Average Medicaid Office Visit Payments in Wauconda, IL: $54.08
Avg. Paid
$54.08
Range
$38.77 – $86.12
Total Claims
389,992
Providers
31
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 Wauconda, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lisabeth N. Morrisroe
431 W Liberty St |
$60.15 | 126 | 75 |
|
Tabitha Jenell Gardner
431 W Liberty St |
$42.21 | 150 | 132 |
|
Megan Copeland
431 W Liberty St |
$60.54 | 175 | 168 |
|
Rebecca Joy Westrate
224 Brown St Ste A |
$41.56 | 182 | 151 |
|
Courtney Anne Schmidt
431 W Liberty St |
$57.71 | 527 | 327 |
|
Warren G Kruckmeyer
224 Brown St |
$63.92 | 610 | 514 |
|
Courtney Joy Marescalco
431 W Liberty St |
$38.77 | 806 | 723 |
|
Davinder K Dhillon
431 W Liberty St |
$86.12 | 969 | 875 |
|
Amanda A Lefeve
431 W Liberty St |
$71.63 | 1,202 | 1,004 |
|
Ileana A Schropp
431 W Liberty St |
$76.86 | 1,231 | 1,104 |
|
Anthony Cipolla
224 Brown St Ste A |
$70.11 | 1,420 | 1,221 |
|
Karen Anne Fermin Violago
431 W Liberty St |
$55.55 | 1,441 | 920 |
|
Hazel Acacio
431 W Liberty St |
$72.58 | 1,459 | 1,188 |
|
Beth Ann Kirby
431 W Liberty St |
$52.50 | 1,657 | 1,147 |
|
Melissa Pinney
431 W Liberty St |
$69.07 | 1,741 | 1,434 |
|
Rose Henry Mariette Eboh
431 W Liberty St |
$76.64 | 1,750 | 1,597 |
|
Isabella Losurdo
431 W Liberty St |
$47.39 | 2,091 | 1,566 |
|
Kerry J Ehlert-Donovan
431 W Liberty St |
$64.78 | 2,314 | 1,914 |
|
Michele R Frese
431 W Liberty St |
$51.87 | 3,600 | 2,832 |
|
Marguerite Ann Kuthe
431 W Liberty St |
$52.26 | 4,499 | 3,587 |
|
Kristine M Redmond
431 W Liberty St |
$56.30 | 6,582 | 6,105 |
|
Nneka Osude
431 W Liberty St |
$50.93 | 6,816 | 5,803 |
|
Nicole Wagner
431 W Liberty St |
$72.84 | 7,451 | 6,567 |
|
Richard John Abais Villaceran
431 W Liberty St |
$63.44 | 10,547 | 8,073 |
|
Rebecca Lambo
431 W Liberty St |
$54.69 | 10,655 | 8,453 |
|
Corrie Mcmahon
431 W Liberty St |
$56.90 | 13,130 | 9,816 |
|
Erika Johnson
431 W Liberty St |
$50.69 | 13,408 | 11,354 |
|
Michelle Naurecki
431 W Liberty St |
$58.72 | 13,517 | 11,549 |
|
Mallory Iverson
431 W Liberty St |
$57.56 | 13,954 | 11,195 |
|
David J Alengo
431 W Liberty St |
$51.60 | 50,277 | 37,649 |
|
Jennifer M Bellucci Jackson
431 W Liberty St |
$52.24 | 215,705 | 157,398 |
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 Wauconda, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wauconda, IL is $54.08 per claim, based on 389,992 claims from 31 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 Wauconda, IL?
There are 31 Medicaid providers offering Office Visit related services in Wauconda, IL according to public payment data.
What is the price range for Office Visit in Wauconda, IL?
Medicaid reimbursement for Office Visit in Wauconda, IL ranges from $38.77 to $86.12 per claim, with an average of $54.08. 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 Wauconda, IL
Blood Work & Lab Tests
Avg $5.55
53,752 claims
Vaccines & Immunizations
Avg $9.73
37,214 claims
Durable Medical Equipment (DME)
Avg $50.37
25,966 claims
Urinalysis & Urine Tests
Avg $3.25
21,829 claims
Non-Emergency Medical Transportation
Avg $29.71
9,104 claims
Nursing Facility Care
Avg $21.27
8,405 claims
Ambulance Transport
Avg $583.55
6,136 claims
Speech Therapy
Avg $11.01
4,750 claims