Average Medicaid Office Visit Payments in Evanston, IL: $30.84
Avg. Paid
$30.84
Range
$0.01 – $163.29
Total Claims
316,260
Providers
227
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 Evanston, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Erie Family Health Center Inc
1285 Hartrey |
$0.09 | 63,880 | 42,307 |
|
Access Community Health Network
1723 Howard St |
$0.01 | 42,574 | 30,259 |
|
John A Vozenilek
2650 Ridge Ave |
$38.84 | 40,282 | 29,123 |
|
Eric O Fernandez
909 Davis St |
$48.40 | 15,047 | 14,130 |
|
Javed Imam
800 Austin St |
$33.50 | 8,887 | 7,240 |
|
Kelly Ortega
2650 Ridge Ave |
$55.43 | 6,839 | 5,382 |
|
Suhair Abdel-Jalil
800 Austin St |
$56.33 | 6,466 | 5,502 |
|
Peter Thomas Vaselopulos
800 Austin St |
$17.53 | 5,991 | 5,652 |
|
Elyse A Lambiase
800 Austin St |
$42.71 | 5,349 | 4,115 |
|
Alexis Cavanaugh
1000 Central St Ste 800 |
$72.97 | 5,194 | 4,369 |
|
Shannon K Kropp
1630 Sherman Ave Ste 200 |
$51.96 | 5,191 | 4,963 |
|
Kevin John Tunnat
800 Austin St |
$26.23 | 4,612 | 3,946 |
|
Diana Marta Fatyga
800 Austin St Ste 505 |
$59.84 | 3,924 | 3,306 |
|
Boseung Halliwell
2650 Ridge Ave |
$4.93 | 3,573 | 2,970 |
|
Sameer Jain
1007 Church St Ste 100 |
$51.06 | 3,321 | 2,999 |
|
Eiman El Tag
2650 Ridge Ave Ste 1223 |
$60.84 | 3,320 | 2,720 |
|
James M Voci
800 Austin St Ste 363 |
$53.13 | 3,121 | 2,983 |
|
Humera Khan
800 Austin St Ste 505 |
$49.65 | 3,066 | 2,569 |
|
Thomas John Chorba
1101 Howard St Ste 105 |
$36.80 | 2,927 | 2,497 |
|
Robert Martin Gerber
800 Austin St Ste 469E |
$35.80 | 2,864 | 2,460 |
|
Scott Feldman
820 Davis St |
$121.25 | 2,523 | 2,122 |
|
Vishnu Das Gaiha
800 Austin St |
$25.05 | 2,459 | 2,193 |
|
Robert I. Cohen
800 Austin St |
$17.82 | 2,239 | 1,992 |
|
Michael Barry Grover
2340 Lincolnwood Dr |
$67.52 | 1,980 | 1,491 |
|
Valerie A Kimball
1325 Howard St |
$55.71 | 1,890 | 1,750 |
|
Elizabeth A Ward
2650 Ridge Ave |
$42.89 | 1,847 | 1,588 |
|
Muhammad Sikander Akbar
800 Austin St Ste 207 |
$34.40 | 1,807 | 1,668 |
|
Carolynn Marie Dude
2650 Ridge Ave # 1420 |
$47.09 | 1,735 | 1,325 |
|
Jonathan David Chernaik
2650 Ridge Ave |
$87.30 | 1,734 | 1,218 |
|
Tequilla Stanciel
2650 Ridge Ave Ste 1304 |
$51.51 | 1,649 | 1,486 |
|
Teri A Merens
1325 Howard St |
$51.42 | 1,643 | 1,434 |
|
Mark Jonathan Schacht
800 Austin St |
$11.91 | 1,634 | 1,577 |
|
Amy Ruth Sheffield
1921 Lee St |
$39.42 | 1,586 | 1,436 |
|
Mareadel Ongbueco
1000 Central St Ste 800 |
$32.08 | 1,515 | 1,426 |
|
Afif Hentati
2650 Ridge Ave |
$55.70 | 1,350 | 1,213 |
|
Jill Christina Anderson
1704 Maple Ave |
$56.20 | 1,330 | 1,200 |
|
Eman A Abdel-Latief
2650 Ridge Ave |
$36.65 | 1,301 | 1,187 |
|
Jamil B Dihu
2650 Ridge Ave |
$35.46 | 1,239 | 1,069 |
|
Andrew Jaeger
2650 Ridge Ave Ste 1304 |
$72.83 | 1,160 | 1,126 |
|
Jeffrey C Teich
636 Church St |
$137.34 | 1,060 | 925 |
|
Amit Ray
1000 Central St Ste 880 |
$27.92 | 1,055 | 988 |
|
Satyendra Kumar Humad
800 Austin St |
$2.92 | 1,037 | 1,024 |
|
Tianyu Dong
355 Ridge Ave |
$57.98 | 990 | 922 |
|
Thomas J Campbell
800 Austin St |
$52.31 | 969 | 751 |
|
Nicholas Paul Campbell
2650 Ridge Ave. |
$44.70 | 929 | 650 |
|
Alysia L Green
633 Emerson St |
$49.14 | 919 | 898 |
|
Peter Ted Hsin
708 Church St |
$99.20 | 913 | 848 |
|
Kari Leann Chase
2500 Ridge Ave |
$20.68 | 902 | 779 |
|
Melanie Thomas
1950 Dempster St |
$54.41 | 869 | 796 |
|
Joshua L Straus
909 Davis St Ste 160 |
$75.78 | 867 | 781 |
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 Evanston, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Evanston, IL is $30.84 per claim, based on 316,260 claims from 227 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 Evanston, IL?
There are 227 Medicaid providers offering Office Visit related services in Evanston, IL according to public payment data.
What is the price range for Office Visit in Evanston, IL?
Medicaid reimbursement for Office Visit in Evanston, IL ranges from $0.01 to $163.29 per claim, with an average of $30.84. 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 Evanston, IL
Blood Work & Lab Tests
Avg $4.15
1,052,181 claims
X-Ray
Avg $6.28
207,117 claims
Urinalysis & Urine Tests
Avg $2.40
179,487 claims
Dental Cleaning & Exam
Avg $26.63
168,165 claims
Emergency Room Visit
Avg $67.03
162,622 claims
Physical Therapy
Avg $61.27
128,326 claims
Nursing Facility Care
Avg $11.42
78,976 claims
CT Scan (Computed Tomography)
Avg $46.19
77,151 claims