Average Medicaid Office Visit Payments in Riverside, IL: $42.60
Avg. Paid
$42.60
Range
$1.24 – $78.80
Total Claims
46,881
Providers
17
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 Riverside, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kathleen Mahoney
3722 Harlem Ave Lowr Level-34 |
$72.51 | 14 | 13 |
|
Iryna Serembytsky
366 E Burlington St |
$35.78 | 16 | 16 |
|
Gabriela Isabel Ferrera
3722 Harlem Ave Ste 101 |
$58.33 | 27 | 26 |
|
Joseph M Bresnahan
3722 Harlem Ave |
$72.43 | 34 | 24 |
|
Scott A Seymour
353 E Burlington St |
$2.00 | 41 | 37 |
|
Amit K Srivastava
3722 Harlem Ave |
$54.06 | 48 | 40 |
|
Michael J Hejna
353 E Burlington St |
$2.43 | 114 | 110 |
|
Viraj Dharmraj Chauhan
3722 Harlem Ave |
$42.42 | 161 | 128 |
|
Narges Sedighen Razavizadeh
3722 Harlem Ave |
$43.38 | 318 | 253 |
|
Nicolas S Anderson
353 E Burlington St |
$5.69 | 887 | 706 |
|
Lisa Meraz
3722 Harlem Ave |
$78.80 | 1,004 | 707 |
|
M Tahir Sheikh
7234 Ogden Ave |
$61.38 | 2,896 | 2,446 |
|
Lee David Weiss
7234 West Ogden Avenue |
$66.03 | 4,729 | 3,467 |
|
Syed Rizvi
3722 Harlem Ave Ste 101 |
$56.42 | 5,716 | 5,078 |
|
Tahir Rohail
2910 Harlem Ave |
$60.99 | 6,239 | 5,057 |
|
Raul Cayabyah Tamayo
3722 Harlem Ave |
$54.89 | 12,307 | 10,139 |
|
Cook County
1800 S. Harlem Ave |
$1.24 | 12,330 | 9,384 |
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 Riverside, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Riverside, IL is $42.60 per claim, based on 46,881 claims from 17 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 Riverside, IL?
There are 17 Medicaid providers offering Office Visit related services in Riverside, IL according to public payment data.
What is the price range for Office Visit in Riverside, IL?
Medicaid reimbursement for Office Visit in Riverside, IL ranges from $1.24 to $78.80 per claim, with an average of $42.60. 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 Riverside, IL
Vaccines & Immunizations
Avg $10.22
20,347 claims
Speech Therapy
Avg $26.13
12,397 claims
Emergency Room Visit
Avg $57.41
7,323 claims
Urinalysis & Urine Tests
Avg $2.60
3,318 claims
Non-Emergency Medical Transportation
Avg $16.83
2,308 claims
Physical Therapy
Avg $0.00
946 claims
Psychiatric Evaluation
Avg $123.52
599 claims
Upper Endoscopy (EGD)
Avg $175.89
588 claims