Average Medicaid Office Visit Payments in Mount Prospect, IL: $54.99
Avg. Paid
$54.99
Range
$0.00 – $282.07
Total Claims
24,357
Providers
31
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 Mount Prospect, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ewa Dembowski
199 W Rand Rd Ste 203 |
$31.17 | 12 | 12 |
|
Daniela Valeria Baez
601 W Golf Rd Ste 105 |
$34.52 | 15 | 14 |
|
Divya Babbar
2380 S Elmhurst Rd |
$0.00 | 16 | 16 |
|
Mariam Motunrayo Sangobanwo
718 E Northwest Hwy |
$282.07 | 29 | 27 |
|
Philip J Kiley
199 W. Rand Road |
$39.66 | 38 | 37 |
|
Marybell Ramirez
1406 S Chestnut Dr |
$41.88 | 55 | 43 |
|
Sheilendr Khipple
199 W Rand Rd Ste 203 |
$59.09 | 65 | 56 |
|
Michelle Brunetti
1701 E Kensington Rd |
$45.22 | 65 | 64 |
|
Stephen M Sproul
431 Lakeview Ct Suite D |
$10.40 | 124 | 120 |
|
Tariq Syed Lateef
1550 Bishop Ct |
$103.67 | 131 | 128 |
|
Elizabeth Mora Perez
199 W Rand Rd |
$42.80 | 138 | 116 |
|
Mary Farley
199 W Rand Rd |
$28.00 | 201 | 193 |
|
Evgueni Minev
601 W Golf Rd Ste 105 |
$39.06 | 206 | 204 |
|
Delin Wang
601 W Golf Rd Ste 105 |
$13.23 | 213 | 196 |
|
Rashmi C Patel
2380 S Elmhurst Rd |
$41.51 | 214 | 172 |
|
Arthur Arbor Hong
199 W Rand Rd Ste 203 |
$47.15 | 250 | 219 |
|
Naomi I Parrella
431 Lakeview Ct |
$61.16 | 260 | 219 |
|
Kristy Lee Mcdonald
1661 Feehanville Dr Ste 120 |
$11.49 | 366 | 272 |
|
Jasmine Kanappilly
1701 E Kensington Rd |
$39.90 | 400 | 373 |
|
Susan Chacko
1701 E Kensington Rd |
$49.42 | 413 | 375 |
|
Arletta Alma De Vries
1717 W Algonquin Rd |
$48.31 | 561 | 500 |
|
Celina Gilman
629 W Bunting Ln |
$68.33 | 562 | 520 |
|
Jonathan Seyfert
1329 N Wolf Rd |
$55.58 | 734 | 641 |
|
Melissa M Mcgee
931 Quince Ct |
$31.88 | 1,093 | 835 |
|
Plamen Nedev Dotchev
1754 W Golf Rd |
$92.53 | 1,800 | 972 |
|
Japhlet Leomil Rubio Aranas
199 W Rand Rd |
$54.69 | 1,825 | 1,752 |
|
Grzegorz Blecharz
1754 W Golf Rd |
$54.49 | 2,111 | 2,029 |
|
Hannah Park
1660 Feehanville Dr Ste 100 |
$36.31 | 2,390 | 2,102 |
|
Michal Cezary Szczupak
1754 W Golf Rd |
$61.96 | 2,831 | 2,265 |
|
Leonid Ayzenberg
303 E. Rand Rd |
$64.66 | 3,229 | 2,743 |
|
Katarzyna Anna Olejniczak
1701-1784 Golf Road |
$52.82 | 4,010 | 3,607 |
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 Mount Prospect, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Prospect, IL is $54.99 per claim, based on 24,357 claims from 31 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 Mount Prospect, IL?
There are 31 Medicaid providers offering Office Visit related services in Mount Prospect, IL according to public payment data.
What is the price range for Office Visit in Mount Prospect, IL?
Medicaid reimbursement for Office Visit in Mount Prospect, IL ranges from $0.00 to $282.07 per claim, with an average of $54.99. 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 Mount Prospect, IL
Dental Cleaning & Exam
Avg $25.28
66,973 claims
Home Health Visit
Avg $167.52
30,824 claims
Dental Filling
Avg $51.70
24,885 claims
Speech Therapy
Avg $21.15
17,220 claims
Eye Exam
Avg $20.53
16,136 claims
Psychiatric Evaluation
Avg $47.06
14,726 claims
Tooth Extraction
Avg $69.59
14,324 claims
Ambulance Transport
Avg $556.89
9,224 claims