Average Medicaid Office Visit Payments in Hinsdale, IL: $58.79
Avg. Paid
$58.79
Range
$1.01 – $132.26
Total Claims
144,219
Providers
152
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 Hinsdale, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Phillip G Helding
950 N York Rd |
$65.46 | 11,868 | 9,259 |
|
Alphi P Elackattu
11 Salt Creek Ln Ste 101 |
$84.15 | 7,719 | 6,699 |
|
Ninef Edward Zaya
11 Salt Creek Ln Ste 101 |
$48.43 | 6,649 | 6,021 |
|
Kimberley Nicole Sikora
911 N Elm St Ste 215 |
$41.72 | 6,256 | 6,132 |
|
Komal D. Koya
333 Chestnut St Ste 205 |
$59.03 | 5,668 | 4,584 |
|
William Meyer
120 N Oak St |
$52.34 | 4,838 | 3,495 |
|
Michael David Munoz Quien
135 N Oak St |
$51.92 | 4,745 | 3,733 |
|
Victor R Suarez
120 N Oak St |
$37.28 | 4,567 | 3,571 |
|
Farahnaz Amina Ali
135 N Oak St |
$55.56 | 4,153 | 3,422 |
|
Jabeen S Ali
201 E Ogden Ave Ste 130 |
$65.02 | 4,110 | 2,706 |
|
James Owen Ertle
333 Chestnut St |
$46.67 | 3,714 | 3,474 |
|
Antoinette B. Lullo
135 N Oak St |
$58.25 | 3,637 | 3,074 |
|
Shakilbanu Meerapatel
11 Salt Creek Ln Ste 125 |
$64.99 | 3,421 | 2,942 |
|
Elizabeth Schlichting Bockhold
135 N Oak St |
$57.13 | 3,107 | 2,632 |
|
Jordan Willis
40 S Clay St Ste Ll30 |
$48.06 | 2,883 | 2,873 |
|
Alfred Lamee Allen
5595 S Oak St |
$36.37 | 2,840 | 2,492 |
|
Nida Malik
135 N Oak St |
$63.55 | 2,784 | 2,581 |
|
Staci Graf
908 N Elm St Ste 110 |
$64.09 | 2,641 | 2,340 |
|
Talat Ghaus
135 N Oak St |
$64.30 | 2,619 | 2,089 |
|
Jacob Orin
908 N Elm St Ste 207 |
$93.49 | 2,585 | 2,336 |
|
Luan Elezi
32 E 1St St Ste 203 |
$25.76 | 2,531 | 2,134 |
|
Moina Uddin
908 N Elm St Ste 309 |
$69.04 | 2,434 | 2,228 |
|
Leslie Sleuwen
135 N Oak St |
$54.91 | 2,337 | 2,036 |
|
Colleen Burns
908 N Elm St Ste 306 |
$56.41 | 2,232 | 2,103 |
|
Kate Gunnell
135 N Oak St |
$53.82 | 2,151 | 1,847 |
|
Arati A Reddy
911 N Elm St |
$54.68 | 2,092 | 1,812 |
|
Stephanie Jean Bakosh
201 E Ogden Ave |
$82.89 | 1,690 | 1,369 |
|
Cathleen M Cronin
908 N Elm St Ste 115 |
$110.07 | 1,408 | 1,197 |
|
Sanjeev Dwivedi
7 Salt Creek Ln |
$40.57 | 1,387 | 1,137 |
|
Anita P Pillai
40 S Clay St Ste 210 |
$50.38 | 1,366 | 1,174 |
|
Eva Lucyna Pilcher
908 N Elm St |
$52.23 | 1,356 | 1,199 |
|
Linda Aubergine
19 N Grant St Ste 3B |
$83.23 | 1,302 | 890 |
|
Shiraz M Butt
120 E Ogden Ave #222 |
$24.41 | 1,297 | 383 |
|
Gregory M Lewis
908 N Elm St Ste 404 |
$54.27 | 1,291 | 1,195 |
|
Chase W Kwon
920 N York Rd Ste 100 |
$40.34 | 1,211 | 1,150 |
|
Leanne Ostrodka
911 N Elm St Ste 215 |
$116.06 | 1,207 | 1,063 |
|
Sehrish Rana
950 N York Rd Ste 105 |
$32.69 | 1,145 | 965 |
|
Hong Shing Lee
201 E Ogden Ave |
$49.17 | 947 | 857 |
|
Aileen Anne Robitaille
908 N Elm St Ste 300 |
$60.99 | 916 | 899 |
|
Amita Goyal
908 N Elm St Ste 315 |
$115.39 | 907 | 869 |
|
Paul A Freier
11 Salt Creek Ln |
$48.61 | 876 | 801 |
|
Eileen M Mahoney
11 Salt Creek Ln Ste 101 |
$59.95 | 831 | 744 |
|
Justin Charles Kohl
135 N Oak St |
$46.27 | 825 | 800 |
|
Zewdu Haile
135 N Oak St |
$44.29 | 807 | 726 |
|
Sapana Chokshi
736 N York Rd |
$132.26 | 788 | 334 |
|
Maureen M Mcnamee
950 N York Rd |
$77.48 | 785 | 579 |
|
James Robert Mcmahon
908 N Elm St Ste 404 |
$36.84 | 758 | 708 |
|
Margaret Kirkegaard
135 N Oak St |
$58.72 | 737 | 607 |
|
Sakina Tapia
911 N Elm St |
$48.91 | 695 | 612 |
|
Zoheb Osman
911 N Elm St Ste 301 |
$75.40 | 682 | 549 |
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 Hinsdale, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hinsdale, IL is $58.79 per claim, based on 144,219 claims from 152 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 Hinsdale, IL?
There are 152 Medicaid providers offering Office Visit related services in Hinsdale, IL according to public payment data.
What is the price range for Office Visit in Hinsdale, IL?
Medicaid reimbursement for Office Visit in Hinsdale, IL ranges from $1.01 to $132.26 per claim, with an average of $58.79. 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 Hinsdale, IL
Blood Work & Lab Tests
Avg $4.57
835,094 claims
Urinalysis & Urine Tests
Avg $2.10
158,416 claims
Emergency Room Visit
Avg $61.80
86,822 claims
EKG / ECG (Electrocardiogram)
Avg $8.52
68,057 claims
Nursing Facility Care
Avg $30.31
41,547 claims
Culture & Microbiology Tests
Avg $3.53
40,791 claims
Ultrasound
Avg $32.81
31,509 claims
X-Ray
Avg $5.00
27,614 claims