Average Medicaid Office Visit Payments in Downers Grove, IL: $54.01
Avg. Paid
$54.01
Range
$0.00 – $345.00
Total Claims
127,334
Providers
133
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 Downers Grove, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cynthia Ann Wollenschlager
3825 Highland Ave |
$43.50 | 12,288 | 10,131 |
|
Emma Blanca Olivera
3825 Highland Ave Ste 5H |
$46.96 | 10,631 | 9,119 |
|
Nicholas Ramos
3551 Highland Ave Ste 200B |
$54.30 | 9,566 | 8,209 |
|
Rachael Esther Levine
1441 Branding Ave Ste 310 |
$88.97 | 9,535 | 7,393 |
|
Sitara B Sharif
4121 Fairview Ave |
$49.16 | 8,743 | 7,094 |
|
Leslie Caroline Barnes Ingram
1441 Branding Ave Ste 310 |
$57.87 | 7,353 | 6,236 |
|
Dan Ramos Clemente
3551 Highland Ave Ste 200A |
$11.84 | 4,766 | 4,462 |
|
George R Sosenko
3825 Highland Ave |
$38.26 | 4,601 | 4,315 |
|
Susanne A Ryan
2655 Warrenville Rd |
$51.70 | 3,854 | 3,582 |
|
Stanislava Coufal
3825 Highland Ave |
$51.34 | 3,757 | 2,049 |
|
Jennifer Lyn Fitzer
1441 Branding Ave Ste 310 |
$12.34 | 3,546 | 3,384 |
|
Mark J. Tatara
6840 Main St Ste 200 |
$65.86 | 2,632 | 2,262 |
|
Sharon L Frigo Doyle
5207 Main St |
$49.91 | 2,594 | 2,458 |
|
Min Wang
1431 Opus Pl Ste 110 |
$63.12 | 2,556 | 2,198 |
|
Donald J Steiner
3815 Highland Ave |
$68.03 | 1,978 | 1,896 |
|
Osama A El-Shafie
1401 Branding Ave Ste 312 |
$20.48 | 1,825 | 1,540 |
|
Karyn L. Skleney
2801 Finley Rd |
$52.51 | 1,820 | 1,770 |
|
Morounkeji E Akin-Olugbemi
2525 Ogden Ave |
$50.31 | 1,551 | 1,380 |
|
Janell Chandler Mace
5207 Main St |
$78.67 | 1,465 | 1,363 |
|
Malini Kumar
5207 Main St |
$84.84 | 1,324 | 872 |
|
Rodrigo M Ubilluz
4121 Fairview Ave |
$44.72 | 1,267 | 1,154 |
|
Maleeha A Ahsan
1341 Warren Ave |
$21.49 | 1,179 | 884 |
|
Khin Khin Bremer
3825 Highland Avenue |
$60.99 | 1,168 | 1,014 |
|
Rebecca Kathryn Kirk
3825 Highland Ave Ste 5H5M |
$67.62 | 1,136 | 980 |
|
Spencer S Kirk
3551 Highland Ave Ste 200B |
$55.69 | 1,061 | 958 |
|
Victoria Land Huff
6911 Terrace Dr |
$63.91 | 982 | 797 |
|
Mohammed S Haqqani
1341 Warren Ave |
$69.62 | 967 | 932 |
|
Kiran Choudhry
4900 Main St |
$66.99 | 920 | 778 |
|
Katy H. Goldsborough
3745 Highland Ave Fl 2 |
$41.95 | 871 | 782 |
|
Xiao Michelle Huang
412 63Rd St Ste 103 |
$101.04 | 870 | 480 |
|
Eva D Sledz
4900 Main St |
$52.21 | 828 | 735 |
|
Julie A Foy
1441 Branding Ave Ste 310 |
$32.05 | 803 | 724 |
|
Jissille Rama Reddy
3815 Highland Ave |
$63.14 | 785 | 771 |
|
Ridha Chakeer
3825 Highland Ave Ste 2B |
$79.30 | 759 | 696 |
|
Tejas Rajendra Shah
3825 Highland Ave Fl Tower24 |
$44.38 | 688 | 643 |
|
Allen T. Mikhail
2801 Finley Rd |
$63.63 | 645 | 594 |
|
John L Holden
3825 Highland Ave Suite 203 |
$72.41 | 609 | 395 |
|
Lalitha D Reddy
412 63Rd St Ste 101 |
$74.83 | 561 | 535 |
|
Erin D. Carli
3743 Highland Ave Ste 1002 |
$43.09 | 553 | 535 |
|
Yasmeen Jamal Khan
4900 Main St |
$63.45 | 544 | 496 |
|
Sheela Swamy
1034 Warren Ave |
$50.65 | 484 | 437 |
|
Sarah L Katula
3743 Highland Ave Ste 2001 |
$99.46 | 441 | 367 |
|
Anshuman Chawla
3825 Highland Ave |
$58.76 | 437 | 402 |
|
Scott A Reishus
3825 Highland Ave |
$29.71 | 426 | 409 |
|
Jeffrey Brian Ziffra
3825 Highland Ave Ste 400 |
$52.05 | 407 | 398 |
|
Nazneen A Shaikh
412 63Rd St |
$100.86 | 396 | 211 |
|
Matthew Robert Wilkins
3743 Highland Ave Ste 1001 |
$58.96 | 388 | 340 |
|
Anas Lababidi
3815 Highland Ave Ste Aip |
$28.19 | 387 | 361 |
|
Esther A Tabe
3005 Highland Pkwy |
$318.75 | 385 | 385 |
|
Illinois Institute Of Pediatric Cardiology
1202N 75Th St |
$77.84 | 382 | 362 |
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 Downers Grove, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Downers Grove, IL is $54.01 per claim, based on 127,334 claims from 133 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 Downers Grove, IL?
There are 133 Medicaid providers offering Office Visit related services in Downers Grove, IL according to public payment data.
What is the price range for Office Visit in Downers Grove, IL?
Medicaid reimbursement for Office Visit in Downers Grove, IL ranges from $0.00 to $345.00 per claim, with an average of $54.01. 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 Downers Grove, IL
Dental Cleaning & Exam
Avg $31.46
89,213 claims
Blood Work & Lab Tests
Avg $7.48
56,028 claims
Non-Emergency Medical Transportation
Avg $20.52
49,835 claims
Emergency Room Visit
Avg $74.43
43,407 claims
Nursing Facility Care
Avg $15.40
35,863 claims
X-Ray
Avg $5.11
30,751 claims
Speech Therapy
Avg $26.01
28,969 claims
Psychiatric Evaluation
Avg $76.81
20,780 claims