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 |
|---|---|---|---|
|
Daniel Francis O'Reilly
1200 S York St Ste 3160 |
$17.73 | 12 | 12 |
|
Bhavya Kumar
360 W Butterfield Rd |
$55.29 | 12 | 12 |
|
Deep N Shah
183 W 1St St |
$9.45 | 12 | 12 |
|
Michael Greenspan
133 E Brush Hill Rd Ste 310 |
$54.39 | 12 | 12 |
|
Martin K Kittaka
133 E Brush Hill Rd Ste 310 |
$40.47 | 12 | 12 |
|
Valerie M. Roth
155 E Brush Hill Rd |
$72.97 | 13 | 12 |
|
Daniel D. Jimenez
155 E Brush Hill Rd |
$72.97 | 13 | 13 |
|
Rachna Gulati
360 W Butterfield Rd Ste 250 |
$49.78 | 14 | 14 |
|
Min Kyung Kim
1200 S. York |
$35.33 | 14 | 14 |
|
Allison Patricia Rzepczynski
1200 S York St Ste 2000 |
$81.36 | 14 | 14 |
|
Kevin Hasmukh Patel
133 E Brush Hill Rd Ste 300 |
$63.51 | 14 | 14 |
|
Natalie Behnke
155 E Brush Hill Rd |
$89.78 | 15 | 15 |
|
Christopher Ryan Shinneman
155 E Brush Hill Rd |
$63.24 | 15 | 13 |
|
Karen Hsia Ma
155 E Brush Hill Rd |
$58.09 | 15 | 14 |
|
William Forest Bushnell
183 W 1St St |
$0.00 | 16 | 16 |
|
Jeffrey Scott Meisles
360 W Butterfield Rd |
$44.74 | 17 | 13 |
|
Patrick J Lynch
133 E Brush Hill Rd Ste 310 |
$28.58 | 17 | 12 |
|
Jennifer Owens
200 Berteau Ave |
$51.01 | 18 | 18 |
|
Cari Ann Drake
261 N York St Ste 102 |
$48.93 | 20 | 20 |
|
Michael T Nosek
1200 S York St Ste 2000 |
$31.43 | 26 | 24 |
|
Jeff A D'Amico
275 N York St Ste 402 |
$63.63 | 27 | 24 |
|
Maggie E Chacko
305 N. York Rd |
$33.86 | 27 | 26 |
|
Theresa A. Navarrete
155 E Brush Hill Rd |
$57.07 | 27 | 27 |
|
Fatima Hadi Ali
152 N Addison Ave |
$60.56 | 28 | 25 |
|
Michael D Hugar
172 E Schiller St |
$39.12 | 29 | 25 |
|
Lori S Shelnitz
172 Schiller St |
$25.66 | 30 | 27 |
|
Mohamed Adenwalla
133 E Brush Hill Rd Ste 300 |
$45.00 | 30 | 24 |
|
Ramier J Lehne
133 E. Brush Hill Rd. |
$78.20 | 31 | 17 |
|
Laura M Barnes
1200 S York St Ste 1120 |
$47.38 | 34 | 25 |
|
Hollis W. Walker
177 E Brush Hill Rd |
$74.72 | 35 | 27 |
|
Elizabeth Clay
133 E. Brush Hill Rd. |
$32.63 | 37 | 28 |
|
Justin R. Macariola-Coad
200 Berteau Ave |
$42.66 | 38 | 38 |
|
Phillip Cozzi
133 E Brush Hill Rd Ste 310 |
$33.17 | 38 | 38 |
|
Adelina Hung
133 E Brush Hill Rd Ste 100 |
$49.95 | 43 | 43 |
|
Nuha Mulk
172 E Schiller St |
$74.02 | 44 | 40 |
|
Lisa M Nelson
155 E Brush Hill Rd |
$24.13 | 45 | 44 |
|
Evelyn E Chen
360 W Butterfield Rd |
$103.85 | 49 | 27 |
|
Vsevolod Grinberg
183 W 1St St |
$24.07 | 49 | 41 |
|
Karl Vos
155 E Brush Hill Rd |
$68.68 | 51 | 50 |
|
Lawrence Allen Barr
133 E Brush Hill Rd Ste 202 |
$35.97 | 55 | 48 |
|
Ali A Valika
133 E Brush Hill Rd |
$47.73 | 62 | 57 |
|
Caroline A Casey
360 W Butterfield Rd |
$88.01 | 65 | 24 |
|
Kelly Rae Morris
1200 S York St Ste 2000 |
$94.02 | 69 | 68 |
|
Thomas P. King
155 E Brush Hill Rd |
$55.45 | 75 | 66 |
|
Kathleen Stevison Schmelka
155 E Brush Hill Rd |
$32.99 | 75 | 71 |
|
Mary G Burgos
400 W Lake St |
$45.70 | 77 | 60 |
|
Rebecca Elizabeth Hagensee
133 E Brush Hill Rd Ste 202 |
$49.92 | 77 | 74 |
|
Samantha J Ferguson
1200 S York St Ste 2000 |
$16.92 | 79 | 71 |
|
Cathy Jo Adamson
133 E Brush Hill Rd Ste 202 |
$52.00 | 81 | 73 |
|
Andrew James Wiele
177 E Brush Hill Rd |
$64.26 | 81 | 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 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