Average Medicaid Office Visit Payments in Palos Hills, IL: $59.16
Avg. Paid
$59.16
Range
$11.25 – $96.26
Total Claims
25,157
Providers
19
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 Palos Hills, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chris Edward Chapman
10330 S Roberts Rd |
$49.12 | 5,361 | 4,614 |
|
Arshad R Papa
10537 S Roberts Rd |
$87.01 | 4,112 | 3,582 |
|
Maya Karam
7620 W 111Th St |
$58.41 | 3,570 | 3,155 |
|
Chandrarekha Kaza
7620 W 111Th St |
$59.74 | 2,685 | 2,331 |
|
Eva Dumasia
7620 W 111Th St |
$70.80 | 2,173 | 1,942 |
|
Andrew G Macri
7620 W 111Th St |
$61.17 | 1,949 | 1,740 |
|
Prasad Gourineni
10330 S Roberts Rd |
$37.15 | 1,605 | 1,404 |
|
Shanta Nair
10537 S Roberts Rd |
$43.08 | 1,399 | 1,000 |
|
Leen Alkhouli
7620 W 111Th St |
$64.11 | 971 | 900 |
|
Sarkis Michael Bedikian
10330 S Roberts Rd |
$15.16 | 471 | 440 |
|
Dadhija Patel
7620 W 111Th St |
$60.26 | 259 | 213 |
|
Adam Foster Meisel
10330 S Roberts Rd |
$23.37 | 163 | 136 |
|
Ryan Braner
10330 S Roberts Rd |
$61.44 | 147 | 143 |
|
Beverlee A Brisbin
10330 S Roberts Rd |
$11.35 | 126 | 101 |
|
Danil Rybalko
10330 S Roberts Rd |
$31.16 | 97 | 76 |
|
Anton Jiries Fakhouri
10330 S Roberts Rd |
$11.25 | 28 | 26 |
|
Gurpal Singh Pannu
10330 S Roberts Rd |
$13.57 | 16 | 15 |
|
Karem Alashwal
7620 W 111Th St |
$90.72 | 13 | 13 |
|
Entessar Abdulla
7620 W 111Th St |
$96.26 | 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 Palos Hills, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Palos Hills, IL is $59.16 per claim, based on 25,157 claims from 19 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 Palos Hills, IL?
There are 19 Medicaid providers offering Office Visit related services in Palos Hills, IL according to public payment data.
What is the price range for Office Visit in Palos Hills, IL?
Medicaid reimbursement for Office Visit in Palos Hills, IL ranges from $11.25 to $96.26 per claim, with an average of $59.16. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Palos Hills, IL
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Avg $94.16
43,740 claims
Ambulance Transport
Avg $357.45
14,995 claims
Case Management Services
Avg $55.61
9,242 claims
Dental Cleaning & Exam
Avg $33.65
9,012 claims
Blood Work & Lab Tests
Avg $6.05
8,229 claims
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Avg $6.36
8,099 claims
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Avg $27.74
3,139 claims
Dental Filling
Avg $80.23
2,643 claims