Average Medicaid Office Visit Payments in Elmhurst, IL: $53.87
Avg. Paid
$53.87
Range
$0.00 – $119.44
Total Claims
197,533
Providers
204
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 Elmhurst, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gary Jay Barsky
386 N York St |
$36.55 | 22,037 | 19,705 |
|
John D Ortega
1200 S York St Ste 4180 |
$48.88 | 6,419 | 5,891 |
|
Judith G Benka
1200 S York St Ste 2000 |
$52.46 | 5,097 | 4,334 |
|
Mateen K Aliniazee
152 N Addison Ave |
$53.40 | 4,759 | 4,551 |
|
Shah A Alam
155 E Brush Hill Rd |
$56.48 | 4,493 | 2,868 |
|
Joseph J Furlin
133 E Brush Hill Rd Ste 308 |
$70.78 | 4,472 | 3,055 |
|
David M Matusiak
1200 S York St Ste 2000 |
$59.02 | 4,468 | 4,101 |
|
Darius M Radvila
1200 S York St Ste 2000 |
$52.20 | 4,368 | 4,032 |
|
Victoria Uribe
1200 S York St Ste 2000 |
$47.99 | 4,037 | 3,618 |
|
Kevin J Kovach
152 N Addison Ave |
$52.15 | 3,906 | 3,705 |
|
Robert S Andersen
1200 S York St Ste 2000 |
$55.26 | 3,714 | 3,435 |
|
Edward Yavitz
152 N Addison Ave |
$59.23 | 3,271 | 3,185 |
|
Nathaniel H Pae
172 E Schiller St |
$45.16 | 3,249 | 2,850 |
|
Aarti Manchanda
133 E Brush Hill Rd Ste 310 |
$51.96 | 3,248 | 2,796 |
|
Pablo Nicolas Quintana
133 E Brush Hill Rd |
$69.55 | 3,224 | 3,029 |
|
Asma M Ayub
172 E Schiller St |
$62.66 | 3,157 | 2,797 |
|
Marius Dorin Gradianu
152 N Addison Ave |
$52.80 | 2,868 | 2,770 |
|
Omar Shamsi
1200 S York St |
$69.12 | 2,811 | 2,624 |
|
Uzma Mohsin Muneer
1200 S York St Ste 2000 |
$50.97 | 2,696 | 2,493 |
|
Saad Ahmad
152 N Addison Ave |
$44.34 | 2,686 | 2,218 |
|
Rupal Shah Bhatnagar
172 E Schiller St |
$49.35 | 2,668 | 2,128 |
|
Tanja S Boskov
172 Schiller St |
$46.93 | 2,663 | 2,327 |
|
Kathryn M Thomas
172 Schiller St |
$42.81 | 2,640 | 2,431 |
|
Jeffrey James Kulik
172 E Schiller St |
$91.03 | 2,525 | 2,286 |
|
Michelle N Conroy
1200 S York St Ste 2000 |
$57.34 | 2,459 | 2,324 |
|
Purani P Palaniswami
1200 S York St Ste 200 |
$62.24 | 2,313 | 2,053 |
|
Armando A San Juan
133 E Brush Hill Rd Ste 308 |
$89.09 | 2,185 | 1,238 |
|
Julie M Lopatka
1200 S York St Ste 2000 |
$48.41 | 2,146 | 1,962 |
|
Marianne Senese
1200 S York St Ste 2000 |
$51.66 | 2,084 | 1,897 |
|
Matthew Spiewak
172 E Schiller St |
$56.09 | 2,083 | 1,818 |
|
Don Seidman
135 N Addison Ave |
$46.25 | 1,840 | 1,650 |
|
Edward Pont
135 N Addison Ave |
$46.63 | 1,820 | 1,668 |
|
Michelle Meziere
200 Berteau Ave |
$45.33 | 1,807 | 1,738 |
|
Tiana Carrillo Calderon
133 E Brush Hill Rd Ste 205 |
$66.33 | 1,724 | 1,473 |
|
Karla H Podrazik
1200 S York Rd |
$39.36 | 1,685 | 1,524 |
|
Therese Marren Gracey
1200 S York St Ste 2000 |
$49.31 | 1,684 | 1,528 |
|
Steven L Ciciora
1200 S York St Ste 3190 |
$97.50 | 1,628 | 1,066 |
|
Sivakami Krishnan
133 E Brush Hill Rd |
$65.58 | 1,604 | 1,394 |
|
Susan M Hudec
133 E Brush Hill Rd Ste 310 |
$48.62 | 1,585 | 1,391 |
|
Richard D Finegold
172 Schiller |
$39.30 | 1,543 | 1,186 |
|
Denise Theresa Ibrahim
133 E Brush Hill Rd |
$50.88 | 1,536 | 1,432 |
|
Ellen Therese Parker
300 N York St |
$59.67 | 1,419 | 1,226 |
|
Alex Bryan Behar
1200 S York St |
$66.18 | 1,401 | 1,245 |
|
Mahmoud Alsayed
133 E Brush Hill Rd Ste 310 |
$76.05 | 1,368 | 1,304 |
|
Karen Marie Kinsley
172 E Schiller St |
$55.53 | 1,361 | 1,239 |
|
Asif Serajian
340 W Butterfield Rd Ste 3A |
$11.09 | 1,324 | 1,245 |
|
Sudha K Yalamanchi
133 E Brush Hill Rd Ste 310 |
$71.54 | 1,307 | 1,249 |
|
Arkadiy Y Konyukhov
1200 S York St |
$57.66 | 1,285 | 1,135 |
|
Scott C Rieger
1200 S York St Ste 2000 |
$25.41 | 1,222 | 1,101 |
|
Luke Miller
1200 S York St Ste 4180 |
$57.99 | 1,197 | 1,074 |
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 Elmhurst, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elmhurst, IL is $53.87 per claim, based on 197,533 claims from 204 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 Elmhurst, IL?
There are 204 Medicaid providers offering Office Visit related services in Elmhurst, IL according to public payment data.
What is the price range for Office Visit in Elmhurst, IL?
Medicaid reimbursement for Office Visit in Elmhurst, IL ranges from $0.00 to $119.44 per claim, with an average of $53.87. 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 Elmhurst, IL
Ambulance Transport
Avg $114.09
806,275 claims
Blood Work & Lab Tests
Avg $12.24
546,805 claims
Durable Medical Equipment (DME)
Avg $53.21
248,648 claims
Emergency Room Visit
Avg $69.11
175,398 claims
Urinalysis & Urine Tests
Avg $2.52
125,449 claims
X-Ray
Avg $9.68
83,829 claims
EKG / ECG (Electrocardiogram)
Avg $10.89
52,006 claims
Eye Exam
Avg $24.78
49,644 claims