Average Medicaid Office Visit Payments in Niles, IL: $40.33
Avg. Paid
$40.33
Range
$0.01 – $235.84
Total Claims
80,874
Providers
46
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 Niles, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sung Youn Kim
8500 W Golf Rd |
$39.23 | 13 | 12 |
|
Alla Pasman
220 Golf Mill Ctr |
$61.25 | 13 | 12 |
|
Mary L Pryka
8915 W Golf Rd |
$2.02 | 14 | 12 |
|
Susan G Brown
8915 W Golf Rd |
$32.68 | 18 | 15 |
|
Abraham Kuruvilla
8333 W Maynard Rd |
$35.49 | 19 | 12 |
|
Marina Makovetskaia
8816 W Dempster St |
$27.54 | 19 | 13 |
|
Peter John Sargon
7900 N Milwaukee Ave Ste 19 |
$72.19 | 58 | 58 |
|
Asif M Lakha
7900 N Milwaukee Ave |
$50.59 | 91 | 90 |
|
David Hakimian
8915 W Golf Rd |
$26.35 | 109 | 91 |
|
Andrzej Wojewoda
7042 N Milwaukee Ave |
$0.72 | 113 | 95 |
|
Ahmed Khattab
7900 N Milwaukee Ave Ste 19 |
$142.52 | 116 | 110 |
|
Camelia Denisia Pop
6450 W Touhy Ave |
$34.37 | 117 | 104 |
|
Paul Park
7421 N Milwaukee Ave |
$41.87 | 120 | 97 |
|
Prasanna Saraswathi Nair
6450 W. Touhy Ave. |
$62.19 | 121 | 105 |
|
Tiffany Pacocha
9640 N Milwaukee Ave |
$12.35 | 158 | 149 |
|
Christopher Banna
7225 N Caldwell Ave |
$32.76 | 195 | 183 |
|
Leonard M Klein
8915 W Golf Rd |
$42.74 | 199 | 129 |
|
Renata Maria Jankowska
7900 N Milwaukee Ave |
$12.10 | 245 | 239 |
|
Sana Amlani
8915 W Golf Rd |
$40.28 | 278 | 250 |
|
Jeffrey Theodore Brasky
7900 N Milwaukee Ave Ste 19 |
$60.74 | 347 | 325 |
|
Samir Arvind Kakodkar
7900 N Milwaukee Ave Ste 19 |
$72.68 | 352 | 330 |
|
John W Eklund
8915 W Golf Rd |
$23.66 | 356 | 299 |
|
Edward E Hernaez
7124 W Touhy Ave |
$51.14 | 378 | 333 |
|
Guntippar S Pratumngern
7255 N Caldwell Ave |
$41.49 | 400 | 358 |
|
Vijeta Reddy Pamudurthy
7900 N Milwaukee Ave Ste 19 |
$67.32 | 440 | 431 |
|
Raymon Najib Zaya
6450 W. Touhy Ave. 2Nd Floor |
$51.14 | 576 | 506 |
|
Yevgeny Bulbin
7800 N Milwaukee Ave Ste 103 |
$32.14 | 903 | 746 |
|
Nida B Blankas Hernaez
241 Golf Mill Center |
$64.80 | 926 | 760 |
|
Kenneth I Oriordan
7900 Milwaukee Ave |
$37.48 | 1,298 | 1,180 |
|
Noorain Akhtar
6450 W Touhy Ave Fl 2 |
$65.50 | 1,388 | 1,241 |
|
Dean Kravis
9101 N Greenwood Ave |
$26.85 | 1,390 | 1,239 |
|
Bella Zarubinsky
8937 W Golf Rd |
$21.27 | 1,509 | 1,379 |
|
Veronica Kacherova
239 Golf Mill Ctr |
$31.24 | 2,091 | 1,798 |
|
Maria Andreea Bordeianu
7800 N Milwaukee Ave |
$43.45 | 2,154 | 1,763 |
|
Kirill Zhadovich
7900 N Milwaukee Ave |
$54.04 | 2,465 | 2,047 |
|
Annette Fontanez
7900 N Milwaukee Ave Ste 18 |
$235.84 | 2,598 | 2,497 |
|
Kyung S Kim
241 Golf Mill Ctr |
$48.31 | 2,670 | 2,298 |
|
Sarah Yoon
6631 N Milwaukee Ave |
$29.83 | 2,963 | 2,766 |
|
Kyong Christopher Oh
241 Golf Mill Ctr Ste 508 |
$47.09 | 4,237 | 3,347 |
|
Paul Anthony Santangelo
8145 N Milwaukee Ave |
$16.54 | 4,411 | 3,869 |
|
John Oh
241 Golf Mill Ctr |
$22.15 | 4,522 | 4,097 |
|
Elzbieta Lojewski
7900 N Milwaukee Ave |
$61.36 | 4,627 | 4,122 |
|
Amira Abraham
8118N Milwaukee Ave |
$56.74 | 4,705 | 4,267 |
|
Charles S Brikha
8118 N Milwaukee Ave |
$33.14 | 9,181 | 8,578 |
|
Olena Gordon
8937 W Golf Rd |
$41.19 | 9,335 | 8,178 |
|
Asian Human Services Family Health Center, Inc
8321 W Golf Rd |
$0.01 | 12,636 | 10,021 |
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 Niles, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Niles, IL is $40.33 per claim, based on 80,874 claims from 46 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 Niles, IL?
There are 46 Medicaid providers offering Office Visit related services in Niles, IL according to public payment data.
What is the price range for Office Visit in Niles, IL?
Medicaid reimbursement for Office Visit in Niles, IL ranges from $0.01 to $235.84 per claim, with an average of $40.33. 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 Niles, IL
Blood Work & Lab Tests
Avg $7.02
376,298 claims
Eye Exam
Avg $30.16
119,492 claims
Physical Therapy
Avg $48.85
55,057 claims
Dental Cleaning & Exam
Avg $32.05
54,427 claims
Urinalysis & Urine Tests
Avg $2.31
44,391 claims
Speech Therapy
Avg $37.07
30,223 claims
Podiatry (Foot Care)
Avg $5.39
25,221 claims
Nursing Facility Care
Avg $11.22
18,746 claims