Average Medicaid Office Visit Payments in Matteson, IL: $116.53
Avg. Paid
$116.53
Range
$0.00 – $258.73
Total Claims
18,774
Providers
14
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 Matteson, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lance T Wallace
20939 S Cicero Ave |
$0.00 | 14 | 14 |
|
Leonard Robinson
20939 S Cicero Ave |
$13.75 | 29 | 27 |
|
Bharti N Amin
4440 Lincoln Hwy Ste 101 |
$45.61 | 105 | 79 |
|
Mary E Gibson
4749 Lincoln Mall Dr Ste 204 |
$57.15 | 127 | 118 |
|
Ukachi O. Nwankpa
1013 Warwick Dr |
$250.00 | 206 | 206 |
|
Tiffany N. Perdue
4749 Lincoln Mall Dr Ste 540 |
$48.16 | 376 | 349 |
|
Nicole I O'Grady
402 Town Center Rd # 500 |
$54.99 | 614 | 538 |
|
Natalia Marie Sanfratello
402 Town Center Rd |
$77.46 | 650 | 601 |
|
Chanel Smith
205 Timberlane Rd |
$56.58 | 696 | 676 |
|
Anita Zakari
402 Town Center Rd |
$59.91 | 1,452 | 1,388 |
|
Melynne Batton
402 Town Center Rd |
$64.49 | 2,459 | 2,125 |
|
Zenobia Clark
3442 218Th Pl |
$39.37 | 2,895 | 2,578 |
|
Christine M Reynolds
4331 Lincoln Hwy Ste E |
$54.14 | 3,641 | 3,457 |
|
Laretta Moniek Wiley
21224 Gray Hawk Dr |
$258.73 | 5,510 | 5,350 |
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 Matteson, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Matteson, IL is $116.53 per claim, based on 18,774 claims from 14 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 Matteson, IL?
There are 14 Medicaid providers offering Office Visit related services in Matteson, IL according to public payment data.
What is the price range for Office Visit in Matteson, IL?
Medicaid reimbursement for Office Visit in Matteson, IL ranges from $0.00 to $258.73 per claim, with an average of $116.53. 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 Matteson, IL
Substance Abuse Treatment
Avg $76.10
104,471 claims
Case Management Services
Avg $56.54
71,776 claims
Behavioral & Mental Health Therapy
Avg $56.84
53,667 claims
Speech Therapy
Avg $17.19
42,620 claims
Psychiatric Evaluation
Avg $68.78
13,652 claims
Ambulance Transport
Avg $556.17
10,774 claims
Emergency Room Visit
Avg $81.39
8,965 claims
Nursing Facility Care
Avg $34.03
7,664 claims