Average Medicaid Office Visit Payments in Westchester, IL: $53.09
Avg. Paid
$53.09
Range
$11.73 – $290.59
Total Claims
29,022
Providers
18
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 Westchester, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Muhammad T K Ghani
10031 W Roosevelt Rd Ste 100 |
$56.58 | 11,022 | 7,722 |
|
Edwin James Harris
10540 W Cermak Rd |
$30.46 | 3,854 | 3,184 |
|
Annette M Wagner
2301 Enterprise Drive |
$74.05 | 3,723 | 3,057 |
|
Kevin Joseph Kalafut
2434 Wolf Rd |
$52.99 | 3,332 | 2,967 |
|
Connie E. Zurski
1 Westbrook Corporate Ctr Ste 300 |
$25.21 | 1,766 | 1,529 |
|
Cindy Kay Rubin
1 Westbrook Corporate Ctr Ste 300 |
$51.83 | 1,657 | 1,330 |
|
Samantha Rose Dotson
1 Westbrook Corporate Ctr Ste 300 |
$53.97 | 1,644 | 1,420 |
|
Erin Vaughan
2434 Wolf Rd |
$50.64 | 1,319 | 1,156 |
|
Nicole Boniquit Levy
2450 Wolf Rd |
$48.30 | 164 | 131 |
|
Kathy G Supple
2434 Wolf Rd |
$70.22 | 155 | 133 |
|
Omar A Said
947 S Mannheim Rd |
$11.73 | 110 | 81 |
|
Ivory Rhymes
1 Westbrook Corporate Ctr Ste 300 |
$290.59 | 110 | 102 |
|
Eric Spratford
2434 Wolf Rd |
$61.31 | 73 | 66 |
|
Nicholas Michael Auriemma
2434 Wolf Rd |
$75.84 | 32 | 24 |
|
Sehar Fatima
2434 Wolf Rd |
$92.04 | 18 | 14 |
|
Olga Ulyanova
947 S Mannheim Rd |
$12.88 | 17 | 17 |
|
Yusuf Salah
1513 Norfolk Ave |
$19.85 | 14 | 13 |
|
Francisco Javier Espinosa-Becerra
1 Westbrook Corporate Ctr Ste 800 |
$47.35 | 12 | 12 |
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 Westchester, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Westchester, IL is $53.09 per claim, based on 29,022 claims from 18 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 Westchester, IL?
There are 18 Medicaid providers offering Office Visit related services in Westchester, IL according to public payment data.
What is the price range for Office Visit in Westchester, IL?
Medicaid reimbursement for Office Visit in Westchester, IL ranges from $11.73 to $290.59 per claim, with an average of $53.09. 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 Westchester, IL
Nursing Facility Care
Avg $19.60
74,946 claims
Substance Abuse Treatment
Avg $81.84
7,937 claims
Speech Therapy
Avg $17.70
6,050 claims
Ambulance Transport
Avg $685.03
4,135 claims
Psychiatric Evaluation
Avg $76.20
3,645 claims
Dental Cleaning & Exam
Avg $29.99
2,838 claims
Emergency Room Visit
Avg $50.13
2,208 claims
Allergy Testing
Avg $61.69
1,899 claims