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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sycamore, IL: $37.58

Avg. Paid

$37.58

Range

$0.07 – $144.43

Total Claims

139,903

Providers

92

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 Sycamore, IL

Provider Avg. Paid Claims Patients
Jason Evan Brand

2240 Gateway Dr

$61.81 12 12
Nikita Gandhi

2550 Hauser Ross Drive 325

$26.47 13 13
Taylor Stinnett

2111 Midlands Ct

$90.63 13 13
Nitzet Velez

1850 Gateway Dr

$28.79 13 12
Kathy Ann Anderson

2240 Gateway Dr

$30.82 14 13
Alisha M Wesley

1675 Bethany Rd Ste C

$24.90 15 12
Peter Baum

1850 Gateway Dr

$40.50 21 12
Megan Fish

1850 Gateway Dr Ste 103

$69.06 37 35
Teah Brandt

954 W State St

$41.90 38 37
Alexa Anne Williamson

2496 Dekalb Ave

$46.35 40 40
Daniel Joseph Bade

1850 Gateway Dr Ste 100

$26.34 63 62
Odolina Calderon Pope

954 W State St

$46.22 66 66
Abdul Bilal Khan

1850 Gateway Dr Ste 100

$107.70 68 66
Cheri Lynn Sprietler

954 W State St

$45.86 69 63
Dzejna Mezbur

1630 Gateway Dr

$53.77 70 57
Kristin A Mock

954 West State Street

$57.73 74 68
Brittany Teson

661 S Peace Rd

$55.06 77 72
Tesia Reed

1469 Starfish Ln

$22.75 81 77
Roger Haab

1850 Gateway Dr

$29.09 87 80
Thomas Kirts

1850 Gateway Dr

$68.84 89 39
Elizabeth Allyn Appel

2240 Gateway Dr

$18.33 91 85
Leslie D Doran

1850 Gateway Dr

$15.03 94 84
Margaret Schoolfield

1850 Gateway Dr

$38.40 97 89
Dhara S Patel

1850 Gateway Dr Ste 100

$61.94 99 97
Geraldine Maniago Delos Santos

1850 Gateway Dr Ste 103

$62.04 127 119
Paula M Hobson

1850 Gateway Dr

$43.49 141 125
Lisa D Crutcher

1830 Mediterranean Dr

$49.36 188 103
Keelin Willits

1850 Gateway Dr

$26.45 223 219
Rachel Michelle Johnson

1850 Gateway Dr

$144.43 235 217
Michelle L Gosnell

2540 Hauser Ross Dr

$80.00 238 187
Steven Gregorio Glasgow

2111 Midlands Ct

$35.54 243 211
Jessica R Anderson

165 E Plank Rd

$48.12 245 212
Ricardo Manuel De Oliveira Soares

1850 Gateway Dr

$33.67 259 228
Ezequiel R Mora

954 W State St

$74.79 273 237
Chantal Annette-Van Houten Manhart

1675 Bethany Rd

$70.85 282 249
Michael W Thornton

954 West State Street

$40.92 282 261
Michele Therese Glasgow

2111 Midlands Ct

$31.87 292 263
Zaid Farooq

1850 Gateway Dr Ste 203

$41.93 296 259
Elaine Marie Lawrence

954 W State St

$64.88 308 271
Christina L Andre

1850 Gateway Dr Ste 103

$55.84 319 301
Arlyn Dingel Smith

1850 Gateway Dr

$94.52 405 383
Jacob Stephen

1850 Gateway Dr

$36.34 430 414
Neha Vohra Kaiser

1830 Mediterranean Dr

$54.24 436 428
Rajeev Kumar Jain

2111 Midlands Ct

$29.07 449 374
Angelica Bellisario

1850 Gateway Dr Ste 103

$55.77 461 422
Ketan N Morker

954 W State St

$51.15 571 502
Jessa Mckenzie Leslie

1680 Mediterranean Dr

$63.10 610 518
Tony Jeen Choi

2111 Midlands Ct

$41.65 627 552
Ryan James Taccona

2127 Midlands Ct Unit 203

$40.46 647 600
Ashley Nicole Divine

920 W. Prairie Dr.

$34.06 786 776

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 Sycamore, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sycamore, IL is $37.58 per claim, based on 139,903 claims from 92 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 Sycamore, IL?

There are 92 Medicaid providers offering Office Visit related services in Sycamore, IL according to public payment data.

What is the price range for Office Visit in Sycamore, IL?

Medicaid reimbursement for Office Visit in Sycamore, IL ranges from $0.07 to $144.43 per claim, with an average of $37.58. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Sycamore, IL