Average Medicaid Office Visit Payments in Darien, IL: $48.61
Avg. Paid
$48.61
Range
$23.69 – $90.92
Total Claims
78,965
Providers
15
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 Darien, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Reem Bitar
19W077 Ernest St |
$23.69 | 13 | 13 |
|
Padamjit Kaur Singh
8330 Lemont Rd |
$41.13 | 16 | 15 |
|
Nazneen Ather
1306 Plainfield Rd |
$29.17 | 51 | 32 |
|
Pamela C Huang
1306 Plainfield Rd |
$44.69 | 84 | 80 |
|
Jennifer L Hall
1306 Plainfield Rd |
$39.10 | 115 | 99 |
|
Muhammad Ali
7516 S Cass Avenue |
$77.53 | 146 | 126 |
|
Deepa Mathew Joseph
1306 Plainfield Rd |
$48.36 | 251 | 227 |
|
Robert F. Davis
1306 Plainfield Rd |
$50.86 | 253 | 228 |
|
Anita Lall Kewalramani
1306 Plainfield Rd |
$45.45 | 269 | 224 |
|
Patricia Brown
7900 Cass Ave Ste 200 |
$90.92 | 369 | 308 |
|
Yousry Girgis
715 Walnut Dr |
$34.43 | 941 | 851 |
|
Srinivas-Prasad Reddy Jolepalem
8721 Carriage Green Dr |
$39.45 | 1,253 | 1,175 |
|
Valerie Laniosz
8110 S Cass Avenue |
$53.06 | 3,538 | 3,035 |
|
Louis Jae Chi
8310 Lemont Rd |
$30.93 | 4,188 | 3,763 |
|
Afsoon Karimi
1617 Laurel Ln |
$49.60 | 67,478 | 53,915 |
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 Darien, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Darien, IL is $48.61 per claim, based on 78,965 claims from 15 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 Darien, IL?
There are 15 Medicaid providers offering Office Visit related services in Darien, IL according to public payment data.
What is the price range for Office Visit in Darien, IL?
Medicaid reimbursement for Office Visit in Darien, IL ranges from $23.69 to $90.92 per claim, with an average of $48.61. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Darien, IL
Vaccines & Immunizations
Avg $10.45
35,101 claims
Dental Cleaning & Exam
Avg $32.90
21,717 claims
Eye Exam
Avg $33.68
15,625 claims
Urinalysis & Urine Tests
Avg $2.82
13,310 claims
Ambulance Transport
Avg $676.03
11,406 claims
Blood Work & Lab Tests
Avg $4.09
7,664 claims
Speech Therapy
Avg $20.35
6,743 claims
Podiatry (Foot Care)
Avg $12.32
5,586 claims