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 |
|---|---|---|---|
|
Greater Family Health
165 E Plank Rd |
$0.07 | 30,292 | 16,243 |
|
Shakeel Ahmad
1850 Gateway Dr |
$50.21 | 5,309 | 4,025 |
|
Natalie Sgarlata
1850 Gateway Dr Ste 204 |
$56.60 | 5,258 | 4,687 |
|
David Sui
1850 Gateway Dr |
$70.15 | 5,117 | 3,796 |
|
Mardjan Foroutan
2111 Midlands Ct |
$74.88 | 4,633 | 2,816 |
|
David Phillips
1850 Gateway Dr |
$48.87 | 4,350 | 2,495 |
|
Imran H Kazmi
1850 Gateway Dr |
$42.01 | 3,875 | 3,178 |
|
Thomas Dennison
1850 Gateway Dr |
$47.84 | 3,734 | 2,759 |
|
Prasanth Bobby Katta
2111 Midlands Ct |
$51.78 | 3,590 | 3,098 |
|
Susan K Mueller
661 S Peace Rd |
$44.39 | 3,401 | 2,993 |
|
Heidi J Beckstrom
1850 Gateway Dr Ste 100 |
$53.15 | 3,254 | 3,105 |
|
Wendell R Malalis
1850 Gateway Dr |
$41.84 | 3,127 | 2,830 |
|
Ibrahim S Alghafeer
2111 Midlands Ct |
$41.10 | 3,052 | 2,872 |
|
Joseph C Dearie
1850 Gateway Dr |
$56.21 | 2,786 | 2,653 |
|
Bhavisha Patel
1850 Gateway Dr |
$72.68 | 2,723 | 2,402 |
|
Ryan Michael Kenny
2111 Midlands Ct |
$35.19 | 2,687 | 2,236 |
|
Pramod N Patel
1850 Gateway Dr |
$22.51 | 2,678 | 2,282 |
|
Ilaxi Patel
1850 Gateway Dr |
$43.85 | 2,677 | 2,413 |
|
Shane Myles York
2111 Midlands Ct |
$26.67 | 2,618 | 2,323 |
|
Inderjit Kaur Gill
1850 Gateway Dr |
$48.09 | 2,522 | 2,408 |
|
Joseph M Scianna
2127 Midlands Ct |
$46.29 | 2,508 | 2,308 |
|
James Michael Matheu
1830 Mediterranean Dr |
$50.35 | 2,403 | 1,922 |
|
Marcin Jungiewicz
1850 Gateway Dr Ste 103 |
$46.33 | 2,167 | 1,943 |
|
Asad Shah
2560 Hauser Ross Dr |
$15.88 | 1,836 | 1,658 |
|
Kristina Elizabeth Stibitz
1850 Gateway Dr |
$57.31 | 1,682 | 1,571 |
|
Dhaval N Thakkar
1850 Gateway Dr |
$24.49 | 1,656 | 1,503 |
|
Paul H Nguyen
2550 Hauser Ross Drive |
$22.56 | 1,654 | 1,512 |
|
Winston D Rajendram
1850 Gateway Dr |
$61.11 | 1,583 | 1,430 |
|
Jacinthe Ventura Malalis
2111 Midlands Ct |
$38.32 | 1,504 | 1,385 |
|
Andi Marie Rivers
1850 Gateway Dr |
$43.60 | 1,487 | 1,241 |
|
Suzanne Cook
1850 Gateway Dr |
$43.99 | 1,408 | 1,228 |
|
Linda Ann Myers
760 Foxpointe Dr |
$61.08 | 1,374 | 827 |
|
Andrew James Hornung
1850 Gateway Dr |
$44.88 | 1,337 | 1,240 |
|
Teresa Kay Farris
1850 Gateway Drive |
$17.20 | 1,218 | 664 |
|
Manav K Salwan
2540 Hauser Ross Dr |
$14.59 | 1,116 | 965 |
|
Jennifer Tarvestad
1850 Gateway Dr |
$44.33 | 1,089 | 982 |
|
Mujahid Mohammad Hussain
1850 Gateway Dr |
$39.26 | 1,037 | 972 |
|
Thomas S Dwyer
2111 Midlands Ct |
$17.41 | 1,000 | 868 |
|
Katelyn Marie Vandermast
1850 Gateway Dr Ste 201 |
$86.78 | 935 | 710 |
|
Urmi Sheth
1850 Gateway Dr |
$55.71 | 895 | 767 |
|
Debra A Rasmussen
1850 Gateway Dr |
$45.47 | 825 | 592 |
|
Russell Jeffrey Bodner
2111 Midlands Ct |
$27.19 | 792 | 704 |
|
Ashley Nicole Divine
920 W. Prairie Dr. |
$34.06 | 786 | 776 |
|
Ryan James Taccona
2127 Midlands Ct Unit 203 |
$40.46 | 647 | 600 |
|
Tony Jeen Choi
2111 Midlands Ct |
$41.65 | 627 | 552 |
|
Jessa Mckenzie Leslie
1680 Mediterranean Dr |
$63.10 | 610 | 518 |
|
Ketan N Morker
954 W State St |
$51.15 | 571 | 502 |
|
Angelica Bellisario
1850 Gateway Dr Ste 103 |
$55.77 | 461 | 422 |
|
Rajeev Kumar Jain
2111 Midlands Ct |
$29.07 | 449 | 374 |
|
Neha Vohra Kaiser
1830 Mediterranean Dr |
$54.24 | 436 | 428 |
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
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 Sycamore, IL
Speech Therapy
Avg $19.19
86,616 claims
Vaccines & Immunizations
Avg $5.70
40,171 claims
Eye Exam
Avg $31.05
25,888 claims
Home Health Visit
Avg $56.04
19,052 claims
Emergency Room Visit
Avg $60.53
16,288 claims
Physical Therapy
Avg $28.51
12,655 claims
Nursing Facility Care
Avg $11.52
10,555 claims
Psychiatric Evaluation
Avg $58.39
9,889 claims