Average Medicaid Office Visit Payments in Lake Bluff, IL: $53.65
Avg. Paid
$53.65
Range
$26.05 – $78.73
Total Claims
5,214
Providers
18
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 Lake Bluff, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lindsey Wold Fraser
71 Waukegan Rd Ste 700 |
$72.07 | 1,016 | 945 |
|
Jehu Strange
525 Rockland Rd Ste 100 |
$44.87 | 850 | 802 |
|
Neil Samir Shah
71 Waukegan Rd Ste 700 |
$42.55 | 706 | 636 |
|
Mary Catherine Hanley
917 Sherwood Dr |
$60.79 | 666 | 613 |
|
T Randall Kinsella
917 Sherwood Dr |
$58.64 | 520 | 456 |
|
Jay Brandon Futterman
71 Waukegan Rd Ste 700 |
$36.53 | 244 | 240 |
|
Lisa Gadek
917 Sherwood Dr |
$48.09 | 204 | 183 |
|
Jennifer M Degeus
917 Sherwood Dr |
$53.61 | 158 | 152 |
|
Jerome O Kaltman
917 Sherwood Dr |
$56.16 | 131 | 125 |
|
Karen Burton
917 Sherwood Dr |
$51.00 | 126 | 113 |
|
Corrine Heather Hamvas
917 Sherwood Dr |
$70.45 | 121 | 110 |
|
Robert H Sorensen
6 E Witchwood Ln |
$26.05 | 115 | 104 |
|
Vikas Bhatara
400 Arbor Dr |
$40.71 | 86 | 82 |
|
Amanda Silver Karcioglu
71 Waukegan Rd Ste 700 |
$34.87 | 83 | 79 |
|
Jason Bohm Waldinger
71 Waukegan Rd Ste 700 |
$29.98 | 75 | 64 |
|
Anayatzy Franco
71 Waukegan Rd Ste 800 |
$36.94 | 51 | 50 |
|
Monica Janeczek
71 Waukegan Rd Ste 700 |
$78.73 | 46 | 45 |
|
Jennifer A Bevan
917 Sherwood Dr |
$41.97 | 16 | 12 |
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 Lake Bluff, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lake Bluff, IL is $53.65 per claim, based on 5,214 claims from 18 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 Lake Bluff, IL?
There are 18 Medicaid providers offering Office Visit related services in Lake Bluff, IL according to public payment data.
What is the price range for Office Visit in Lake Bluff, IL?
Medicaid reimbursement for Office Visit in Lake Bluff, IL ranges from $26.05 to $78.73 per claim, with an average of $53.65. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Lake Bluff, IL
Emergency Room Visit
Avg $57.24
12,032 claims
Ambulance Transport
Avg $80.88
8,287 claims
Psychiatric Evaluation
Avg $64.95
3,049 claims
Pathology & Lab Services
Avg $3.15
1,975 claims
Eye Exam
Avg $26.47
1,211 claims
Nursing Facility Care
Avg $21.89
517 claims
EKG / ECG (Electrocardiogram)
Avg $6.88
449 claims
Hearing Test (Audiometry)
Avg $19.83
383 claims