Average Medicaid Office Visit Payments in Dekalb, IL: $50.73
Avg. Paid
$50.73
Range
$0.00 – $85.78
Total Claims
96,512
Providers
56
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 Dekalb, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jay Roser Ebbesen
121 E Locust St |
$4.36 | 13 | 13 |
|
Jeff Brian Frank
3201 Commerce Drive |
$41.26 | 14 | 13 |
|
Amanda Renee Ross
1 Kish Hospital Dr |
$56.87 | 38 | 38 |
|
Rafael Suello Plenos
1 Kish Hospital Dr |
$41.06 | 46 | 46 |
|
Anna Dicicco
10 Health Services Dr |
$34.25 | 68 | 68 |
|
Ahmar B Rizwan
1 Kish Hospital Dr |
$27.26 | 85 | 84 |
|
Hina Nawab
3100 Sycamore Rd |
$20.32 | 118 | 91 |
|
Michael Hagstrom
1 Kish Hospital Dr |
$34.00 | 122 | 117 |
|
Lauren Carls
5 Kish Hospital Dr Ste 104 |
$47.91 | 125 | 119 |
|
Laina K Scheri
5 Kish Hospital Dr Ste 103 |
$32.29 | 128 | 122 |
|
Mark Mcguire
1425 W Lincoln Hwy |
$40.09 | 152 | 150 |
|
Christopher John Berry
5 Kish Hospital Dr Ste 103 |
$25.96 | 158 | 148 |
|
Christine M Polz
1 Kish Hospital Dr |
$36.61 | 161 | 124 |
|
Katie Eich
1 Kish Hospital Dr |
$43.64 | 165 | 157 |
|
Amanda Mathias Rajendran
385 Wirtz Dr. |
$70.31 | 169 | 145 |
|
Michael S Hohlastos
1 Kish Hospital Dr |
$36.04 | 185 | 180 |
|
Clare Louise Pionto
5 Kish Hospital Dr Ste 103 |
$40.56 | 190 | 165 |
|
Jeremiah L Loch
1 Kish Hospital Dr |
$26.62 | 216 | 152 |
|
Megan Elizabeth Smith
1 Kish Hospital Dr |
$57.13 | 261 | 255 |
|
Greater Family Health
2550 N Annie Glidden Rd |
$0.00 | 261 | 207 |
|
Olivia Burton
1 Kish Hospital Dr |
$45.09 | 299 | 226 |
|
Adam Chavez
385 Wirtz Dr |
$69.62 | 323 | 278 |
|
Hallie Konieczki
1 Kish Hospital Dr |
$59.34 | 326 | 281 |
|
Olis Denise Runestad
1 Kish Hospital Dr |
$49.54 | 351 | 342 |
|
Nayna Navik
217 Franklin St |
$51.27 | 360 | 285 |
|
Grace Ortman
1 Kish Hospital Dr |
$35.82 | 389 | 377 |
|
Joseph R Baumgart
374 Kingsbury Dr |
$12.79 | 404 | 324 |
|
David M Manuel
3251 Commerce Dr |
$41.31 | 480 | 474 |
|
Tera Ashley Bzdelik
1 Kish Hospital Dr |
$52.60 | 502 | 457 |
|
Jagdish R Patel
5 Kish Hospital Dr Ste 103 |
$23.88 | 534 | 474 |
|
Shelly Fern
5 Kish Hospital Dr Ste 203 |
$39.71 | 628 | 613 |
|
Jennifer L Calderala
626 Bethany Rd |
$57.89 | 668 | 572 |
|
Tiffany Adamson
1 Kish Hospital Dr |
$43.80 | 684 | 660 |
|
Cassandra Katzenberger
1 Kish Hospital Dr |
$36.74 | 738 | 685 |
|
Ted Samawi
1 Kish Drive |
$32.48 | 765 | 732 |
|
Sohail A Chaudhry
10 Health Services Dr |
$37.27 | 884 | 722 |
|
Amy Amanda Harmon
1 Kish Hospital Dr |
$45.34 | 1,018 | 751 |
|
Ibrahim Naim Mansour
5 Kish Hospital Dr Ste 103 |
$34.00 | 1,025 | 733 |
|
Mark Patrick Smyth
5 Kish Hospital Dr |
$41.21 | 1,048 | 935 |
|
Annie Ruth White
1 Kish Hospital Dr |
$48.28 | 1,080 | 1,053 |
|
Lorna K. Mackeben
12 Health Services Dr |
$85.78 | 1,592 | 1,151 |
|
Minesh U Morker
5 Kish Hospital Dr |
$42.73 | 1,689 | 1,502 |
|
Andrea Duke
1 Kish Hospital Dr |
$49.60 | 1,792 | 1,699 |
|
Carol L Roggeman
1 Kish Hospital Dr |
$43.51 | 1,919 | 1,637 |
|
Shaun Kuriakose Mathen
8 Health Services Dr |
$63.27 | 1,925 | 1,464 |
|
Faisal Saghir
10 Health Services Dr |
$48.20 | 1,933 | 1,689 |
|
Lisa Marie Mascioli
385 Wirtz Dr |
$84.65 | 1,999 | 1,821 |
|
Jeannine Fair
1 Kish Hospital Dr |
$25.52 | 2,543 | 2,117 |
|
Collette Ann Klein
12 Health Services Dr |
$73.09 | 2,701 | 2,365 |
|
Yaser Rasmi Mustafa
1 Kish Hospital Dr |
$56.74 | 2,906 | 2,683 |
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 Dekalb, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dekalb, IL is $50.73 per claim, based on 96,512 claims from 56 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 Dekalb, IL?
There are 56 Medicaid providers offering Office Visit related services in Dekalb, IL according to public payment data.
What is the price range for Office Visit in Dekalb, IL?
Medicaid reimbursement for Office Visit in Dekalb, IL ranges from $0.00 to $85.78 per claim, with an average of $50.73. 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 Dekalb, IL
Substance Abuse Treatment
Avg $93.80
98,423 claims
Emergency Room Visit
Avg $60.76
93,550 claims
Speech Therapy
Avg $27.20
66,703 claims
Case Management Services
Avg $47.12
56,633 claims
Dental Cleaning & Exam
Avg $31.47
45,362 claims
Non-Emergency Medical Transportation
Avg $14.92
41,959 claims
Vaccines & Immunizations
Avg $8.23
34,251 claims
EKG / ECG (Electrocardiogram)
Avg $8.47
27,553 claims