Average Medicaid Office Visit Payments in Elmwood Park, IL: $60.98
Avg. Paid
$60.98
Range
$0.00 – $134.05
Total Claims
51,363
Providers
22
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 Elmwood Park, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Frederick M Tiesenga
1950 N Harlem Ave |
$44.34 | 11,428 | 9,997 |
|
Samir Suleiman
7617 W Belmont Ave |
$73.83 | 9,874 | 8,071 |
|
Mona Mohsen Gomaa
7613 W Belmont Ave |
$86.08 | 7,531 | 5,102 |
|
Amal Alkhalafawi
7613 W Belmont Ave |
$47.24 | 3,821 | 3,255 |
|
Charles Bradley Schubert
1950 N Harlem Ave |
$25.37 | 3,632 | 3,288 |
|
Claudia M Weddaburne
Resurrection Immediate Care Center |
$80.16 | 2,785 | 2,302 |
|
Loretta L De Koster
2500 N. Harlem Ave |
$46.64 | 2,383 | 1,933 |
|
Shiny E Saju
1950 N Harlem Ave |
$42.52 | 2,364 | 2,122 |
|
Michael Hennessey
7638 W North Ave |
$99.77 | 1,757 | 1,618 |
|
Manuel D Santiago
7638 W North Ave |
$134.05 | 1,217 | 1,071 |
|
Christina I Crews
1950 N Harlem Ave |
$37.89 | 1,083 | 997 |
|
Seema Pillai
1950 N. Harlem Ave. |
$48.05 | 794 | 713 |
|
Irene M Bakos
7740 W North Ave |
$40.33 | 723 | 661 |
|
Kimberly Harden
7734 W North Ave |
$68.12 | 571 | 528 |
|
Timothy Lyman
Resurrection Immediate Care Center |
$39.18 | 565 | 552 |
|
Carlo Anthony Messina
1839 N 78Th Ave |
$37.98 | 476 | 393 |
|
John J Walsh
7632 W North Ave |
$36.77 | 119 | 107 |
|
Ronald Walter Hugar
1614 N Harlem Ave |
$0.00 | 81 | 80 |
|
Henry Robert Govekar
1950 N Harlem Ave |
$40.91 | 63 | 59 |
|
Shontel Marlena Ray
7234 W North Ave Ste 208 |
$107.40 | 54 | 54 |
|
A. Gwendolyn Noble
7638 W North Ave |
$65.10 | 27 | 24 |
|
Rabia Z Bhatti
1950 N Harlem Ave |
$19.77 | 15 | 14 |
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 Elmwood Park, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elmwood Park, IL is $60.98 per claim, based on 51,363 claims from 22 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 Elmwood Park, IL?
There are 22 Medicaid providers offering Office Visit related services in Elmwood Park, IL according to public payment data.
What is the price range for Office Visit in Elmwood Park, IL?
Medicaid reimbursement for Office Visit in Elmwood Park, IL ranges from $0.00 to $134.05 per claim, with an average of $60.98. 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 Elmwood Park, IL
Speech Therapy
Avg $17.97
29,164 claims
Eye Exam
Avg $22.49
15,804 claims
Vaccines & Immunizations
Avg $3.80
9,450 claims
Ambulance Transport
Avg $664.36
6,393 claims
Dental Cleaning & Exam
Avg $31.12
5,785 claims
Urinalysis & Urine Tests
Avg $2.60
5,612 claims
Non-Emergency Medical Transportation
Avg $26.18
3,337 claims
Nursing Facility Care
Avg $13.04
3,041 claims