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Based on public Medicaid payment data.

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

Other Procedures in Elgin, IL