Skip to content
Based on public Medicaid payment data.

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

Other Procedures in Evanston, IL