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 |
|---|---|---|---|
|
Mathew Loesch
1801 S Highland Ave Ste L40 |
$66.50 | 12 | 12 |
|
Mary Francine Pantoja Chua
1801 S Highland Ave Ste L40 |
$50.16 | 12 | 12 |
|
Naveen C Reddy
2340 S Highland Ave Ste 160 |
$55.65 | 12 | 12 |
|
Mark Spaccapaniccia
2340 S Highland Ave |
$10.12 | 14 | 12 |
|
Emily Kate Skrzypczak
1801 S Highland Ave Ste 130 |
$46.63 | 14 | 14 |
|
Rahul R Gokhale
1801 S Highland Ave Ste 220 |
$26.85 | 14 | 14 |
|
Benjamin Scott Kester
1801 S Highland Ave Ste 220 |
$41.99 | 14 | 13 |
|
Varsha J Shah
2340 S Highland Ave |
$45.85 | 14 | 13 |
|
Elizabeth Smith
1801 S Highland Ave |
$40.35 | 15 | 12 |
|
Rachel Elizabeth Steele
1801 S Highland Ave |
$38.00 | 16 | 13 |
|
Safia Siddiqui
454 E Roosevelt Rd |
$92.02 | 17 | 14 |
|
Marian Glenn
2340 S Highland Ave |
$24.75 | 31 | 31 |
|
David Dungan
1801 S Highland Ave |
$38.64 | 31 | 30 |
|
Charles Andrew Friedl
2050 S Finley Rd |
$70.76 | 41 | 41 |
|
Martin Ryan Fetzer
1801 S Highland Ave Ste 220 |
$24.56 | 43 | 41 |
|
Matthew S Hendrickson
837 Westmore Meyers Rd Ste A24 |
$37.82 | 44 | 41 |
|
Jon James Mirabito
130 S Main St |
$44.37 | 48 | 48 |
|
Christopher Alexander Barbour
454 E Roosevelt Rd |
$105.03 | 49 | 24 |
|
Oojwala A Rajmane
130 S Main St Ste 203 |
$8.71 | 50 | 49 |
|
Colleen Elizabeth Skay
454 E Roosevelt Rd |
$103.39 | 50 | 24 |
|
Kathleen A Mahan
1801 S Highland Ave Ste 130 |
$58.48 | 54 | 38 |
|
Subhasree Misra
555 E Butterfield Rd Ste 205 |
$27.51 | 56 | 35 |
|
Mohammed S. Siddiqui
477 E Butterfield Rd Ste 102 |
$59.06 | 66 | 59 |
|
Jacques J Jentel
1801 S. Highland Avenue |
$37.37 | 79 | 74 |
|
Casey M. Morris
500 E 22Nd St |
$104.16 | 87 | 56 |
|
Lana Lindgren
1219 S 3Rd St |
$74.50 | 93 | 89 |
|
Jesse Lauren Kulig
2050 S Finley Rd |
$72.75 | 99 | 91 |
|
Meghan Gorski
130 S Main St |
$83.30 | 106 | 106 |
|
Hiral Hiren Patel
2500 S Highland Ave Ste 230 |
$33.40 | 107 | 103 |
|
Reece Evan Clark
500 E 22Nd St Ste A |
$93.59 | 108 | 67 |
|
Shawn George
500 E. 22Nd Street |
$96.26 | 121 | 104 |
|
Mia Angela Taormina
1801 S Highland Ave |
$12.09 | 122 | 118 |
|
Daniel B Martinez
2340 S Highland Ave |
$14.02 | 125 | 87 |
|
Manjari Ranganathan
2050 S Finley Rd |
$67.80 | 132 | 127 |
|
Debra Schwartzers
1801 S Highland Ave |
$42.82 | 152 | 144 |
|
Syeda Quadri
454 E Roosevelt Rd |
$68.74 | 163 | 142 |
|
Sarah J Sims
246 E Janata Blvd Ste 245 |
$74.06 | 165 | 148 |
|
Richard Rosseau
1801 S Highland Ave Ste 220 |
$29.68 | 190 | 158 |
|
Karim S. Yunez
130 S Main St |
$4.46 | 195 | 177 |
|
County Of Dupage Department Of Health
1111 E Jackson St |
$12.35 | 202 | 140 |
|
Laura U Vetrone
130 S Main St Ste 201 |
$54.67 | 231 | 210 |
|
Anshul Pandey
1801 S Highland Ave Ste 130 |
$110.00 | 282 | 192 |
|
Ojash Bhagwakar
1801 S Highland Ave |
$34.63 | 336 | 296 |
|
Mark Weiss
500 E 22Nd St |
$46.63 | 344 | 319 |
|
J James Graziano
2050 S Finley Rd |
$61.62 | 360 | 331 |
|
Scott Allen Zimmerman
10 E 22Nd St |
$19.57 | 389 | 216 |
|
Shefali Bhatt Seth
1S072 Luther Ave |
$56.92 | 417 | 355 |
|
Yoko Momoyama
1801 S Highland Ave |
$27.66 | 430 | 415 |
|
Michelle Sweet-Albores
130 S Main St |
$61.72 | 442 | 424 |
|
Labianca Nona Wright
1801 S Highland Ave Ste 130 |
$46.22 | 550 | 498 |
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