Average Medicaid Office Visit Payments in Naperville, IL: $57.32
Avg. Paid
$57.32
Range
$0.00 – $225.98
Total Claims
432,516
Providers
344
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 Naperville, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elodie Schembri
4003 S Route 59 |
$100.00 | 12 | 12 |
|
Elina Rachael Defranceschi
801 S Washington St |
$36.47 | 12 | 12 |
|
Sonal Shah-Rhodes
1020 E Ogden Ave |
$49.22 | 12 | 12 |
|
Kimberly H Bennett
1220 Hobson Road |
$70.84 | 12 | 12 |
|
Marc Fallah
100 Spalding Dr |
$36.91 | 12 | 12 |
|
Sandip Nijjar
100 Spalding Dr Ste 208 |
$34.94 | 12 | 12 |
|
Anne Schneider
1331 W 75Th St Ste 201 |
$65.08 | 12 | 12 |
|
Emily Elizabeth Murschel
1979 Mcdowell Road |
$49.65 | 12 | 12 |
|
Mansoina Baweja
120 Spalding Dr |
$45.71 | 13 | 12 |
|
Kristin Turner
1299 E Ogden Ave |
$12.34 | 13 | 13 |
|
Rachel Zurek
2940 Rollingridge Rd Ste 300 |
$78.09 | 13 | 13 |
|
Moeen Ahmad Saleem
10 Martin Ave Ste 200 |
$36.04 | 13 | 12 |
|
Kristin Marie Wiese
100 Spalding Dr Ste 102 |
$43.08 | 13 | 12 |
|
Shoaib Iqbal Rao
801 S. Washington St. |
$100.38 | 13 | 13 |
|
Jonathan Mark Ismond
808 Rickert Dr Ste 201 |
$42.96 | 13 | 12 |
|
Ima Vera Jonkheer
100 Spalding Dr Ste 300 |
$54.06 | 13 | 12 |
|
Kristina Marina Hrvojevic
801 S Washington St |
$108.02 | 14 | 14 |
|
Payal J Parikh
2007 95Th St |
$75.91 | 14 | 12 |
|
Amy Melissa Batista
120 Spalding Dr |
$32.84 | 14 | 13 |
|
Shalin Desai
100 Spalding Dr Ste 110 |
$81.05 | 14 | 14 |
|
Mohammed S Azeem
120 Spalding Dr Ste 111 |
$72.15 | 14 | 14 |
|
Samantha Kaye O'Dell
1012 95Th St Ste 3 |
$105.52 | 14 | 13 |
|
Saroosh Ahmed
801 S Washington St |
$49.22 | 14 | 14 |
|
Jason Seth Rubin
1020 E Ogden Ave Ste 214 |
$64.61 | 14 | 14 |
|
Sunita Dervesh Koul
1879 Bay Scott Cir Ste 111 |
$53.88 | 14 | 14 |
|
David Joseph Mcelligott
100 Spalding Dr Ste 102 |
$52.06 | 15 | 12 |
|
Stanley Everett Clark
10 Martin Ave Ste 200 |
$48.18 | 15 | 15 |
|
Aristidis Hatzidimitriadis
2007 95Th St |
$9.84 | 15 | 13 |
|
Rohini Bhat
1804 N Naper Blvd Ste 103 |
$68.56 | 15 | 13 |
|
Anne M Donnelly
101 E 75Th St |
$63.92 | 16 | 14 |
|
Katie N Valentino
2835 Showplace Dr Ste 119 |
$78.95 | 16 | 16 |
|
Evans P Pappas
100 Spalding Dr |
$34.16 | 16 | 16 |
|
Andia Mitri Renz
1331 W 75Th St Ste 402 |
$161.50 | 16 | 16 |
|
Zahab Shahid Ahsan
1331 W 75Th St Ste 101 |
$41.55 | 16 | 12 |
|
Jason Dy
2940 Rollingridge Rd |
$29.10 | 16 | 13 |
|
Troy R. Karlsson
1259 Rickert Dr Ste 101 |
$24.55 | 16 | 12 |
|
John A Lombardi
100 Spalding Dr Ste 300 |
$36.91 | 16 | 13 |
|
Madhavi Manubolu
1331 W 75Th St Ste 202 |
$49.16 | 17 | 14 |
|
Brinda P Joshi
1020 E Ogden Ave Ste 100 |
$36.24 | 17 | 17 |
|
Nabiha Hashmi
100 Spalding Dr Ste 406 |
$108.25 | 18 | 14 |
|
Karla Dorsey-Johnson
640 S Washington St |
$61.96 | 18 | 13 |
|
Matthew Bernard Siegel
120 Spalding Dr Ste 111 |
$27.08 | 20 | 12 |
|
Vimi Bajaj
640 South Washington St |
$72.97 | 21 | 12 |
|
Amish Kaushik Doshi
1331 W 75Th St Ste 201 |
$69.07 | 23 | 12 |
|
Michael L. Sams
1020 E Ogden Ave Ste 304 |
$41.21 | 24 | 24 |
|
Alan Steven Brown
801 S Washington St |
$63.46 | 24 | 24 |
|
David Hak Kim
100 Spalding Dr Ste 400 |
$36.06 | 25 | 25 |
|
Jimmy Zhu
1331 W 75Th St Ste 101 |
$78.20 | 25 | 25 |
|
Shannon Shi
1335 N Mill St |
$0.00 | 25 | 25 |
|
David Mcelligott
100 Spalding Dr |
$19.00 | 26 | 25 |
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 Naperville, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Naperville, IL is $57.32 per claim, based on 432,516 claims from 344 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 Naperville, IL?
There are 344 Medicaid providers offering Office Visit related services in Naperville, IL according to public payment data.
What is the price range for Office Visit in Naperville, IL?
Medicaid reimbursement for Office Visit in Naperville, IL ranges from $0.00 to $225.98 per claim, with an average of $57.32. 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 Naperville, IL
Speech Therapy
Avg $15.12
292,757 claims
Emergency Room Visit
Avg $61.44
268,142 claims
Blood Work & Lab Tests
Avg $5.35
237,157 claims
Dental Cleaning & Exam
Avg $31.77
178,364 claims
Durable Medical Equipment (DME)
Avg $66.75
97,165 claims
Eye Exam
Avg $30.66
93,900 claims
Physical Therapy
Avg $33.28
88,496 claims
Nursing Facility Care
Avg $13.20
82,800 claims