Average Medicaid Office Visit Payments in Glen Ellyn, IL: $54.23
Avg. Paid
$54.23
Range
$0.00 – $104.01
Total Claims
39,866
Providers
70
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 Glen Ellyn, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edwin Anderson
539 Roosevelt Rd # 1078 |
$46.64 | 12 | 12 |
|
Melissa Lee Robinson
430 Pennsylvania Ave Ste 220 |
$41.40 | 12 | 12 |
|
Jeffrey E. Morris
324 Roosevelt Rd |
$45.04 | 12 | 12 |
|
Christina Tram Huynh
430 Pennsylvania Ave |
$36.91 | 12 | 12 |
|
Jenna Brooke Wheeler
430 Pennsylvania Ave |
$0.00 | 13 | 13 |
|
Ainah Uy Tan
430 Pennsylvania Ave # 180 |
$55.03 | 13 | 12 |
|
Rita Joanne Herzing
430 Pennsylvania Ave Ste 310 |
$37.86 | 13 | 12 |
|
Annie Huang
430 Pennsylvania Ave |
$43.46 | 15 | 13 |
|
Jihad Kudsi
430 Pennsylvania Ave Ste 350 |
$40.68 | 16 | 16 |
|
Jennifer L Ellens
444 N Park Blvd |
$69.37 | 21 | 12 |
|
Griffith Hsu
430 Pennsylvania Ave # 330 |
$37.76 | 29 | 29 |
|
Joseph M Christensen
885 Roosevelt Rd |
$49.46 | 49 | 43 |
|
Ojas Shah
430 Pennsylvania Avenue |
$39.09 | 53 | 53 |
|
Magdalena Anastazja Hope
430 Pennsylvania Ave |
$45.50 | 60 | 55 |
|
Mary J Christensen
885 Roosevelt Rd |
$52.87 | 65 | 52 |
|
Julio C Gonzalez
430 Pennsylvania Ave |
$43.97 | 67 | 62 |
|
Sarah Choudhry
430 Pennsylvania Ave Ste 210 |
$52.06 | 67 | 64 |
|
Moiz Suhail
885 Roosevelt Rd Ste 100 |
$41.57 | 80 | 77 |
|
Diana Tabor
430 Pennsylvania Ave Ste 240 |
$29.23 | 86 | 79 |
|
Michael G Saad
430 Pennsylvania Ave |
$64.34 | 86 | 83 |
|
Charles R Ireland
430 Pennsylvania Ave Ste 150 |
$30.30 | 114 | 107 |
|
Krisanne Sisto
885 Roosevelt Rd |
$48.23 | 136 | 131 |
|
Uma S Levy
885 Roosevelt Rd |
$68.29 | 141 | 95 |
|
Rachel Elizabeth Vinson
430 Pennsylvania Ave Ste 210 |
$54.51 | 143 | 130 |
|
Michaela Elise Rickert
430 Pennsylvania Ave # 320 |
$61.44 | 144 | 125 |
|
Mary Eileen Kungl
430 Pennsylvania Ave |
$43.80 | 149 | 143 |
|
Danielle Piser
430 Pennsylvania Ave |
$33.93 | 180 | 174 |
|
Elise Wolff
430 Pennsylvania Ave Ste 210 |
$41.45 | 184 | 172 |
|
Jean Z Macary
885 Roosevelt Rd |
$67.10 | 199 | 116 |
|
Diana Stiegal
885 Roosevelt Rd Ste 202 |
$45.86 | 222 | 186 |
|
Jayshree Vajaria
430 Pennsylvania Ave |
$42.47 | 242 | 209 |
|
Winnie Nhan
430 Pennsylvania Ave Ste 310 |
$52.75 | 244 | 243 |
|
Tessa Schultz
23W232 Foxcroft Dr |
$104.01 | 249 | 135 |
|
Robert K Campbell
444 N Park Blvd |
$68.18 | 253 | 225 |
|
Kenneth K Lee
885 Roosevelt Rd |
$68.65 | 264 | 199 |
|
Andrea Perri
324 Roosevelt Rd |
$50.45 | 265 | 247 |
|
Yasir Kazmi
430 Pennsylvania Ave |
$45.46 | 284 | 260 |
|
Hafsa Amjed
430 Pennsylvania Ave Ste 300 |
$55.64 | 298 | 293 |
|
Jasmine Anish
430 Pennsylvania Ave Ste 300 |
$62.11 | 319 | 289 |
|
Anne C Maynard
430 Pennsylvania Ave Ste 300 |
$58.75 | 332 | 308 |
|
Christine Ruth Lipinski
430 Pennsylvania Ave Ste 210 |
$45.55 | 341 | 323 |
|
Thomas Destefani
885 Roosevelt Rd |
$63.39 | 346 | 275 |
|
Mohit Gupta
430 Pennsylvania Ave Ste 310 |
$73.81 | 349 | 317 |
|
Thomas Leib
430 Pennsylvania Ave |
$46.12 | 358 | 331 |
|
Panorea Mathews-Kukla
430 Pennsylvania Ave |
$44.60 | 363 | 277 |
|
Mohammad Hassan Khan
430 Pennsylvania Ave Ste 150 |
$30.14 | 414 | 390 |
|
Gina M Murray
885 Roosevelt Rd Ste 100 |
$55.63 | 469 | 451 |
|
Scott Murphy
430 Pennsylvania Ave |
$46.64 | 498 | 469 |
|
Shaukat Jamal
478 Pennsylvania Ave |
$61.16 | 504 | 211 |
|
Kevin J Hulett
430 Pennsylvania Ave Ste 330 |
$32.18 | 506 | 453 |
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 Glen Ellyn, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Glen Ellyn, IL is $54.23 per claim, based on 39,866 claims from 70 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 Glen Ellyn, IL?
There are 70 Medicaid providers offering Office Visit related services in Glen Ellyn, IL according to public payment data.
What is the price range for Office Visit in Glen Ellyn, IL?
Medicaid reimbursement for Office Visit in Glen Ellyn, IL ranges from $0.00 to $104.01 per claim, with an average of $54.23. 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 Glen Ellyn, IL
Non-Emergency Medical Transportation
Avg $15.85
65,110 claims
Speech Therapy
Avg $13.31
51,885 claims
Dental Cleaning & Exam
Avg $31.85
14,521 claims
Home Health Visit
Avg $14.06
8,893 claims
X-Ray
Avg $8.08
6,816 claims
Emergency Room Visit
Avg $57.44
3,130 claims
Vaccines & Immunizations
Avg $8.41
2,493 claims
Blood Work & Lab Tests
Avg $1.54
2,062 claims