Average Medicaid Office Visit Payments in Oswego, IL: $47.39
Avg. Paid
$47.39
Range
$15.57 – $86.24
Total Claims
20,145
Providers
24
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 Oswego, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paul D Granoff
4789 Route 71 |
$45.67 | 13 | 13 |
|
Alan Summers
80 Templeton Dr |
$79.64 | 15 | 15 |
|
Catherine Chu
80 Templeton Dr |
$35.96 | 25 | 24 |
|
Jaison Panicker
2300 Us Highway 34 |
$35.66 | 29 | 29 |
|
Danielle Hyatt
4789 Route 71 |
$66.42 | 87 | 83 |
|
Joyce K Lo
4509 Route 71 |
$36.40 | 128 | 96 |
|
Yolanda Chenoweth
83 Templeton Dr Ste C |
$41.38 | 143 | 142 |
|
Minaxi H Vora
415 Frankfort Ave |
$56.70 | 156 | 120 |
|
Parul Bhatt
4789 Route 71 |
$54.46 | 191 | 185 |
|
Ryan Daniel Kent
74 W Washington St |
$15.57 | 198 | 193 |
|
Bryan Richard Sweeney
80 Templeton Dr |
$86.24 | 228 | 82 |
|
Ronald S. Weingart
2075 Wiesbrook Drive |
$26.54 | 285 | 210 |
|
Sharon Christy
6701 Us Highway 34 |
$63.37 | 504 | 462 |
|
Debarati Banerji Bose
6701 Us Highway 34 |
$63.00 | 618 | 576 |
|
Kristen Joanne Olszewski
4789 Route 71 |
$46.98 | 875 | 839 |
|
Nicole Therese Marks
4789 Route 71 |
$32.31 | 923 | 879 |
|
Jennifer L Kurka
4789 Route 71 |
$46.20 | 970 | 858 |
|
Nicole Christine Keller
4789 Route 71 |
$46.20 | 983 | 904 |
|
Cassia Victoria Zarzuela
4789 Route 71 |
$50.34 | 1,088 | 984 |
|
Moreen L Butterworth
4789 Route 71 |
$48.72 | 1,239 | 1,127 |
|
Patricia Nichole Jackson
6701 Us Highway 34 |
$49.62 | 1,488 | 1,345 |
|
Wendy Greep
4789 Route 71 |
$41.17 | 1,581 | 1,497 |
|
Vincent Botta
80 Templeton Dr |
$46.71 | 2,910 | 2,550 |
|
Christine Elizabeth Kowalewski
4789 Route 71 |
$48.08 | 5,468 | 4,934 |
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 Oswego, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oswego, IL is $47.39 per claim, based on 20,145 claims from 24 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 Oswego, IL?
There are 24 Medicaid providers offering Office Visit related services in Oswego, IL according to public payment data.
What is the price range for Office Visit in Oswego, IL?
Medicaid reimbursement for Office Visit in Oswego, IL ranges from $15.57 to $86.24 per claim, with an average of $47.39. 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 Oswego, IL
Speech Therapy
Avg $15.80
192,618 claims
Non-Emergency Medical Transportation
Avg $12.42
77,404 claims
Home Health Visit
Avg $9.14
73,411 claims
Eye Exam
Avg $33.50
45,486 claims
Ambulance Transport
Avg $127.27
20,277 claims
Physical Therapy
Avg $11.81
18,743 claims
Psychiatric Evaluation
Avg $99.33
9,118 claims
Hearing Test (Audiometry)
Avg $6.54
7,606 claims