Average Medicaid Office Visit Payments in Rochelle, IL: $58.37
Avg. Paid
$58.37
Range
$11.19 – $159.89
Total Claims
26,539
Providers
21
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 Rochelle, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jillian Renea Kaskavage
380 E Il Route 38 |
$52.55 | 4,469 | 4,002 |
|
Sushmita Nallamothu Prathipati
510 Lincoln Hwy |
$45.49 | 3,799 | 3,440 |
|
Basith Mahmood Osmani
1219 Currency Ct |
$69.82 | 3,234 | 2,288 |
|
Mahubah Abdallah
326 Lake Lida Ln |
$45.63 | 2,927 | 2,593 |
|
Daramis Toribio
380 E Il Route 38 |
$58.33 | 2,650 | 2,321 |
|
Katherine Jean Coulter
380 E Il Route 38 |
$58.30 | 2,113 | 1,858 |
|
Amanda Perez-Garcia
380 E Il Route 38 |
$49.59 | 2,006 | 1,806 |
|
Christine M Gorman
900 N 2Nd St |
$59.24 | 1,071 | 965 |
|
Diana Thiara
1030 Calvin Rd |
$159.89 | 983 | 954 |
|
Suzanne Lara Holland
900 N 2Nd St |
$46.68 | 941 | 882 |
|
Patricia M Adamski
1212 Currency Court |
$57.32 | 730 | 604 |
|
Philip Low Salstrom
380 E Il Route 38 |
$82.41 | 694 | 459 |
|
Kendall Vogeler
900 N 2Nd St |
$50.02 | 386 | 351 |
|
Nancy Sue Williams
900 N 2Nd St Ste 200 |
$26.14 | 234 | 204 |
|
Laurie Whelchel
900 N 2Nd St |
$60.30 | 101 | 93 |
|
Jason C Popp
900 N 2Nd St |
$63.44 | 97 | 87 |
|
Surjit Thiara
915 N Caron Rd |
$39.62 | 31 | 25 |
|
Debra Hysell
314 Lincoln Hwy |
$33.07 | 29 | 25 |
|
Marddi Jean Rahn
900 N 2Nd St |
$39.90 | 17 | 17 |
|
Marilyn R Balch
900 N 2Nd St |
$38.03 | 14 | 13 |
|
Michael J. Monfils
1181 N 8Th St |
$11.19 | 13 | 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 Rochelle, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rochelle, IL is $58.37 per claim, based on 26,539 claims from 21 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 Rochelle, IL?
There are 21 Medicaid providers offering Office Visit related services in Rochelle, IL according to public payment data.
What is the price range for Office Visit in Rochelle, IL?
Medicaid reimbursement for Office Visit in Rochelle, IL ranges from $11.19 to $159.89 per claim, with an average of $58.37. 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 Rochelle, IL
Speech Therapy
Avg $8.51
8,528 claims
Ambulance Transport
Avg $271.90
7,297 claims
Vaccines & Immunizations
Avg $13.27
4,673 claims
Physical Therapy
Avg $161.84
3,316 claims
Non-Emergency Medical Transportation
Avg $15.25
3,315 claims
Emergency Room Visit
Avg $53.23
3,079 claims
Dental Cleaning & Exam
Avg $31.74
2,966 claims
Nursing Facility Care
Avg $16.48
1,815 claims