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 |
|---|---|---|---|
|
Alicia M. Salazar
40 S Clay St Ste 110 |
$71.58 | 12 | 12 |
|
Richard J Wiet
11 Salt Creek Ln |
$70.22 | 12 | 12 |
|
Andrea Christine Oren
908 N Elm St Ste 404 |
$77.59 | 12 | 12 |
|
Edgar S Carell
908 N Elm St Ste 404 |
$50.94 | 12 | 12 |
|
Daesman Suri
908 N Elm St Ste 301 |
$64.65 | 12 | 12 |
|
Kanesha L Bryant
1 Salt Creek Ln |
$33.15 | 12 | 12 |
|
Barry J. Sidorow
908 N Elm St Ste 404 |
$48.12 | 12 | 12 |
|
Paramjit S. Chopra
12 Salt Creek Ln Ste 104 |
$7.33 | 13 | 12 |
|
Richard Kopolovic
950 N York Rd |
$55.23 | 13 | 13 |
|
Patrick J Sweeney
1 Salt Creek Ln |
$28.03 | 13 | 13 |
|
Ralph Hermes
8 Salt Creek Ln Ste 301 |
$66.08 | 13 | 13 |
|
Meechai Tessalee
11 Salt Creek Ln |
$34.63 | 13 | 13 |
|
Thomas P Mcdonough
908 N Elm St Ste 207 |
$49.93 | 13 | 13 |
|
Thomas Walsh
11 Salt Creek Ln Ste 125 |
$53.29 | 13 | 13 |
|
Veena Prabhu
534 Chestnut Street |
$63.85 | 13 | 13 |
|
Andrew T Lawrence
11 Salt Creek Ln |
$44.97 | 14 | 14 |
|
Elizabeth Furgat Phillips
11 Salt Creek Ln Ste 125 |
$67.27 | 14 | 13 |
|
Jacqueline Lee Marchbank
911 N Elm St Ste 102 |
$37.92 | 15 | 14 |
|
Sudarshan K Sharma
121 N Elm St |
$22.29 | 15 | 13 |
|
Anna Vana
550 W Ogden Ave |
$58.54 | 16 | 15 |
|
Prabhu Shivalingappa
534 Chestnut Street |
$48.78 | 19 | 15 |
|
Zeeshan Ali
908 N Elm St Ste 110 |
$57.13 | 25 | 25 |
|
Ahmad Hasan Shihabi
908 N Elm St Ste 404 |
$75.32 | 29 | 29 |
|
Amir El-Khalili
911 N Elm St Ste 301 |
$97.30 | 30 | 28 |
|
Francisco Guillermo Aguilar
908 N Elm St Ste 404 |
$39.87 | 30 | 28 |
|
Kaleem Malik
40 S Clay St |
$58.99 | 30 | 29 |
|
Srilata Gundala
950 N York Rd Ste 201A |
$36.38 | 30 | 28 |
|
Anis A Rauf
911 N Elm St |
$37.36 | 32 | 27 |
|
Duane F Follman
11 Salt Creek Ln |
$39.69 | 37 | 37 |
|
Debora Ellis
201 E Ogden Ave Ste 118 |
$18.25 | 38 | 27 |
|
Timothy John Collins
600 W Ogden Ave |
$41.96 | 39 | 37 |
|
Victoria S Brkovich
11 Salt Creek Ln Ste 101 |
$102.29 | 39 | 36 |
|
Grant D Sievertsen
40 S Clay St Ste 210E |
$54.35 | 39 | 39 |
|
Maged Magdi Attia Saad
201 E Ogden Ave Ste 50 |
$59.17 | 40 | 40 |
|
Julia Elizabeth Afridi
8 Salt Creek Ln Ste 302 |
$64.50 | 42 | 38 |
|
Kyle Tedd Kunz
12 Salt Creek Ln Ste 310 |
$47.94 | 43 | 40 |
|
Kathleen Dowling Barbiyeru
908 N Elm St Ste 301 |
$13.38 | 47 | 37 |
|
Molly Gerber
40 S Clay St Ste Ll30 |
$45.21 | 48 | 13 |
|
Paula Shah Malhotra
429 S County Line Rd |
$43.71 | 54 | 50 |
|
Nazia Alvi
908 N Elm St Ste 404 |
$72.85 | 55 | 55 |
|
Michelle M Lipman
911 N Elm St Ste 115 |
$121.32 | 56 | 56 |
|
Hiren Patel
908 N Elm St Ste 404 |
$66.74 | 60 | 54 |
|
Kim A Williams
908 N Elm St Ste 202 |
$64.49 | 62 | 53 |
|
Maytee Boonyapredee
911 N Elm St Ste 102 |
$31.16 | 62 | 59 |
|
Cynthia Clark-Zurawski
908 N Elm St Ste 301 |
$6.52 | 62 | 56 |
|
Michael Joseph Boyd
908 N Elm St |
$56.27 | 64 | 57 |
|
Leslie Greskowiak
8 Salt Creek Ln Ste 301 |
$42.28 | 68 | 67 |
|
Patrick K Quirke
11 Salt Creek Ln |
$45.99 | 70 | 66 |
|
Daniel Andreas Elke
135 N Oak St |
$35.63 | 71 | 67 |
|
Ashwani Kumar Garg
908 N Elm St Ste 202 |
$73.10 | 76 | 67 |
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