Average Medicaid Office Visit Payments in Lombard, IL: $50.83
Avg. Paid
$50.83
Range
$0.36 – $110.00
Total Claims
93,379
Providers
78
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 Lombard, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Badar Zaheer
1196 S Main St |
$62.40 | 14,786 | 10,225 |
|
Iram Aleem Ahmed
2500 S. Highland Ave., Suite 230 |
$52.45 | 14,735 | 12,088 |
|
Richard K Barton
2200 S Main St Ste 301 |
$80.93 | 8,817 | 5,926 |
|
Marie K Philobos
1801 S Highland Ave Ste 130 |
$61.58 | 4,989 | 4,207 |
|
David B Cespedes
130 S Main St Ste 201 |
$45.94 | 4,562 | 3,944 |
|
Jennifer L. Dunlop
130 S Main St |
$47.92 | 3,761 | 3,307 |
|
Nasser A Boshra
1801 S Highland Ave Ste 130 |
$47.25 | 3,061 | 2,398 |
|
Ninel Kandel
130 S Main St Ste 201 |
$48.36 | 2,749 | 2,550 |
|
Zakia Salam Zaman
1196 S Main St Ste F |
$0.82 | 2,710 | 2,310 |
|
Sheila C Rao
2340 S Highland Ave Ste 300 |
$26.87 | 2,315 | 2,052 |
|
Michael Jude Welsch
820 Springer Dr |
$34.72 | 2,294 | 2,018 |
|
Shivani Sikand
2165 S Finley Rd |
$0.36 | 2,261 | 2,079 |
|
Jacqueline Marie Nichols
130 S Main St # 1 |
$50.44 | 2,089 | 1,961 |
|
Andrew A Roth
500 E 22Nd St Ste A |
$38.35 | 1,897 | 1,202 |
|
Misbahuddin Ahmed
1056 Swift Rd |
$52.09 | 1,869 | 1,449 |
|
Leroy Michael Lambey
10 E 22Nd St Ste 207 |
$58.10 | 1,821 | 1,366 |
|
William M Noorlag
130 S Main St Ste 202 |
$24.15 | 1,582 | 1,314 |
|
Tian Xia
244 E. Roosevelt Rd. |
$5.27 | 1,399 | 1,142 |
|
Daulton Garrett Hopkins
2760 S Highland Ave Apt 232 |
$87.21 | 1,220 | 1,195 |
|
Yasmin Irfan Kagzi
130 S Main St Ste 201 |
$38.19 | 1,189 | 1,066 |
|
Abid Khurshid
2500 S Highland Ave |
$77.74 | 1,123 | 1,003 |
|
Mohammed Mohsin Ahmed
130 S Main St Ste 202 |
$43.05 | 955 | 882 |
|
Emela Vukomanovic
130 S Main St Ste 201 |
$56.01 | 904 | 800 |
|
Bonnie Stabrawa
130 S Main St Ste 302 |
$55.44 | 883 | 809 |
|
Seema Elahi, M.D., Inc.
450 E 22Nd St Ste 100 |
$13.31 | 830 | 407 |
|
Vincent James Traverso
10 E 22Nd St |
$11.95 | 655 | 573 |
|
Kathryn E Sas
130 S Main St Ste 201 |
$50.96 | 603 | 584 |
|
Tahir Mahmood
2500 S Highland Ave Ste 230 |
$42.31 | 576 | 514 |
|
Labianca Nona Wright
1801 S Highland Ave Ste 130 |
$46.22 | 550 | 498 |
|
Michelle Sweet-Albores
130 S Main St |
$61.72 | 442 | 424 |
|
Yoko Momoyama
1801 S Highland Ave |
$27.66 | 430 | 415 |
|
Shefali Bhatt Seth
1S072 Luther Ave |
$56.92 | 417 | 355 |
|
Scott Allen Zimmerman
10 E 22Nd St |
$19.57 | 389 | 216 |
|
J James Graziano
2050 S Finley Rd |
$61.62 | 360 | 331 |
|
Mark Weiss
500 E 22Nd St |
$46.63 | 344 | 319 |
|
Ojash Bhagwakar
1801 S Highland Ave |
$34.63 | 336 | 296 |
|
Anshul Pandey
1801 S Highland Ave Ste 130 |
$110.00 | 282 | 192 |
|
Laura U Vetrone
130 S Main St Ste 201 |
$54.67 | 231 | 210 |
|
County Of Dupage Department Of Health
1111 E Jackson St |
$12.35 | 202 | 140 |
|
Karim S. Yunez
130 S Main St |
$4.46 | 195 | 177 |
|
Richard Rosseau
1801 S Highland Ave Ste 220 |
$29.68 | 190 | 158 |
|
Sarah J Sims
246 E Janata Blvd Ste 245 |
$74.06 | 165 | 148 |
|
Syeda Quadri
454 E Roosevelt Rd |
$68.74 | 163 | 142 |
|
Debra Schwartzers
1801 S Highland Ave |
$42.82 | 152 | 144 |
|
Manjari Ranganathan
2050 S Finley Rd |
$67.80 | 132 | 127 |
|
Daniel B Martinez
2340 S Highland Ave |
$14.02 | 125 | 87 |
|
Mia Angela Taormina
1801 S Highland Ave |
$12.09 | 122 | 118 |
|
Shawn George
500 E. 22Nd Street |
$96.26 | 121 | 104 |
|
Reece Evan Clark
500 E 22Nd St Ste A |
$93.59 | 108 | 67 |
|
Hiral Hiren Patel
2500 S Highland Ave Ste 230 |
$33.40 | 107 | 103 |
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 Lombard, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lombard, IL is $50.83 per claim, based on 93,379 claims from 78 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 Lombard, IL?
There are 78 Medicaid providers offering Office Visit related services in Lombard, IL according to public payment data.
What is the price range for Office Visit in Lombard, IL?
Medicaid reimbursement for Office Visit in Lombard, IL ranges from $0.36 to $110.00 per claim, with an average of $50.83. 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 Lombard, IL
Non-Emergency Medical Transportation
Avg $38.18
1,160,032 claims
Ambulance Transport
Avg $130.33
775,899 claims
Blood Work & Lab Tests
Avg $7.36
466,146 claims
Home Health Visit
Avg $224.61
96,813 claims
Dental Cleaning & Exam
Avg $31.37
53,969 claims
Urinalysis & Urine Tests
Avg $4.72
52,358 claims
Nursing Facility Care
Avg $10.51
46,424 claims
Eye Exam
Avg $29.28
31,266 claims