
Catherine Malewicz
4445 W Irving Park Rd Ste 320 |
$49.47 | 12 | 12 |
|
Swathi B. Reddy
1725 W Harrison St Ste 818 |
$149.82 | 12 | 12 |
|
Ravi Bharat Patel
676 N Saint Clair St Ste 600 |
$32.54 | 12 | 12 |
|
Nimrah Iqbal
5841 S Maryland Ave |
$49.68 | 12 | 12 |
|
Brian James Stojak
5346 N Clark St |
$46.76 | 12 | 12 |
|
Amanda Leigh Ben Jacob
251 E Huron St Ste 5-704 |
$107.79 | 12 | 12 |
|
Craig Ward
4211 N Cicero Ave |
$0.00 | 12 | 12 |
|
Lauren Sarah Singer
215 E Huron St |
$67.22 | 12 | 12 |
|
Sean Michael Wrenn
1725 W Harrison St Ste 250 |
$47.70 | 12 | 12 |
|
Dena L Colantino
3241 S Michigan Ave |
$25.21 | 12 | 12 |
|
Rebecca June Anstee
940 W Glenlake Ave Unit 35D |
$44.67 | 12 | 12 |
|
Kevin Huang
345 E Superior St Ste 1600 |
$36.67 | 12 | 12 |
|
Jennifer Eisenberg
675 N Saint Clair St Ste 18-200 |
$19.45 | 12 | 12 |
|
Lestella Dorothy Bell Bivens
5841 S Maryland Ave # Mc8016 |
$66.41 | 12 | 12 |
|
Aruna Ganju
675 N Saint Clair St |
$28.17 | 12 | 12 |
|
Beth Volin
1645 W Jackson Blvd |
$78.02 | 12 | 12 |
|
Karin Ziesmann Fiedler
5600 W Addison St |
$43.81 | 12 | 12 |
|
Charles L Mitchell
1424 E 53Rd St |
$20.24 | 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 |
|
Isaac F Holmes
1653 W Congress Pkwy |
$63.23 | 12 | 12 |
|
Tanya R. Sorrell
1645 W Jackson Blvd Ste 302 |
$201.97 | 12 | 12 |
|
Rashmi Kabre
1653 W Harrison St |
$82.38 | 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