Average Medicaid Office Visit Payments in La Grange, IL: $54.15
Avg. Paid
$54.15
Range
$11.28 – $317.18
Total Claims
43,576
Providers
23
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 La Grange, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Walid Sayyed
4735 Willow Springs Rd |
$93.54 | 17 | 13 |
|
Diane Nurceski
5101 Willow Springs Rd |
$46.05 | 27 | 27 |
|
Eunice Brobby
1325 Community Memorial Dr |
$89.62 | 29 | 26 |
|
Katherine Frances Sabella Racine
110 W Calendar Ave |
$32.50 | 55 | 55 |
|
Shruti P Patel
1325 Community Memorial Dr |
$53.16 | 130 | 128 |
|
William Nelson
5101 Willow Springs Rd |
$44.39 | 165 | 146 |
|
Marie R Carcellar
5101 S Willow Springs Rd |
$317.18 | 229 | 203 |
|
William A Kcomt
5201 S. Willow Springs Road |
$31.40 | 262 | 236 |
|
Margaret Malicay
512 W Burlington Ave Ste 100 |
$64.40 | 414 | 357 |
|
Robert Passovoy
47 6Th Ave |
$59.81 | 468 | 384 |
|
Andrea Ocampo Colada
1323 Memorial Drive, Ste 214 |
$11.28 | 628 | 610 |
|
Donna S Mitchell
23 Calendar Ave |
$43.56 | 1,179 | 1,051 |
|
Lisa Suklam Lin
1325 Community Memorial Dr |
$49.16 | 1,417 | 1,192 |
|
Daniel Hunter Smith
1325 Community Memorial Dr |
$46.81 | 1,709 | 1,473 |
|
Jason Benjamin Rice
47 6Th Ave Ste A |
$45.34 | 1,821 | 1,616 |
|
Daphne Tessalee
1325 Community Memorial Dr |
$53.09 | 2,505 | 2,113 |
|
Alexander Peter Soneru
47 6Th Ave |
$48.02 | 2,780 | 2,444 |
|
Katarzyna Helena Rogala
1325 Community Memorial Dr |
$65.93 | 3,228 | 2,733 |
|
Layne Alexander Phillips
1325 Community Memorial Dr |
$57.04 | 3,923 | 3,427 |
|
Sarah Kay Welch
1325 Community Memorial Dr |
$56.73 | 4,499 | 3,961 |
|
Elizabeth Nguyen Kirchoff
1325 Community Memorial Dr |
$52.16 | 4,805 | 4,131 |
|
Leo Koenig
1325 Community Memorial Dr |
$50.77 | 5,418 | 4,702 |
|
Alap Pradip Shah
1325 Community Memorial Dr |
$54.41 | 7,868 | 6,818 |
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 La Grange, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in La Grange, IL is $54.15 per claim, based on 43,576 claims from 23 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 La Grange, IL?
There are 23 Medicaid providers offering Office Visit related services in La Grange, IL according to public payment data.
What is the price range for Office Visit in La Grange, IL?
Medicaid reimbursement for Office Visit in La Grange, IL ranges from $11.28 to $317.18 per claim, with an average of $54.15. 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 La Grange, IL
Speech Therapy
Avg $26.07
43,663 claims
Physical Therapy
Avg $51.70
38,139 claims
Dental Cleaning & Exam
Avg $32.01
30,163 claims
X-Ray
Avg $4.77
14,068 claims
CT Scan (Computed Tomography)
Avg $57.41
6,455 claims
Mammogram
Avg $25.07
4,392 claims
Nursing Facility Care
Avg $8.10
3,863 claims
Home Health Visit
Avg $106.77
2,638 claims