Average Medicaid Office Visit Payments in North Riverside, IL: $49.77
Avg. Paid
$49.77
Range
$0.00 – $84.29
Total Claims
12,241
Providers
15
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 North Riverside, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marc A Freed
8711 W Cermak Rd |
$47.83 | 4,240 | 3,757 |
|
Xochil Galeano
7222 W Cermak Rd Ste 718 |
$54.99 | 2,184 | 1,919 |
|
Mary Ellen Gruszka
8711 W Cermak Rd |
$45.32 | 1,335 | 1,139 |
|
Luis Antonio Osorio
7503 W Cermak Rd |
$56.48 | 1,204 | 1,062 |
|
Daniel W Vittum
1800 Harlem Ave Ste A |
$60.90 | 968 | 845 |
|
Pabbisetty V Ramana
8711 W Cermak Rd |
$42.50 | 871 | 692 |
|
Recia Louise Frenn
1950 Harlem Ave |
$46.97 | 490 | 448 |
|
Marcos Antonio Lopez
9005 W Cermak Rd |
$48.37 | 295 | 240 |
|
Kayla Conrad
8711 W Cermak Rd |
$0.55 | 257 | 249 |
|
Sariya Zain Siddiqi
7222 W Cermak Rd Ste 700 |
$84.29 | 120 | 86 |
|
Kathryn Brady
1950 Harlem Ave |
$60.32 | 98 | 98 |
|
Karen Joan Deighan
1950 Harlem Ave |
$41.53 | 82 | 81 |
|
Claire Elizabeth Pitstick Sanchez
7222 W Cermak Rd Ste 718 |
$70.64 | 65 | 62 |
|
Nancy M Mcdermott
3722 S. Harlem Ave. Ste 202 Ll |
$20.95 | 20 | 16 |
|
Iryna Lyuta
7301 W 25Th St Ste 252 |
$0.00 | 12 | 12 |
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 North Riverside, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Riverside, IL is $49.77 per claim, based on 12,241 claims from 15 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 North Riverside, IL?
There are 15 Medicaid providers offering Office Visit related services in North Riverside, IL according to public payment data.
What is the price range for Office Visit in North Riverside, IL?
Medicaid reimbursement for Office Visit in North Riverside, IL ranges from $0.00 to $84.29 per claim, with an average of $49.77. 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 North Riverside, IL
Dental Cleaning & Exam
Avg $32.33
70,263 claims
Eye Exam
Avg $25.43
29,126 claims
Vaccines & Immunizations
Avg $12.54
10,519 claims
Dental Filling
Avg $57.81
8,191 claims
Ambulance Transport
Avg $490.40
2,951 claims
Tooth Extraction
Avg $52.61
2,073 claims
Speech Therapy
Avg $15.25
1,147 claims
Dental Crown
Avg $260.07
356 claims