Average Medicaid Office Visit Payments in Crystal Lake, IL: $61.60
Avg. Paid
$61.60
Range
$5.12 – $375.52
Total Claims
145,211
Providers
127
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 Crystal Lake, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Natalie Kostinsky
360 Station Dr |
$65.47 | 12,085 | 11,290 |
|
Valerie Merancia Aurel
1305 Randall Rd |
$210.82 | 6,685 | 6,568 |
|
Andrew J Yu
525 E Congress Pkwy Ste 250 |
$43.21 | 5,967 | 5,369 |
|
Yanbing Li
360 Station Dr |
$62.66 | 5,796 | 5,475 |
|
Todd Stanley Giese
781 Mchenry Ave |
$65.96 | 5,786 | 5,009 |
|
Krishanthi Dilrukshi Seneviratne
415 E Congress Pkwy Ste A |
$53.13 | 5,000 | 4,389 |
|
Mary Ann Holem
360 Station Dr |
$67.41 | 4,947 | 4,703 |
|
Allison Anne Teliszczak
1095 Pingree Rd Ste 108 |
$42.06 | 4,560 | 3,254 |
|
Marina Gladson
525 E Congress Pkwy Ste 350 |
$45.75 | 4,074 | 3,524 |
|
Chandragupta S Vedak
500 Coventry Ln |
$110.18 | 4,020 | 3,505 |
|
Venkata C Jampala
500 Coventry Ln |
$48.65 | 3,446 | 2,765 |
|
Yolanta Kreklow
145 S Virginia St |
$66.75 | 3,378 | 2,810 |
|
Dennis Richard Brightwell
422 Tracy Ct |
$50.66 | 3,361 | 2,250 |
|
Catherine Wysocka
820 E Terra Cotta Ave Ste 226 |
$77.52 | 3,273 | 2,922 |
|
Savan Dixit Patel
420 N Il Route 31 |
$45.44 | 3,257 | 2,740 |
|
Lisa B Messinger
650 Dakota St Ste A |
$58.59 | 3,078 | 2,664 |
|
Moriah Bang
525 E Congress Pkwy |
$54.08 | 2,864 | 2,567 |
|
Heather Mechelle Cloum
875 S Route 31 |
$38.61 | 2,786 | 2,474 |
|
Julie Vicencio
525 E Congress Pkwy |
$70.51 | 2,744 | 2,547 |
|
Gary Lee Reschak
650 Dakota St Ste A |
$41.99 | 2,731 | 2,467 |
|
Robert T Nixon
420 N Il Route 31 |
$35.04 | 2,518 | 2,047 |
|
Sanjeev Gupta
525 E Congress Pkwy Ste 350 |
$58.98 | 2,376 | 1,984 |
|
Michael Lesser
1095 Pingree Rd |
$47.97 | 2,169 | 1,891 |
|
Racquel Norada Ramirez-Dolleton
781 Mchenry Ave |
$60.80 | 2,147 | 1,877 |
|
Paul Leonard Grindstaff
750 East Terra Cotta Ave |
$45.15 | 2,056 | 1,860 |
|
Matilda M Rosanwo
360 Station Dr |
$56.52 | 2,026 | 1,907 |
|
Marko F Krpan
415 E Congress Pkwy Ste A |
$36.03 | 1,827 | 1,678 |
|
Timothy G Havenhill
420 N Il Route 31 |
$37.26 | 1,746 | 1,503 |
|
Jennifer A Garrels
360 Station Dr |
$54.00 | 1,632 | 1,438 |
|
Emily Shen
350 E Congress Pkwy |
$45.18 | 1,627 | 1,487 |
|
Holly S Carobene
360 Station Dr Ste 100 |
$50.47 | 1,597 | 1,458 |
|
Juliana Gonzales-Hannon
360 Station Dr |
$58.65 | 1,489 | 1,349 |
|
George B. Gancayco
781 Mchenry Ave |
$44.73 | 1,423 | 1,227 |
|
Brian Patrick Flanagan
420 N Il Route 31 |
$33.72 | 1,416 | 1,173 |
|
John S Balocki
185 Heritage Drive |
$60.79 | 1,310 | 1,088 |
|
Lisa Gazdziak
1305 Randall Rd |
$12.27 | 1,229 | 1,106 |
|
Ruchi Sood
442 N Il Route 31 |
$38.98 | 1,165 | 1,058 |
|
Ravi Patel
420 N Il Route 31 |
$40.57 | 1,117 | 994 |
|
John C Michael
820 E Terra Cotta Ave Ste 247 |
$53.18 | 1,110 | 951 |
|
Susan J Bigham
360 Station Dr |
$56.60 | 1,103 | 975 |
|
Syed S Asghar
80 N Virginia St |
$39.98 | 1,042 | 957 |
|
Ranjana Nath
350 E Congress Pkwy |
$44.91 | 924 | 775 |
|
Venkata L.N.V.K Buddharaju
442 N Il Route 31 |
$34.84 | 894 | 827 |
|
Christine C Hepperlen
750 E Terra Cotta Ave Ste B |
$52.85 | 874 | 707 |
|
Ramesh Babu Vemuri
145 S Virginia St |
$36.29 | 851 | 729 |
|
Pamela Anne Maloney
875 S. Route 31 |
$23.14 | 769 | 753 |
|
Jamie Gancayco
781 S Mchenry Ave |
$46.26 | 767 | 672 |
|
Taylor Johnson
525 E Congress Pkwy |
$64.48 | 763 | 747 |
|
Adam Buffington
750 E Terra Cotta Ave Ste C |
$40.49 | 744 | 634 |
|
Michelle R Lehn
390 E Congress Pkwy Ste I |
$41.68 | 736 | 701 |
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 Crystal Lake, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Crystal Lake, IL is $61.60 per claim, based on 145,211 claims from 127 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 Crystal Lake, IL?
There are 127 Medicaid providers offering Office Visit related services in Crystal Lake, IL according to public payment data.
What is the price range for Office Visit in Crystal Lake, IL?
Medicaid reimbursement for Office Visit in Crystal Lake, IL ranges from $5.12 to $375.52 per claim, with an average of $61.60. 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 Crystal Lake, IL
Eye Exam
Avg $27.93
65,654 claims
Substance Abuse Treatment
Avg $82.33
63,197 claims
Speech Therapy
Avg $18.27
56,936 claims
Psychiatric Evaluation
Avg $99.28
55,690 claims
Dental Cleaning & Exam
Avg $31.60
48,269 claims
Nursing Facility Care
Avg $8.54
32,708 claims
Case Management Services
Avg $80.19
23,341 claims
Ambulance Transport
Avg $569.65
9,954 claims