Average Medicaid Office Visit Payments in St Charles, IL: $56.98
Avg. Paid
$56.98
Range
$8.79 – $106.23
Total Claims
81,193
Providers
61
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 St Charles, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hythem P Shadid
2900 Foxfield Rd |
$57.87 | 26,445 | 21,665 |
|
John Howard Perryman
215 S. 4Th Ave |
$45.01 | 6,868 | 6,128 |
|
Zbigniew M Ciechanowski
2020 Dean St |
$68.75 | 4,339 | 3,559 |
|
Thomas Dovidio
3310 W Main St |
$65.21 | 3,473 | 3,079 |
|
William H Kobak
3310 W Main St |
$56.57 | 2,743 | 2,485 |
|
Michael Robert Aulert
2900 Foxfield Rd Ste 100 |
$73.38 | 2,611 | 2,374 |
|
Withman H Haro
3310 W Main St |
$13.32 | 2,402 | 2,308 |
|
Catherine Sabu Thomas
2570 Foxfield Rd |
$57.21 | 2,279 | 1,770 |
|
Jayesh Thakkar
2015 Dean St |
$48.85 | 1,989 | 1,545 |
|
Jennifer L Lew
2310 Dean St |
$75.32 | 1,812 | 1,508 |
|
Ayesha Shaukat
2900 Foxfield Rd Ste 200 |
$74.33 | 1,800 | 1,674 |
|
Tejasi Adavadkar-Gholap
3310 W Main St Ste 100 |
$76.40 | 1,709 | 1,588 |
|
Michael C Rivera
3310 W Main St Ste 100 |
$46.78 | 1,691 | 1,500 |
|
Alyssa Markevicus
5N780 Ravine Dr |
$35.20 | 1,341 | 1,271 |
|
Kevin Philip Wakeman
2900 Foxfield Rd |
$38.47 | 1,190 | 1,089 |
|
Joy O Urubusi
3825 Campton Hills Road |
$51.89 | 1,181 | 646 |
|
James Joseph Sanders
2900 Foxfield Rd |
$69.43 | 1,165 | 818 |
|
Gina K. Song
2455 Dean St |
$63.02 | 948 | 771 |
|
Sreekant Cherukuri
2210 Dean St Ste M |
$75.52 | 829 | 712 |
|
Jennifer J Mathew
3310 W Main St Ste 200 |
$49.46 | 798 | 727 |
|
Amanda B. Wendel
2900 Foxfield Rd Ste 101 |
$58.96 | 787 | 740 |
|
Leticia Gonzalez
3310 W Main St |
$79.74 | 784 | 666 |
|
Cheryl Lynn Upchurch
2325 Dean St Ste 306 |
$106.23 | 756 | 633 |
|
Nilam Bhikhabhai Patel
3310 W Main St Ste 200 |
$46.82 | 737 | 637 |
|
Brittney S Richter
2900 Foxfield Rd Ste 102 |
$32.20 | 727 | 658 |
|
Sarah Hourselt
2900 Foxfield Rd |
$70.89 | 713 | 572 |
|
Bridget Bruce
2900 Foxfield Rd Ste 100 |
$53.37 | 641 | 599 |
|
Adam M Barsella
2900 Foxfield Rd Ste 200 |
$46.35 | 625 | 582 |
|
Nayyara Hameeduddin
3755 E Main St |
$47.69 | 623 | 566 |
|
Tiffany J Kalita
2900 Foxfield Rd Ste 100 |
$71.29 | 550 | 535 |
|
Barbara Decarlo
2015 Dean St Ste 2 |
$50.54 | 522 | 474 |
|
Amy Arellanes
3351 W Main St |
$53.00 | 501 | 401 |
|
Sarah Knighton
2900 Foxfield Rd Ste 100 |
$62.36 | 486 | 450 |
|
Darryl V. Link
3310 W Main St Ste 100 |
$44.88 | 418 | 353 |
|
Fatima M Hadi
455 Dunham Rd Ste 100 |
$88.27 | 385 | 374 |
|
Robert J Calabria
2900 Foxfield Rd |
$62.32 | 378 | 282 |
|
Nicholas J Tapas
2900 Foxfield Rd |
$59.14 | 375 | 293 |
|
Behnoosh Shahrokh
2900 Foxfield Rd Ste 100 |
$44.20 | 259 | 244 |
|
Lauren Elizabeth Frye
2900 Foxfield Rd Ste 100 |
$55.17 | 241 | 217 |
|
Caitlin Rogers
2900 Foxfield Rd |
$50.49 | 241 | 183 |
|
Gunilla Sigrid Carlsson Thorn
2900 Foxfield Rd |
$50.94 | 239 | 222 |
|
Jessica Aman Borst
2900 Foxfield Rd Ste 100 |
$30.97 | 236 | 215 |
|
Hina Siddiqui
3755 E Main St Ste 190 |
$46.10 | 234 | 221 |
|
Ashley Funk
2900 Foxfield Rd Ste 200 |
$43.69 | 233 | 212 |
|
Rhonda Kay Williams
2900 Foxfield Rd |
$72.44 | 215 | 177 |
|
Maria Luciana Holgado-Cocjin
3310 W Main St |
$67.45 | 212 | 195 |
|
Jonathan Wang
2900 Foxfield Rd Ste 102 |
$13.27 | 198 | 198 |
|
Brad Christensen
302 S 14Th St |
$16.95 | 175 | 155 |
|
Mitchell R Halper
2210 Dean St |
$32.05 | 153 | 86 |
|
Autumn E Bernicky
2900 Foxfield Rd Ste 307 |
$70.62 | 142 | 132 |
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 St Charles, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in St Charles, IL is $56.98 per claim, based on 81,193 claims from 61 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 St Charles, IL?
There are 61 Medicaid providers offering Office Visit related services in St Charles, IL according to public payment data.
What is the price range for Office Visit in St Charles, IL?
Medicaid reimbursement for Office Visit in St Charles, IL ranges from $8.79 to $106.23 per claim, with an average of $56.98. 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 St Charles, IL
Physical Therapy
Avg $45.56
214,464 claims
Speech Therapy
Avg $18.99
101,455 claims
Non-Emergency Medical Transportation
Avg $11.52
48,911 claims
Dental Cleaning & Exam
Avg $29.05
43,622 claims
Ambulance Transport
Avg $255.98
14,366 claims
X-Ray
Avg $23.43
11,801 claims
Chiropractic Care
Avg $20.45
10,970 claims
Vaccines & Immunizations
Avg $8.31
10,658 claims