Average Medicaid Office Visit Payments in South Elgin, IL: $45.60
Avg. Paid
$45.60
Range
$0.38 – $105.84
Total Claims
42,025
Providers
27
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 South Elgin, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen Herre Echsner
486 Randall Rd Unit B |
$100.19 | 15 | 12 |
|
Beena V. Lopez
255 N Mclean Blvd |
$37.38 | 16 | 16 |
|
Desmond Stallworth
486 Randall Rd Unit B |
$105.84 | 24 | 17 |
|
Matthew J Brandon
455 Briargate Dr. |
$68.72 | 25 | 24 |
|
Danielle K Battistoni
530 Randall Rd |
$25.40 | 47 | 45 |
|
Robert E Langman
552 Randall Rd |
$45.87 | 54 | 37 |
|
Natalie Connolly
552 Randall Rd |
$70.34 | 147 | 117 |
|
Teresa Buratczuk
552 Randall Rd |
$34.87 | 170 | 123 |
|
Clark A. Zeddies
455 Briargate Dr Ste 100 |
$46.64 | 212 | 192 |
|
Eric Michael Mallett
486 Randall Rd Unit B |
$53.29 | 282 | 258 |
|
Susan E Hamada
2000 Mcdonald Rd |
$53.30 | 410 | 354 |
|
Colleen Mckeown
255 N Mclean Blvd |
$40.22 | 482 | 448 |
|
Jamilah Okoe
486 Randall Rd Unit B |
$80.15 | 488 | 366 |
|
Rona Wardak
486 Randall Rd Unit B |
$69.36 | 519 | 465 |
|
Colette Marie Matejcak
255 N Mclean Blvd |
$52.35 | 534 | 509 |
|
Kushleen K Dhillon
486 Randall Rd Unit B |
$59.49 | 716 | 572 |
|
Metali Shah
255 N Mclean Blvd |
$11.11 | 981 | 953 |
|
James Anthony Krcik
486 Randall Rd Unit B |
$50.22 | 1,170 | 1,016 |
|
Antonio T. Caceres
472 Briargate Dr Ste 107 |
$53.33 | 1,854 | 1,644 |
|
Ruchi Parikh
2000 Mcdonald Rd Ste 220 |
$56.36 | 1,867 | 1,711 |
|
Gabriela R Leon
486 Randall Rd Unit B |
$57.62 | 2,126 | 2,027 |
|
John Joseph Lanciloti
486 Randall Rd Unit B |
$48.48 | 2,235 | 1,614 |
|
Bonnie L Mcmanus
486 Randall Rd Unit B |
$47.29 | 3,378 | 3,166 |
|
Sathyakiran B Madoori
486 Randall Rd Unit B |
$57.47 | 3,791 | 3,600 |
|
Yong Kang
486 Randall Rd Unit B |
$54.91 | 4,737 | 4,389 |
|
Perniya Masood
472 Briargate Dr |
$0.38 | 6,285 | 4,957 |
|
Jennifer L Schening
107 S Mclean Blvd |
$56.38 | 9,460 | 7,745 |
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 South Elgin, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Elgin, IL is $45.60 per claim, based on 42,025 claims from 27 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 South Elgin, IL?
There are 27 Medicaid providers offering Office Visit related services in South Elgin, IL according to public payment data.
What is the price range for Office Visit in South Elgin, IL?
Medicaid reimbursement for Office Visit in South Elgin, IL ranges from $0.38 to $105.84 per claim, with an average of $45.60. 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 South Elgin, IL
Ultrasound
Avg $70.37
8,684 claims
Ambulance Transport
Avg $1,105
5,872 claims
Dental Cleaning & Exam
Avg $18.36
2,330 claims
Emergency Room Visit
Avg $35.98
2,060 claims
Vaccines & Immunizations
Avg $2.85
1,034 claims
Nursing Facility Care
Avg $22.08
766 claims
Hearing Test (Audiometry)
Avg $0.62
692 claims
Eye Exam
Avg $31.42
568 claims