Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Melrose Park, IL: $42.53

Avg. Paid

$42.53

Range

$0.00 – $94.29

Total Claims

188,323

Providers

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 Melrose Park, IL

Provider	Avg. Paid	Claims	Patients
Mohammad A Gafoor 675 W North Ave	$2.36	12	12
Brad Anstadt 675 W North Ave	$9.94	13	12
Brian Proctor 675 W North Ave	$53.34	13	12
Rajani Kosuri 1111 Superior St Ste 204	$22.52	13	13
Entiona Prifti 701 W North Ave	$94.29	14	13
Jeffrey Shanes 675 W North Ave	$8.50	15	15
Darryl S. Schlegel 1225 W Lake St	$31.29	29	25
Stephen David Hurley 501 W North Ave Ste 201	$13.84	29	28
Presence Behavioral Health 1414 Main St	$27.58	38	38
Sinha S Chunduri 675 W North Ave	$44.04	52	43
Neetha Dhananjaya 675 W North Ave Ste 309	$23.45	73	72
Gloria Buentello 1225 W Lake St.	$93.24	82	68
Henry Giacinto 701 W North Ave	$61.45	98	73
Murali K Vinta 1111 Superior St	$65.28	123	106
Jyothi V Thota 675 W North Ave	$44.41	162	120
Ramesh C Dhingra 675 W North Avenue	$24.70	173	164
Rizwan K Moinuddin 675 W North Ave Ste 309	$45.46	196	186
Stanley David Demorest 1111 Superior St	$35.93	209	197
Dawn R Hackel 153 N 19Th Ave	$28.46	214	184
Suzanne Thi Pham 701 W North Ave	$28.77	239	175
John Bajgrowicz 675 W North Ave Ste 101	$6.30	255	242
Jacara Kelley-Muhammad 1111 Superior St Ste 101	$46.65	356	326
Christopher Andrew Biag 719 W North Ave	$57.25	563	504
George Jose Naratadam 675 W North Ave Ste 402	$35.95	580	538
David R Rosi 715 W North Ave	$35.29	581	495
Sherrone D Simon 1225 W Lake St	$69.03	662	531
Elisabeth Janette Miwa 719 W North Ave	$73.53	680	651
Laura E Loya-Frank 1350 W Lake St	$81.80	702	290
Emily Casselbury 1111 Superior St	$67.79	719	589
Jennifer Buschbach 675 W North Ave Ste 107	$48.99	790	763
Richard Viglione 701 W North Ave	$46.54	790	574
Hema Azad 1111 Superior St	$25.05	801	749
Peter Evelio Eupierre 1111 Superior St	$39.82	807	734
Rim Joubran 675 W North Ave	$29.43	823	786
Olukemi Aina 1414 Main St	$65.88	892	788
John R Wilson 1440 W North Ave Ste 304	$18.91	1,029	958
Anthony Joseph Martino 2225 W North Ave	$29.89	1,214	1,056
Rebecca Harty 701 W North Ave	$48.83	1,216	1,190
Leonard Dubin 675 W North Ave	$14.65	1,278	1,096
Paul T. Prinz 675 W North Ave	$32.32	1,379	1,198
Deepti Shivakumar 675 W North Ave	$48.19	1,619	1,379
Pcc Community Wellness Center 1111 Superior St	$0.00	2,146	1,185
Nirmal Patodia 1111 Superior Street	$6.25	2,467	1,713
Nicholas G Recchia 1111 Superior St	$62.09	2,887	2,337
Igor Dukarevich 1835 N 19Th Ave	$23.79	3,310	3,086
James J Gomez 8321 W North Ave	$59.96	3,512	2,372
Shobhana Patodia 1111 Superior Street	$15.05	5,082	3,197
Nabil Saleh 1111 Superior St	$74.42	7,929	6,427
Michelle J Alexandre 808 Broadway St	$64.26	8,421	7,036
Minal Giri 8319 W North Ave	$42.92	10,382	8,181

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 Melrose Park, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Melrose Park, IL is $42.53 per claim, based on 188,323 claims from 54 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 Melrose Park, IL?

There are 54 Medicaid providers offering Office Visit related services in Melrose Park, IL according to public payment data.

What is the price range for Office Visit in Melrose Park, IL?

Medicaid reimbursement for Office Visit in Melrose Park, IL ranges from $0.00 to $94.29 per claim, with an average of $42.53. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Melrose Park, IL: $42.53

Providers Offering Office Visit in Melrose Park, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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