Average Medicaid Office Visit Payments in Elgin, IL: $16.29
Avg. Paid
$16.29
Range
$0.00 – $122.80
Total Claims
796,669
Providers
206
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 Elgin, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Greater Family Health
370 Summit St |
$0.12 | 369,472 | 309,911 |
|
Vna Health Care
801 Villa Street |
$0.14 | 74,849 | 59,019 |
|
Greater Family Health
450 Dundee Ave |
$0.11 | 24,109 | 18,633 |
|
Greater Family Health
373 Summit St |
$0.12 | 18,314 | 11,839 |
|
Patrick M Esposito
1015 Summit St |
$44.36 | 17,990 | 15,960 |
|
Vna Health Care
620 Wing St |
$0.02 | 14,972 | 11,558 |
|
Carmen Velazquez
1185 Dundee Ave |
$0.44 | 14,136 | 13,735 |
|
Beth A Clingan
1015 Summit St |
$41.51 | 12,172 | 10,865 |
|
Geeti Ghosh
901 Center St Ste 209 |
$48.93 | 11,221 | 7,845 |
|
David H Nadelman
1015 Summit St |
$43.07 | 10,584 | 9,405 |
|
Rupal P Upadhyay
1015 Summit St |
$44.65 | 10,539 | 9,456 |
|
Charly Nguyen
1750 N Randall Rd Ste 210 |
$43.07 | 10,431 | 9,779 |
|
J. Nnaemeka Onwuta
77 N Airlite St |
$38.49 | 10,331 | 8,377 |
|
Muhammad Asad Ali
1530 N Randall Rd Ste 222 |
$61.24 | 9,610 | 8,337 |
|
Legacy Medical Care Inc
860 Summit St Ste 241 |
$0.00 | 7,978 | 6,632 |
|
Anita Chandrathil Manogura
1425 N Randall Rd |
$61.57 | 7,260 | 5,844 |
|
Brenda Ann Reilly
1845 Grandstand Pl |
$79.55 | 6,006 | 5,582 |
|
Jude R Duval
1425 N Randall Rd Ste 1-2150 |
$58.43 | 5,643 | 4,442 |
|
Syed H Anwar
2050 Larkin Ave |
$27.10 | 5,457 | 5,176 |
|
Yasham Sharaf Alam
502 Waverly Dr |
$31.54 | 5,441 | 5,093 |
|
Rose Ampadu
50 N Jane Dr |
$120.16 | 4,956 | 3,338 |
|
Dalia Ascencio Yanez
1425 N Randall Rd |
$61.76 | 4,900 | 4,393 |
|
Lovender Raju
77 N Airlite St |
$45.97 | 4,741 | 4,383 |
|
Wynn Sheade
1015 Summit St |
$46.30 | 4,705 | 4,172 |
|
Syed Aslam Zahir
1710 N. Randall Rd |
$13.36 | 4,606 | 3,648 |
|
Dov Rapoport
1140 N Mclean Blvd |
$35.44 | 4,532 | 3,511 |
|
Sharmita A Misra
1185 - 87 Dundee Ave |
$54.50 | 4,336 | 4,043 |
|
Muhammad Jawed Khan
934 Center St |
$48.21 | 4,125 | 3,805 |
|
Nicole Van Cura
502 Waverly Dr |
$37.80 | 3,897 | 3,655 |
|
Fatima Ahmed
87 N Airlite St Ste 130 |
$46.17 | 3,681 | 3,338 |
|
Manal Hajali
502 Waverly Drive |
$33.59 | 3,681 | 3,285 |
|
Thomas L. Cao
1435 North Randall Road |
$35.63 | 3,633 | 2,487 |
|
Vijaya Thothathri
934 Center St |
$41.54 | 3,628 | 3,305 |
|
Christina Kassenbrock
420 Airport Rd Ste C |
$74.04 | 3,458 | 2,910 |
|
Dorothea Poulos
87 N Airlite St Ste 130 |
$40.00 | 3,431 | 2,902 |
|
Supreet Kaur Dhaliwal
2371 Bowes Rd |
$26.31 | 3,412 | 2,790 |
|
Amanda Palermo
1425 N Randall Rd |
$69.63 | 3,364 | 3,002 |
|
Carol F Teplis
1015 Summit St |
$39.99 | 2,803 | 2,382 |
|
Kapila S Marepalli
450 Dundee Ave |
$9.73 | 2,789 | 2,664 |
|
Josh Lopez
1665 Larkin Ave |
$61.81 | 2,756 | 2,398 |
|
Deanne Lee Miller
2410 Alft Ln Ste 100 |
$55.91 | 2,696 | 2,340 |
|
Marlyn Valena
1710 N Randall Rd |
$62.68 | 2,642 | 2,385 |
|
Anthony Francis Rizzo
1550 N Randall Rd |
$45.83 | 2,421 | 2,290 |
|
Amer Rahman
2400 Big Timber Rd |
$37.55 | 2,302 | 2,135 |
|
Kiran Ijaz
77 N Airlite St |
$44.77 | 2,287 | 1,538 |
|
Henry Y Fang
1590 Weatherstone Ln |
$41.05 | 2,267 | 2,049 |
|
Kathleen A Malinis
2400 Big Timber Road |
$44.42 | 2,060 | 1,815 |
|
Victor H Colin
87 N Airlite St Ste 130 |
$51.39 | 1,930 | 1,757 |
|
Michael H Yuen
1590 Weatherstone Lane |
$40.03 | 1,920 | 1,574 |
|
Rashmi Kapur
1530 N Randall Rd Ste 202 |
$33.17 | 1,803 | 1,601 |
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 Elgin, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elgin, IL is $16.29 per claim, based on 796,669 claims from 206 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 Elgin, IL?
There are 206 Medicaid providers offering Office Visit related services in Elgin, IL according to public payment data.
What is the price range for Office Visit in Elgin, IL?
Medicaid reimbursement for Office Visit in Elgin, IL ranges from $0.00 to $122.80 per claim, with an average of $16.29. 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 Elgin, IL
Blood Work & Lab Tests
Avg $5.59
618,352 claims
Vaccines & Immunizations
Avg $2.34
425,670 claims
Speech Therapy
Avg $14.69
281,398 claims
Urinalysis & Urine Tests
Avg $1.64
253,993 claims
Dental Cleaning & Exam
Avg $25.66
216,204 claims
Ambulance Transport
Avg $299.05
144,912 claims
Emergency Room Visit
Avg $65.86
134,276 claims
Case Management Services
Avg $42.41
117,829 claims