Average Medicaid Office Visit Payments in River Forest, IL: $51.39
Avg. Paid
$51.39
Range
$0.00 – $171.70
Total Claims
51,506
Providers
30
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 River Forest, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amy Kosnar-Parker
7251 West Lake Street |
$117.36 | 27 | 25 |
|
William J Sarantos
7353 North Ave |
$0.00 | 34 | 30 |
|
Thomas A Mcnally
7411 Lake St Ste 1120 |
$24.89 | 45 | 43 |
|
Patricia Lynn Russell
420 William St |
$79.72 | 49 | 42 |
|
Wendy L Foster
7411 Lake St |
$42.26 | 67 | 57 |
|
Ashley E Reiff
7343 Lake St |
$65.38 | 73 | 72 |
|
Elizabeth Robin Nye
345 Ashland Ave |
$105.40 | 75 | 41 |
|
Nicole Jane Harris
7343 Lake St |
$48.71 | 196 | 114 |
|
Sandesh Kuchipudi
7411 Lake St Ste 1120 |
$45.72 | 228 | 200 |
|
Susan Marie Scherer
7351 North Ave # B |
$171.70 | 255 | 253 |
|
Melanie Durolfo-Chavez
7343 Lake St |
$76.41 | 292 | 279 |
|
Aalok Patel
7411 Lake St Ste 2110 |
$57.87 | 310 | 244 |
|
Kevin P. Cullinane
7411 Lake St |
$36.22 | 415 | 383 |
|
Melissa Coniaris
7343 Lake St |
$54.99 | 601 | 528 |
|
Nichole M Butler-Moo Young
7411 Lake St Ste 1120 |
$45.06 | 999 | 916 |
|
James Patras
7627 West Lake St |
$53.93 | 1,017 | 955 |
|
Xuyang Song
7411 Lake St Ste 2110 |
$49.29 | 1,335 | 1,090 |
|
Melanie R. Jessen
7411 Lake St |
$33.63 | 1,364 | 1,165 |
|
Nicole Z Syed
7411 Lake St Ste 1120 |
$18.10 | 1,861 | 1,346 |
|
Stephanie Wascher
7343 Lake St |
$54.09 | 1,923 | 1,784 |
|
Dhana L Ganesan
7357 North Ave |
$52.46 | 1,928 | 1,875 |
|
Kurt Seamus Carney
7343 Lake St |
$59.62 | 2,435 | 2,241 |
|
Victor M. Romano
7411 Lake St Ste 2110 |
$37.10 | 3,040 | 2,705 |
|
Paul R Abbo
7411 Lake St Ste 1120 |
$42.24 | 3,745 | 3,222 |
|
Sheri Nichole Jakupovic
7343 Lake St |
$57.75 | 3,868 | 3,394 |
|
Rodrigo Lim Farrales
435 William St |
$99.18 | 4,042 | 3,802 |
|
Isoken Koko
7420 W Central |
$32.96 | 4,178 | 3,717 |
|
Daniel G. Torres
7411 Lake St Ste 1120 |
$36.87 | 4,204 | 3,674 |
|
Irene Foley
7343 Lake St |
$52.78 | 4,970 | 4,544 |
|
Guillermo Font
814 Park Ave |
$53.63 | 7,930 | 5,113 |
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 River Forest, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in River Forest, IL is $51.39 per claim, based on 51,506 claims from 30 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 River Forest, IL?
There are 30 Medicaid providers offering Office Visit related services in River Forest, IL according to public payment data.
What is the price range for Office Visit in River Forest, IL?
Medicaid reimbursement for Office Visit in River Forest, IL ranges from $0.00 to $171.70 per claim, with an average of $51.39. 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 River Forest, IL
Ultrasound
Avg $57.59
45,972 claims
Hearing Test (Audiometry)
Avg $12.70
15,492 claims
Nursing Facility Care
Avg $13.71
12,834 claims
Emergency Room Visit
Avg $74.06
4,616 claims
Eye Exam
Avg $25.16
4,205 claims
Urinalysis & Urine Tests
Avg $3.45
2,612 claims
Ambulance Transport
Avg $875.02
2,233 claims
Dialysis
Avg $78.04
1,619 claims