Based on public Medicaid payment data.

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
Dominick Vincent Bufalino 3825 Highland Ave Ste 400	$61.71	12	12
Cynthia A Urbanowicz 3743 Highland Ave	$46.56	12	12
Michael Wemhoff 3551 Highland Ave	$46.19	12	12
Mary Golembeck 1431 Opus Pl Ste 110	$345.00	12	12
Monica K Martin 3743 Highland Ave Ste 1001	$39.13	12	12
Steven E. Mather 4115 Fairview Ave	$39.50	12	12
Cathleen B Ayuste 4121 Fairview Ave Ste 100	$49.22	13	12
Swetha S Nukala 1441 Branding Ave Ste 310	$75.90	13	12
Matthew D Belden 3815 Highland Ave Ste 177	$65.03	14	14
James Ralph Clark 3825 Highland Ave	$51.22	14	14
Christina Georgopoulos Livak 3815 Highland Ave	$69.38	14	14
Gaile Sabaliauskas 3825 Highland Ave	$44.79	14	14
Barbara Moran 3815 Highland Ave	$29.36	14	12
Sharron Chivari 3075 Highland Pkwy Ste 656	$44.50	15	13
Laura Greco 1909 Ogden Ave Ste A	$79.72	15	12
Morgan Spencer Tarbutton 5207 Main St	$38.16	15	14
Suchin Rajeev Khanna 3745 Highland Ave Fl 2	$64.24	17	12
Nancy Qusba 1254 Ogden Ave	$35.50	17	14
Hiren Desai 3825 Highland Ave	$260.00	17	14
Gail D Lemon 1441 Branding Ave Ste 310	$29.54	22	12
Elissa Kim Adatya 1333 Butterfield Rd	$0.00	24	24
Melvin Tom Joseph 3743 Highland Ave Ste 2001	$136.49	25	25
Eric Shulman 3825 Highland Ave Fl Tower24	$75.81	25	24
Stephen Michael Rowley 3825 Highland Ave	$49.98	26	24
Shina Keaonis Gordon 3743 Highland Ave # 2001	$47.60	28	27
Karen Marie Manning 5207 Main St	$49.22	28	27
Deborah Ayuste Boyle 4121 Fairview Ave Ste 100	$49.22	33	26
Julie Mudge 3815 Highland Ave	$60.88	35	26
Jenny Ga-Yee Lau 3450 Lacey Rd	$10.15	39	38
Teresia Gitau 1431 Opus Pl Ste 110	$49.32	39	35
Patrick Clinton Fenner 3825 Highland Ave	$45.86	40	38
Valerie Phillips 3815 Highland Ave	$66.61	41	40
Chloe Marie El-Atoum 1431 Opus Pl Ste 110	$96.28	42	42
Edward Anthony Uram 1228 Ogden Ave	$198.10	42	41
Lyudmyla Ilyash 1441 Branding Ave	$46.62	43	37
Dupage Medical Group Ltd 1100 W 31St St	$122.28	45	41
Rockford Glenn Yapp 3825 Highland Ave	$30.19	52	50
Robert F King 3743 Highland Ave Ste 1001	$54.63	54	48
Teresa M Hyrc 1441 Branding Ave Ste 310	$35.57	55	55
Gayle M Simmons 412 63Rd St Ste 103	$47.42	57	49
Robert Christopher Lawler 1121 Warren Ave	$102.32	61	46
Mahesh Namburu Raju 3825 Highland Ave	$57.06	65	65
Medha S Amin 3825 Highland Ave	$41.32	69	38
Rebecca Ann Saour 3825 Highland Ave Fl Tower24	$44.95	74	57
Anna Burcenski 412 63Rd St	$64.83	82	74
Rizwan Mahmood 3743 Highland Ave Ste 1001	$64.60	88	81
Thomas J Mullin Advocate Good Samaritan Hospital	$41.44	89	86
Susan T Mitchell 1319 Butterfield Rd Ste 506	$68.93	97	93
Skye C Puls 2825 Gabriella St Unit 708	$26.00	97	88
Justin T Mao 3825 Highland Ave Fl Tower24	$39.14	100	95

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.

Average Medicaid Office Visit Payments in Downers Grove, IL: $54.01

Providers Offering Office Visit in Downers Grove, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Downers Grove, IL

Dental Cleaning & Exam

Blood Work & Lab Tests

Non-Emergency Medical Transportation

Emergency Room Visit

Nursing Facility Care

X-Ray

Speech Therapy

Psychiatric Evaluation