Average Medicaid Office Visit Payments in Rockford, IL: $30.80
Avg. Paid
$30.80
Range
$0.00 – $400.00
Total Claims
1,227,594
Providers
556
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 Rockford, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Crusaders Central Clinic Association
1200 W State St |
$0.01 | 258,874 | 217,139 |
|
Crusaders Central Clinic Association
1100 Broadway |
$0.00 | 145,384 | 119,394 |
|
Crusaders Central Clinic Association
1215 N Alpine Rd |
$0.00 | 75,731 | 64,083 |
|
The Board Of Trustees Of The University Of Illinois
1221 E State St |
$0.28 | 30,828 | 26,016 |
|
Aunt Martha'S Health And Wellness
345 Executive Pkwy Ste L1 |
$0.00 | 16,587 | 13,453 |
|
Syed Irfan
2819 Glenwood Ave |
$76.81 | 15,150 | 12,522 |
|
Walid F Abdallah
2300 N Rockton Ave |
$42.27 | 14,077 | 13,913 |
|
Patricia L. Moody
2780 Mcfarland Rd |
$59.68 | 12,694 | 11,083 |
|
Marconi Delegero Deladisma
2300 N Rockton Ave |
$44.13 | 11,733 | 9,499 |
|
Alpa Boshku
6595 E State St |
$51.51 | 11,713 | 9,479 |
|
Syed M Mohiuddin
695 N Perryville Rd |
$44.89 | 11,183 | 10,133 |
|
Jorge L Villacorta
2404 Charles St |
$51.72 | 10,377 | 9,286 |
|
Mohammed Amir Khan
2473 Mcfarland Rd |
$47.79 | 10,020 | 9,145 |
|
Jonathan L. Ferguson
698 Featherstone Rd |
$31.05 | 9,699 | 8,973 |
|
Courtney Brannan
3775 N Mulford Rd |
$43.58 | 9,463 | 8,337 |
|
Luke Herman
2300 N Rockton Ave |
$49.48 | 8,516 | 6,028 |
|
Francis J. Nicolosi
3401 N Perryville Rd |
$44.18 | 8,445 | 7,940 |
|
Bassam Soufan
3401 N Perryville Rd |
$59.82 | 8,215 | 7,624 |
|
Esther Alimboyao Sy
2300 N Rockton Ave |
$53.49 | 7,875 | 7,352 |
|
Renee J Dahm
2300 N Rockton Ave |
$37.63 | 7,854 | 7,290 |
|
Shahina H Jafry
526 W. State Street |
$80.23 | 7,693 | 6,066 |
|
Hugo Salgado
3775 N Mulford Rd |
$49.27 | 7,666 | 7,114 |
|
Mark D. Hornbach
2300 N Rockton Ave |
$63.28 | 7,613 | 6,868 |
|
Florentina Tase
3775 N Mulford Rd |
$41.52 | 7,256 | 6,639 |
|
Misty Lynn Dehaven
1639 N Alpine Rd Ste 260 |
$63.77 | 7,248 | 4,827 |
|
Julie Ann Kafka
2300 N Rockton Ave |
$41.69 | 6,973 | 6,567 |
|
Amy N Ekberg
2473 Mcfarland Rd |
$45.27 | 6,957 | 6,404 |
|
Magdalena Nowak
3401 N Perryville Rd |
$49.50 | 6,841 | 6,366 |
|
Matthew S. Keene
4777 East State Street |
$41.94 | 6,688 | 5,424 |
|
Liping Laura Zhong
3775 N Mulford Rd |
$61.21 | 6,159 | 5,768 |
|
Emily Gawaran
3775 N Mulford Rd |
$39.94 | 6,064 | 5,791 |
|
Lisa Evans
2300 N Rockton Ave |
$70.05 | 5,278 | 4,871 |
|
Mohsin Khan
2350 N Rockton Ave |
$30.88 | 5,054 | 4,604 |
|
Beth A Christiansen
2404 Charles St |
$58.35 | 4,952 | 4,461 |
|
Mali Him
2404 Charles St |
$57.69 | 4,822 | 4,337 |
|
Syed Rafe Zaidi
698 Featherstone Rd |
$54.44 | 4,783 | 4,316 |
|
Tombi Smith
2473 Mcfarland Rd |
$43.04 | 4,697 | 4,141 |
|
Andrzej M Dudas
1221 E State St |
$63.98 | 4,505 | 3,644 |
|
Sameer Ansar
5668 E State St |
$43.13 | 4,332 | 3,940 |
|
Raymond A. Davis
2300 N Rockton Ave |
$50.57 | 4,314 | 3,580 |
|
Tracy Larkins Muhammad
3401 N Perryville Rd |
$54.62 | 4,309 | 3,784 |
|
Sarah M. Beaves
2300 N Rockton Ave |
$54.42 | 4,125 | 3,648 |
|
Lawrence Adrian Freeman
2473 Mcfarland Rd |
$44.74 | 4,099 | 3,749 |
|
Shamshad A. Anjum
1200 W State St |
$28.73 | 4,015 | 3,223 |
|
Fatima T Mohiuddin
1253 N Alpine Rd |
$42.93 | 3,994 | 3,607 |
|
Danielle Jordal
1340 Charles St Ste 300 |
$342.15 | 3,928 | 3,788 |
|
Kenton Lee
3775 N Mulford Rd |
$65.83 | 3,910 | 3,692 |
|
Winnebago County Health Department
555 N Court St. |
$12.25 | 3,860 | 3,238 |
|
Snigdha Volety
2404 Charles St |
$56.44 | 3,835 | 3,405 |
|
Rose M Stocker
2909 N Main St |
$60.87 | 3,778 | 3,266 |
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 Rockford, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rockford, IL is $30.80 per claim, based on 1,227,594 claims from 556 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 Rockford, IL?
There are 556 Medicaid providers offering Office Visit related services in Rockford, IL according to public payment data.
What is the price range for Office Visit in Rockford, IL?
Medicaid reimbursement for Office Visit in Rockford, IL ranges from $0.00 to $400.00 per claim, with an average of $30.80. 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 Rockford, IL
Blood Work & Lab Tests
Avg $4.91
864,122 claims
Dental Cleaning & Exam
Avg $30.40
556,400 claims
X-Ray
Avg $7.26
279,317 claims
Vaccines & Immunizations
Avg $3.11
257,183 claims
Speech Therapy
Avg $17.51
256,309 claims
Urinalysis & Urine Tests
Avg $1.91
245,520 claims
Emergency Room Visit
Avg $69.98
227,177 claims
Substance Abuse Treatment
Avg $77.00
213,322 claims