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 |
|---|---|---|---|
|
Jihad Izzat Shoshara
636 Raymond Dr |
$48.93 | 31,113 | 26,003 |
|
Jerome O. Gronli
636 Raymond Dr Ste 205 |
$61.48 | 17,750 | 14,746 |
|
Reda Kilani
640 S Washington St |
$60.47 | 17,021 | 13,174 |
|
Mark Joseph Brinkman
636 Raymond Drive |
$46.86 | 17,000 | 15,335 |
|
James Joseph Daly
1601 Bond St |
$80.99 | 13,426 | 9,949 |
|
Nithya Sunder
636 Raymond Drive |
$64.73 | 10,573 | 9,103 |
|
Sofia Shakir
636 Raymond Dr |
$61.01 | 10,142 | 8,871 |
|
Julian H Tang
636 Raymond Dr |
$64.61 | 10,120 | 8,663 |
|
Mohammed Tajammul Hussain
1280 Iroquois Ave Ste 300 |
$45.01 | 9,880 | 6,152 |
|
Tara Elizabeth Doman
636 Raymond Dr |
$64.20 | 9,733 | 8,115 |
|
Krishna Nagendran
801 S Washington St Fl 4 |
$29.00 | 9,243 | 8,304 |
|
Laura Marie Uselding
636 Raymond Dr |
$68.83 | 8,780 | 7,143 |
|
Fouzia Muhammedkarim
535 Fairway Dr |
$71.02 | 7,579 | 6,450 |
|
Lisa Martin
636 Raymond Dr |
$58.96 | 7,519 | 6,327 |
|
Nancy Thomas Thomas
636 Raymond Drive |
$60.68 | 7,242 | 6,168 |
|
Tara Shenoy
636 Raymond Dr Ste 205 |
$65.73 | 7,199 | 6,162 |
|
Rebecca Kathryn Smeraglinolo
636 Raymond Dr |
$60.58 | 6,820 | 5,814 |
|
Felix Obregon
1971 Gowdey Rd Ste 205 |
$40.46 | 6,007 | 5,146 |
|
Ryan Alberts
10 Martin Ave Ste 200 |
$57.10 | 5,813 | 2,948 |
|
Shelly Vaziri Flais
636 Raymond Dr |
$67.37 | 5,576 | 4,939 |
|
Kimberly Fauke Kakooza
1804 N Naper Blvd |
$55.68 | 5,501 | 5,016 |
|
Gokila Pillai
636 Raymond Dr Ste 205 |
$64.36 | 5,398 | 4,636 |
|
Sumin Shah
1012 95Th St |
$64.88 | 5,146 | 4,378 |
|
Rakesh Marwaha
640 S Washington St |
$28.21 | 4,690 | 3,902 |
|
Alexander Michael Lawson
24024 Brancaster Dr |
$46.80 | 4,278 | 3,379 |
|
Kevin Gerard Masterson
1335 N Mill St Ste 100 |
$92.00 | 4,277 | 3,519 |
|
Akta Sehgal Kakodkar
1948 Three Farms Ave |
$78.41 | 3,910 | 3,299 |
|
Janet Marie Nielsen
1160 E Ogden Ave Ste 106 |
$45.37 | 3,906 | 3,405 |
|
Sheela R. Mahendra
120 Spalding Dr Ste 411 |
$74.88 | 3,779 | 3,465 |
|
Patricia Deskovich
63 W 87Th St |
$56.83 | 3,543 | 2,568 |
|
Sindhu V Perumal
808 Rickert Dr Ste 103 |
$45.67 | 3,452 | 3,184 |
|
Shahariar H Saikh
1220 Hobson Rd Ste 204 |
$52.53 | 3,369 | 3,008 |
|
Juliana Nwauwa
2948 Artesian Rd Ste 112 |
$63.79 | 3,066 | 2,394 |
|
Mary Connolly
1220 Hobson Rd |
$47.58 | 3,040 | 2,741 |
|
Virginia Vandover Kash
636 Raymond Dr |
$61.53 | 2,979 | 2,670 |
|
Jennifer Marie Hemmelgarn
1220 Hobson Rd |
$48.23 | 2,942 | 2,698 |
|
Melissa Nicoletta Toulios
1032 E Ogden Ave |
$50.75 | 2,829 | 2,474 |
|
Katheryn Venezia
1299 E Ogden Ave |
$19.72 | 2,780 | 2,498 |
|
Sandeep Narayan Gaonkar
1560 Wall St Ste 304 |
$104.09 | 2,735 | 2,204 |
|
Jigarkumar Thakkar
1309 Macom Dr Ste 101 |
$56.54 | 2,696 | 2,467 |
|
Michelle E Andreoli
636 Raymond Dr Ste 300 |
$56.95 | 2,601 | 2,448 |
|
Zaineb Shazia Qayyum
1331 W 75Th St Ste 202 |
$65.32 | 2,562 | 2,066 |
|
Melissa Welch
1335 N Mill St Ste 100 |
$88.00 | 2,482 | 2,019 |
|
Saba Chaudhry
636 Raymond Dr Ste 107 |
$37.81 | 2,454 | 2,215 |
|
Lubna S Madani
808 Rickert Dr Ste 103 |
$29.34 | 2,421 | 2,188 |
|
Erica Collette Jannisch
636 Raymond Dr |
$73.79 | 2,384 | 2,129 |
|
Jayasri Dasar Raju
1508 Aurora Ave |
$59.67 | 2,383 | 2,036 |
|
Lina Bourjas
636 Raymond Dr Ste 205 |
$58.83 | 2,094 | 1,532 |
|
Michelle Dela Pena
1560 Wall St Ste 304 |
$43.31 | 2,066 | 1,871 |
|
Naila Khurshid
640 S Washington St |
$60.12 | 2,046 | 1,733 |
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