Average Medicaid Office Visit Payments in Lemont, IL: $51.89
Avg. Paid
$51.89
Range
$11.96 – $95.45
Total Claims
17,372
Providers
12
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 Lemont, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kenneth Porter
15505 127Th St |
$47.48 | 5,819 | 4,630 |
|
Faith Suzanne Myers
15900 W 127Th St |
$74.52 | 2,878 | 2,129 |
|
Ewa Zofia Ehrlich
40 Timberline Dr |
$70.51 | 2,455 | 2,170 |
|
Jacek Grela
1011 State St |
$15.65 | 2,152 | 1,836 |
|
Reshma Lachman Relwani
15505 E 127Th St Ste 100 |
$40.84 | 1,882 | 1,680 |
|
Marie T Oconnor Parker
15900 W 127Th St |
$59.76 | 749 | 699 |
|
Sushma Nagabhairava
15505 E 127Th St Ste 100 |
$70.24 | 659 | 476 |
|
Timothy Nenoff
15900 W 127Th St Ste 221A |
$12.48 | 385 | 336 |
|
Semone West
40 Timberline Drive |
$95.45 | 305 | 290 |
|
Bart Donald Beaver
15531 127Th St |
$11.96 | 36 | 28 |
|
Trevor John Pfaendtner
15900 W 127Th St. |
$41.11 | 28 | 25 |
|
Jessica Vodicka
13045 Ravine Dr |
$19.13 | 24 | 23 |
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 Lemont, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lemont, IL is $51.89 per claim, based on 17,372 claims from 12 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 Lemont, IL?
There are 12 Medicaid providers offering Office Visit related services in Lemont, IL according to public payment data.
What is the price range for Office Visit in Lemont, IL?
Medicaid reimbursement for Office Visit in Lemont, IL ranges from $11.96 to $95.45 per claim, with an average of $51.89. 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 Lemont, IL
Home Health Visit
Avg $143.19
16,292 claims
Speech Therapy
Avg $60.31
15,128 claims
Ambulance Transport
Avg $517.04
2,410 claims
Dental Cleaning & Exam
Avg $33.17
2,190 claims
Eye Exam
Avg $30.99
1,625 claims
Nursing Facility Care
Avg $6.65
812 claims
Psychiatric Evaluation
Avg $117.43
742 claims
Hearing Test (Audiometry)
Avg $15.47
440 claims