Average Medicaid Office Visit Payments in Cicero, IL: $43.19
Avg. Paid
$43.19
Range
$0.00 – $70.94
Total Claims
222,538
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 Cicero, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ruchir Thakkar
5741 W Cermak Rd |
$58.71 | 62,801 | 46,816 |
|
Access Community Health Network
3040 S Cicero Ave |
$0.01 | 43,515 | 33,990 |
|
Edwin Bautista Pascual
5103 W Cermak Rd |
$66.81 | 15,027 | 11,259 |
|
Amado Rueda
6035 W Cermak Rd |
$44.25 | 13,059 | 11,107 |
|
Christina Arellano
5700 W Cermak Rd |
$58.10 | 8,861 | 7,534 |
|
Rosaura Licea
5712 W 35Th St |
$44.82 | 8,345 | 6,523 |
|
Hernan Reyes
5610 W Cermak Rd |
$40.51 | 7,929 | 6,485 |
|
Manish I Desai
5909 W 35Th St |
$49.92 | 7,586 | 6,457 |
|
Sabiha Thaseen
5535 W Cermak Rd Ste A |
$61.02 | 7,410 | 6,092 |
|
Sherrilynn Smith
3314 S Cicero Ave |
$55.68 | 5,337 | 4,828 |
|
Town Of Cicero
2250 S 49Th Ave |
$12.30 | 4,966 | 4,216 |
|
Heriberto Martinez
5857 W 35Th St |
$52.81 | 4,374 | 3,827 |
|
Shishir Jain
5909 W 35Th St |
$48.52 | 4,043 | 3,425 |
|
Israel Disamala Labao
5535 W. Cermak Rd |
$58.39 | 3,974 | 3,257 |
|
Roselia Herrera
6039 W Cermak Rd |
$44.28 | 3,720 | 3,170 |
|
Shannon Rose Lewis
3314 S Cicero Ave |
$63.35 | 3,547 | 3,183 |
|
Deepak Leekha
5729 W Cermak Rd |
$49.19 | 3,098 | 2,750 |
|
Maria Isabel Angulo
4747 W Cermak Rd |
$62.32 | 2,816 | 2,649 |
|
The Board Of Trustees Of The University Of Illinois
4747-51 West Cermak Rd |
$0.00 | 2,270 | 1,638 |
|
Yvette Anais Bribiesca
3314 S Cicero Ave Unit B |
$63.32 | 1,979 | 1,588 |
|
Francisco Avalos
6001 W Cermak Rd |
$60.75 | 1,891 | 1,356 |
|
Ricardo C Dizon
1907 S Cicero Ave |
$63.04 | 1,823 | 1,522 |
|
Luis F Santiago
5533 W Cermak Rd |
$70.94 | 1,165 | 719 |
|
Adrienne L Dudley
3314 S Cicero Ave Unit B |
$64.54 | 825 | 727 |
|
Alfred Joseph Martin
5912 W Cermak Rd |
$43.24 | 705 | 615 |
|
Silvia Juarez
6001 W Cermak Rd |
$38.45 | 633 | 560 |
|
Cook County
2423 S Austin Blvd |
$5.15 | 301 | 216 |
|
Yahaira Espada
5341 W Cermak Rd |
$32.78 | 213 | 209 |
|
Tiffany Hilliard
5712 W 35Th St |
$53.54 | 179 | 172 |
|
Luis E Mendoza
5610 W Cermak Rd |
$19.60 | 119 | 113 |
|
Laura M Lebeau
2124 S Austin Blvd |
$5.20 | 27 | 25 |
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 Cicero, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cicero, IL is $43.19 per claim, based on 222,538 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 Cicero, IL?
There are 31 Medicaid providers offering Office Visit related services in Cicero, IL according to public payment data.
What is the price range for Office Visit in Cicero, IL?
Medicaid reimbursement for Office Visit in Cicero, IL ranges from $0.00 to $70.94 per claim, with an average of $43.19. 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 Cicero, IL
Dental Cleaning & Exam
Avg $33.22
215,143 claims
Speech Therapy
Avg $19.29
155,332 claims
Non-Emergency Medical Transportation
Avg $15.40
120,119 claims
Substance Abuse Treatment
Avg $102.99
52,683 claims
Vaccines & Immunizations
Avg $3.89
52,477 claims
Eye Exam
Avg $30.61
46,064 claims
Dental Filling
Avg $64.75
32,305 claims
Ambulance Transport
Avg $601.61
29,815 claims