Average Medicaid Office Visit Payments in Des Plaines, IL: $32.86
Avg. Paid
$32.86
Range
$0.00 – $213.83
Total Claims
186,241
Providers
106
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 Des Plaines, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Access Community Health Network
1 N Broadway St |
$0.01 | 68,271 | 46,484 |
|
Bela D Desai
77 Rand Rd |
$64.93 | 9,492 | 7,301 |
|
Paresh A Patel
1635 Oakton Pl |
$8.73 | 6,296 | 5,573 |
|
Elizabeth D Manjooran, M.D.
1595 E Oakton St |
$65.93 | 6,203 | 5,160 |
|
Vlada Z Nakhlis
782 W Oakton St |
$48.30 | 5,581 | 4,668 |
|
Michael P Blair
2454 E Dempster St |
$34.45 | 4,635 | 4,098 |
|
Stephen A. Vile
940 Lee St |
$46.56 | 3,852 | 3,290 |
|
Aimee E Brasher
900 Rand Rd |
$54.38 | 3,782 | 2,690 |
|
Shervin Dorodi
1400 E Golf Road |
$40.17 | 3,582 | 3,054 |
|
Pocholo Santos Florentino
646 W Algonquin Rd |
$38.06 | 3,450 | 2,835 |
|
Alexander Yanovskiy
1400 E Golf Rd Ste 201 |
$9.94 | 3,266 | 2,951 |
|
Agnieszka Juscinska
77 Rand Rd |
$59.74 | 3,030 | 2,676 |
|
Malcolm Marazban Vandrevala
8901 Golf Rd Ste 301 |
$109.32 | 2,955 | 2,735 |
|
Rajan H Patel
9301 Golf Rd |
$41.87 | 2,904 | 2,572 |
|
Jeanne Marie Lovett
77 Rand Rd |
$47.05 | 2,841 | 2,578 |
|
Ketina Niewiarowski
77 Rand Rd |
$49.70 | 2,745 | 2,473 |
|
Helen M Arkema
77 Rand Rd |
$47.94 | 2,456 | 2,303 |
|
Roxana Maria Florina Miroi
77 Rand Rd |
$69.78 | 2,339 | 1,970 |
|
Jalpabahen Alkesh Patel
1635 Oakton Pl |
$62.39 | 2,314 | 2,018 |
|
Tina Joseph
2104 Miner St |
$71.79 | 2,270 | 1,444 |
|
Naveen Abraham
77 Rand Rd |
$64.07 | 2,212 | 1,887 |
|
Wendy Adams Rivard
77 Rand Rd |
$51.59 | 2,008 | 1,748 |
|
Thomas Pontinen
9700 Golf Road |
$4.41 | 1,886 | 1,791 |
|
Michael J. Shapiro
2454 E Dempster St |
$51.09 | 1,644 | 1,439 |
|
Bino Varghese Oommen
1328 Webford Ave |
$43.07 | 1,644 | 989 |
|
Peter Jurgen Kiefer
150 N River Rd Ste 110 |
$54.61 | 1,643 | 1,399 |
|
Etan P Sugarman
999 E Touhy Ave Ste 450 |
$128.31 | 1,603 | 1,578 |
|
Aruna Kandula
9301 Golf Rd Ste 302 |
$50.89 | 1,595 | 1,355 |
|
Sarmila Govindan
77 Rand Rd |
$53.31 | 1,561 | 1,353 |
|
Jenice Lopez
77 Rand Rd |
$30.89 | 1,337 | 1,275 |
|
Kevin Conley
1535 Ellinwood Ave |
$38.85 | 1,253 | 1,091 |
|
Mani Mahdavian
150 N River Rd Ste 210 |
$35.32 | 1,179 | 1,006 |
|
Sharon Meyer
900 Rand Rd Ste 120 |
$52.93 | 1,101 | 1,010 |
|
Ashokmathew T Poozhikunnel
77 Rand Rd |
$36.62 | 1,074 | 965 |
|
Susila Subramanian
150 N River Rd |
$41.50 | 1,069 | 929 |
|
Anne Maria Burke
150 N River Rd Ste 110 |
$41.81 | 1,064 | 959 |
|
Sarah Haller
1455 E Golf Rd |
$39.26 | 1,039 | 918 |
|
Barbara D Twardowski
2108 Plainfield Dr |
$106.33 | 987 | 833 |
|
Kathleen Anna Chmiel
77 Rand Rd |
$54.02 | 942 | 838 |
|
Vernee Pia Edwards
77 Rand Rd |
$87.44 | 873 | 580 |
|
Lenus Damasaru
1792 E Oakton |
$72.33 | 861 | 756 |
|
Marcelo Petti
77 Rand Rd |
$59.18 | 724 | 678 |
|
Keith L Komnick
581 E Golf Rd |
$34.84 | 705 | 599 |
|
Lauren Hensley
77 Rand Rd |
$92.44 | 627 | 371 |
|
L. Suzanne Flom
8901 Golf Rd |
$80.74 | 589 | 541 |
|
Arvind Patel
1460 Market St |
$39.99 | 568 | 434 |
|
Jude Udagwua
31 W Millers Rd |
$213.83 | 545 | 545 |
|
Joseph Chimino
77 Rand Rd |
$48.60 | 505 | 476 |
|
Sree Balusu
150 N River Rd Ste 240 |
$72.17 | 502 | 436 |
|
Susan Rim
77 Rand Rd |
$89.35 | 489 | 307 |
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 Des Plaines, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Des Plaines, IL is $32.86 per claim, based on 186,241 claims from 106 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 Des Plaines, IL?
There are 106 Medicaid providers offering Office Visit related services in Des Plaines, IL according to public payment data.
What is the price range for Office Visit in Des Plaines, IL?
Medicaid reimbursement for Office Visit in Des Plaines, IL ranges from $0.00 to $213.83 per claim, with an average of $32.86. 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 Des Plaines, IL
Speech Therapy
Avg $20.02
81,236 claims
Home Health Visit
Avg $176.54
54,328 claims
Eye Exam
Avg $22.51
52,390 claims
Vaccines & Immunizations
Avg $2.66
50,783 claims
Non-Emergency Medical Transportation
Avg $22.61
50,593 claims
Dental Cleaning & Exam
Avg $32.15
48,404 claims
Psychiatric Evaluation
Avg $71.78
41,466 claims
Ambulance Transport
Avg $577.99
28,405 claims