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 |
|---|---|---|---|
|
Daniel Ahmad
1435 N Randall Rd Ste 201 |
$40.35 | 12 | 12 |
|
Jennifer Anne Cerutti
745 Fletcher Dr |
$20.94 | 12 | 12 |
|
Jacqueline Lee Loiacono
1435 N Randall Rd Ste 201 |
$55.31 | 12 | 12 |
|
Ali Malik
750 Fletcher Dr Ste 300 |
$20.58 | 12 | 12 |
|
Deepak Khurana
1710 N Randall Rd |
$15.70 | 12 | 12 |
|
Neal K Shah
1550 N Randall Rd |
$29.30 | 13 | 12 |
|
Abigail Ginn
1425 N Randall Rd |
$42.22 | 13 | 13 |
|
Michael William Fremgen
745 Fletcher Dr Ste 302 |
$40.45 | 13 | 13 |
|
Wei Ming Sun
745 Fletcher Dr Ste 202 |
$70.35 | 13 | 12 |
|
Nooruzsabha Seema Ahmed
2130 Point Blvd Ste 900 |
$11.24 | 14 | 14 |
|
Andrew J Thompson
1600 N Randall Rd |
$32.00 | 14 | 14 |
|
Carolina Sarmento
1435 N Randall Rd Ste 301 |
$89.38 | 14 | 12 |
|
Michael Robin Ellen
745 Fletcher Dr Ste 301 |
$25.70 | 14 | 14 |
|
Elizabeth Kayode
1710 N Randall Rd Ste 200 |
$67.39 | 15 | 15 |
|
Zarqa Imdad
2130 Point Blvd |
$26.07 | 15 | 14 |
|
Jerry Chan
1425 N Randall Rd |
$26.20 | 15 | 15 |
|
Kent Byford Mcguire
1710 N. Randall Rd |
$42.02 | 16 | 13 |
|
Greater Family Health
1435 N Randall Rd |
$0.00 | 16 | 16 |
|
Anh Si Le
373 Summit St |
$26.40 | 17 | 13 |
|
Nora Gumayagay Kadolph
750 Fletcher Dr Ste 305 |
$75.00 | 18 | 13 |
|
Chadi Iskandar Yaacoub
431 Summit St |
$12.97 | 18 | 14 |
|
Gail L Deluca
1710 N Randall Rd Ste 200 |
$33.26 | 19 | 12 |
|
Greater Elgin Famly Care Cener
1200 Maroon Dr |
$6.74 | 19 | 15 |
|
Lisa Kurien Mani
1015 Summit St |
$61.97 | 20 | 20 |
|
John Steven Cummins
750 S State St |
$122.80 | 21 | 13 |
|
Stefanie A Ali
1600 N Randall Rd |
$46.66 | 24 | 24 |
|
Anthony Paul Lebario
431 Summit St |
$48.20 | 24 | 24 |
|
Gregory R Gambla
745 Fletcher Dr |
$36.91 | 25 | 25 |
|
Reshma Nair Haugen
1600 N Randall Rd Ste 400 |
$49.53 | 25 | 25 |
|
William Levis
745 Fletcher Dr Ste 202 |
$36.17 | 26 | 26 |
|
Craig W. Halihan
1750 N Randall Rd |
$26.17 | 26 | 12 |
|
Marcia Denise Ludlow
801 Villa St |
$0.00 | 29 | 28 |
|
Joanna Choo Barclay
1425 N Randall Rd |
$7.57 | 29 | 25 |
|
Raminder P Singh
1435 N Randall Rd |
$49.08 | 30 | 28 |
|
Mark Thompson
370 Summit St |
$43.62 | 31 | 31 |
|
Emily Jayn Pfeiffer
77 N Airlite St |
$32.87 | 34 | 33 |
|
Sharon M Bode
1435 N Randall Rd |
$44.46 | 39 | 39 |
|
Tina Perry
1435 N Randall Rd Ste 201 |
$58.41 | 39 | 38 |
|
Kyle Ann Garcia
87 N Airlite St Ste 130 |
$44.70 | 40 | 39 |
|
Anahita Shahrrava
1975 Lin Lor Ln Ste 155 |
$44.71 | 42 | 42 |
|
Rubylyn Rose Hilario
2400 Big Timber Rd Ste 200 |
$5.15 | 43 | 41 |
|
Sonia Shailesh Godambe
745 Fletcher Dr |
$45.42 | 43 | 40 |
|
Richard William Broderick
1435 N Randall Rd Ste 107 |
$36.40 | 43 | 41 |
|
Syed Ali Hasan
87 N Airlite |
$26.53 | 45 | 43 |
|
Maciej K Malinski
1435 N Randall Rd |
$33.35 | 46 | 42 |
|
Ulysses M Magnanao
1710 N Randall Rd |
$52.93 | 48 | 48 |
|
Jongwook Ham
2050 Larkin Ave |
$12.56 | 50 | 42 |
|
Chad Vincent Morreale
1435 N Randall Rd Ste 201 |
$44.94 | 64 | 63 |
|
Cameron Haery
1975 Lin Lor Ln Ste 155 |
$45.02 | 64 | 64 |
|
Jae H Kim
745 Fletcher Dr Ste 301 |
$15.46 | 66 | 64 |
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