Average Medicaid Office Visit Payments in Plainfield, IL: $54.66
Avg. Paid
$54.66
Range
$2.88 – $285.18
Total Claims
78,885
Providers
51
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 Plainfield, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Krishna Ravella
24600 W 127Th St |
$90.03 | 25 | 25 |
|
Gina T Gedutis
16519 S Route 59 |
$66.21 | 30 | 24 |
|
Angela Zak
24801 W 135Th St |
$61.07 | 37 | 37 |
|
Joseph Russell
24020 W Riverwalk Ct Ste 102 |
$41.88 | 49 | 38 |
|
Bruce C Corwin
15728 S Route 59 |
$41.69 | 65 | 56 |
|
Samir B Desai
12004 S Route 59 Unit 100 |
$25.69 | 67 | 61 |
|
Krishan Singh
16519 S Rte 59 |
$30.76 | 74 | 53 |
|
Himadri Mahesh Patel
16615 S Route 59 |
$63.02 | 77 | 65 |
|
Hilda Bonsu
24600 W 127Th St |
$128.42 | 85 | 74 |
|
Julie Miaczynski Jones
16519 S Rte 59 |
$62.88 | 86 | 68 |
|
Brooke Michelle Futterer
24016 W Main St |
$17.18 | 88 | 81 |
|
Kalpesh M Patel
12624 S Route 59 |
$64.28 | 99 | 89 |
|
Nancy Elizabeth Bryan
15905 S Frederick St |
$45.98 | 128 | 122 |
|
Donna J. Petko
1808 Great Falls Dr |
$285.18 | 148 | 148 |
|
Craig Kestenberg
24600 W 127Th St |
$76.77 | 170 | 159 |
|
Lilia Protaziuk
16519 S Rte 59 |
$53.10 | 172 | 158 |
|
Yi-Hwa Kim
24600 W 127Th St Ste B100 |
$60.88 | 184 | 169 |
|
Bob William
16519 S Rte 59 |
$64.35 | 209 | 179 |
|
Michael J Martin
24600 W. 127Th St |
$49.54 | 218 | 90 |
|
Maria Elena Perez
15728 S Route 59 |
$70.64 | 226 | 205 |
|
Savitharani Sampath
13415 S Rte 59 |
$43.50 | 240 | 202 |
|
Waldemar Nowak
24600 W 127Th St # 205 |
$59.94 | 273 | 269 |
|
Laura Lopez
4822 Caton Farm Rd |
$45.91 | 283 | 275 |
|
Aabha Beri
16519 S Route 59 Ste D |
$63.80 | 302 | 285 |
|
Arpit Devendra Patel
16519 S Route 59 |
$66.83 | 346 | 317 |
|
Maria Elena Gallegos
15728 S Route 59 |
$69.27 | 394 | 347 |
|
Cherie A Borkorm
1913 Crestview Dr |
$62.64 | 401 | 286 |
|
Soraya Sharfaei
16519 S Route 59 Ste D |
$63.06 | 409 | 365 |
|
Vinayak Dongre
24600 W 127Th St Ste 100 |
$57.32 | 483 | 354 |
|
Phamela B. De Guzman
16519 S Route 59 |
$66.63 | 493 | 448 |
|
Ankit Desai
15905 S Frederick St Ste 105 |
$41.62 | 503 | 457 |
|
Caitlin Cheney
16519 S Route 59 |
$46.46 | 606 | 574 |
|
Ausra Simmert
16519 S Route 59 Ste 1 |
$68.54 | 606 | 550 |
|
Dalius Kedainis
16519 S Route 59 Ste D |
$64.09 | 1,040 | 886 |
|
Fayeza Mohammed
24600 W 127Th St Ste B100 |
$49.64 | 1,044 | 952 |
|
Muhammad Nouman Azhar
14953 S Van Dyke Rd |
$118.15 | 1,282 | 1,138 |
|
Valeria Gates
3004 Harborside Ct |
$43.19 | 1,334 | 1,212 |
|
Caroline Ruth Paull
16519 S Rte 59 Ste B |
$53.13 | 1,984 | 1,567 |
|
Andrew Joseph Michalowitz
24600 W. 127Th St |
$38.13 | 2,156 | 2,006 |
|
Ashraf A. Iskander
2320 S Route 59 |
$48.62 | 2,579 | 1,659 |
|
Sarah Therese Mcguire
14953 S Van Dyke Rd |
$2.88 | 2,773 | 2,560 |
|
Ryan Fitzgerald
16615 S Route 59 |
$64.07 | 3,780 | 2,734 |
|
Mahwesh Javed
16615 S Rte 59 |
$73.99 | 3,910 | 3,296 |
|
Gina Wilkins
24600 W 127Th St |
$31.97 | 3,953 | 2,318 |
|
Teresa Pecherek-Rogers
24012 W Renwick Rd |
$48.85 | 4,119 | 3,381 |
|
Sanjay Pethkar
13415 S Route 59 |
$50.09 | 5,319 | 4,485 |
|
Maureen Ochoa Dela Cruz
13415 S Route 59 |
$54.96 | 5,733 | 4,896 |
|
Gabriel Lemus
13415 S Route 59 |
$53.13 | 6,161 | 5,297 |
|
Anjali Kher
13415 S Route 59 |
$47.29 | 7,819 | 6,756 |
|
Vipuli E Jayesinghe
16615 S Rte 59 |
$61.09 | 8,032 | 6,956 |
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 Plainfield, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plainfield, IL is $54.66 per claim, based on 78,885 claims from 51 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 Plainfield, IL?
There are 51 Medicaid providers offering Office Visit related services in Plainfield, IL according to public payment data.
What is the price range for Office Visit in Plainfield, IL?
Medicaid reimbursement for Office Visit in Plainfield, IL ranges from $2.88 to $285.18 per claim, with an average of $54.66. 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 Plainfield, IL
Physical Therapy
Avg $24.24
162,643 claims
Speech Therapy
Avg $23.32
153,898 claims
Non-Emergency Medical Transportation
Avg $18.26
66,777 claims
Nursing Facility Care
Avg $15.38
26,211 claims
Dental Cleaning & Exam
Avg $31.40
22,006 claims
X-Ray
Avg $4.63
14,414 claims
Eye Exam
Avg $27.53
9,606 claims
Psychiatric Evaluation
Avg $62.96
7,303 claims