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 |
|---|---|---|---|
|
Douglas Paul Roegner
351 Executive Pkwy |
$23.81 | 12 | 12 |
|
Haneen Abdalhadi
6861 Villagreen Vw |
$107.80 | 12 | 12 |
|
Mercy Abunaw
2222 E State St Ste 209 |
$104.44 | 12 | 12 |
|
Jason J Klovning
1340 Charles St Ste 100 |
$35.56 | 12 | 12 |
|
Wendy Demler
6830 Villagreen Vw |
$0.00 | 12 | 12 |
|
Jan Pawel Skowronski
444 Roxbury Road |
$17.38 | 12 | 12 |
|
Jeffrey S. Earhart
324 Roxbury Rd |
$15.51 | 12 | 12 |
|
Kelly D Rosenberger
1221 E State St |
$183.05 | 12 | 12 |
|
Stephanie Michelle Gile
612 Roxbury Rd |
$26.03 | 12 | 12 |
|
Jack W Lenox
1235 N Mulford Rd |
$75.55 | 12 | 12 |
|
Katherine Anne Schlesinger
5668 E State St Ste 1000 |
$43.62 | 13 | 12 |
|
Kavitha Subramanian
698 Featherstone Rd |
$25.25 | 13 | 13 |
|
Victoria Z Mccoy
5668 E State St |
$16.21 | 13 | 12 |
|
Jon R. Monkemeyer
5970 Churchview Dr |
$47.40 | 13 | 12 |
|
Michael Mckee
444 Roxbury Rd |
$33.18 | 13 | 13 |
|
William Robert Edwards
3535 N Bell School Rd |
$22.20 | 13 | 12 |
|
Preeti A Devnani
1401 E State St |
$82.16 | 13 | 12 |
|
Richard Anthony Valadez
351 Executive Pkwy |
$32.39 | 13 | 13 |
|
Tracy C Brito
3401 N Perryville Rd |
$21.96 | 14 | 14 |
|
Nicholas Charles Alfano
1340 Charles St |
$50.39 | 14 | 14 |
|
Todd David Alexander
5875 E Riverside Blvd |
$12.38 | 14 | 14 |
|
Nicole Van Maren
345 Executive Pkwy Ste M4 |
$29.18 | 14 | 14 |
|
Angeline L Brechlin
1415 E State St |
$16.62 | 14 | 13 |
|
Lisa A. Larson
2601 N Main St |
$52.42 | 14 | 14 |
|
Angela Marie Hawkins
8201 E. Riverside Blvd |
$73.62 | 14 | 14 |
|
Olynda Barbara Mileon-Etuk
1200 W State St |
$10.71 | 14 | 13 |
|
Sandy Meade
1639 N Alpine Rd Ste 260 |
$14.45 | 15 | 14 |
|
Eugene Alfano Silva
444 Roxbury Road |
$4.61 | 15 | 12 |
|
Joshua Paul Roach
8201 E Riverside Blvd |
$28.66 | 15 | 12 |
|
Molly C Grosvenor
2300 N Rockton Ave |
$67.28 | 15 | 15 |
|
Jaime Lynne King
695 N Perryville Rd |
$26.58 | 16 | 12 |
|
Michelle Anna Barrett
6000 E State St Ste 1 |
$22.54 | 17 | 17 |
|
Meredith Brawley
3505 N Bell School Rd |
$33.76 | 19 | 13 |
|
Ronke' Alisha Battie
4215 Newburg Rd |
$0.00 | 21 | 21 |
|
Elisha Jamyce Robinson
2509 Mandrake Dr |
$67.22 | 23 | 13 |
|
Lindsay Wohrley
6785 Weaver Rd |
$15.03 | 24 | 24 |
|
Nabil David Baddour
401 Roxbury Rd |
$52.00 | 24 | 24 |
|
Melissa Yvonne Macias
1340 Charles St Ste 400 |
$43.12 | 24 | 24 |
|
Jasmine Lopez
6430 E State St |
$90.81 | 24 | 12 |
|
Eric D Coy
7200 Harrison Ave |
$59.04 | 25 | 24 |
|
Martin Edward Gryfinski
1340 Charles St |
$26.90 | 25 | 24 |
|
Michael J Kikta
1728 Red Oak Ln |
$24.48 | 26 | 24 |
|
Prasad K. Kilaru
2350 N Rockton Ave |
$11.44 | 26 | 25 |
|
Amie Gandhi
1200 W State St Fl 2 |
$33.29 | 26 | 26 |
|
Clinton T Snedegar
401 Roxbury Rd |
$57.40 | 26 | 26 |
|
Sarah E Hagarty
7117 Crimson Ridge Dr Ste 3 |
$58.28 | 26 | 25 |
|
Gail Marie Marich
5666 E State St |
$39.58 | 27 | 24 |
|
Ronald B Foran
444 Roxbury Rd |
$56.88 | 28 | 26 |
|
Matilda Marta Abu-Saba
5970 Churchview Dr |
$54.80 | 28 | 24 |
|
Kristine Louise Kadolph Benavides
4215 Newburg Rd |
$400.00 | 28 | 28 |
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