Average Medicaid Office Visit Payments in Wheaton, IL: $64.98
Avg. Paid
$64.98
Range
$0.00 – $228.86
Total Claims
116,180
Providers
122
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 Wheaton, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ketan Mahendra Shah
111 N County Farm Rd |
$81.74 | 10,720 | 8,440 |
|
Tara Krisch
111 N County Farm Rd |
$93.54 | 9,970 | 7,496 |
|
Kavita Shah
111 N County Farm Rd |
$87.56 | 6,646 | 5,172 |
|
Harold Tacuboy
111 N County Farm Rd |
$53.66 | 5,966 | 4,070 |
|
Roy Joseph Betti
2001 N Gary Ave |
$65.03 | 5,105 | 4,063 |
|
Stephen John Graber
1800 N Main St Ste 102 |
$0.29 | 3,830 | 3,376 |
|
Uzair Misbahuddin Syed
7 Blanchard Cir Ste 102 |
$49.75 | 2,913 | 2,756 |
|
Malini Patel
111 N County Farm Rd |
$84.69 | 2,831 | 1,889 |
|
William Carl Harenburg
2001 N Gary Ave Ste 100 |
$77.15 | 2,745 | 2,410 |
|
Joy Castrovillari
2001 N Gary Ave |
$60.85 | 2,691 | 2,064 |
|
Sarahbeth Lynch Medick
111 N County Farm Rd |
$113.48 | 2,686 | 2,407 |
|
Huizi Yin
2015 N Main St |
$60.95 | 2,684 | 2,534 |
|
Hemamaheswari Govindarajan
7 Blanchard Cir Ste 102 |
$50.68 | 2,608 | 2,532 |
|
Kelly D. Laurenti
2015 N Main St |
$64.65 | 2,343 | 2,188 |
|
Elizabeth Medina Cox
7 Blanchard Cir |
$48.71 | 2,309 | 2,022 |
|
Marni Harris Tahvilian
2015 N Main St |
$48.39 | 2,300 | 1,958 |
|
Sabrina Hasin Zubair
2001 N Gary Ave Ste 110 |
$64.22 | 2,221 | 2,059 |
|
Kai B Kang
2015 N Main St |
$69.28 | 2,173 | 1,877 |
|
Marla J Bagge
525 W Madison Ave |
$45.53 | 2,004 | 1,560 |
|
Shruti A Fadia
2001 N Gary Ave Ste 240 |
$57.19 | 1,792 | 1,571 |
|
Peter Ihor Liber
55 E Loop Rd |
$70.90 | 1,763 | 1,439 |
|
Shireen H Khan
150 E Willow Ave Ste 100 |
$63.74 | 1,676 | 1,595 |
|
Kim J Gehle
2001 N Gary Ave Ste 100 |
$61.31 | 1,654 | 1,493 |
|
James R Yanke
7 Blanchard Cir Ste 102 |
$31.89 | 1,644 | 1,566 |
|
Mary Keen
26W171 Roosevelt Rd |
$50.78 | 1,567 | 1,415 |
|
Maria Ilic
7 Blanchard Cir Ste 102 |
$44.44 | 1,472 | 1,383 |
|
Diane Kouretas
7 Blanchard Cir Ste 102 |
$77.90 | 1,456 | 1,362 |
|
Adam David Stein
7 Blanchard Cir Ste 202 |
$48.33 | 1,226 | 1,125 |
|
Imari Paresh Patel
2001 N Gary Ave Ste 110 |
$71.56 | 1,196 | 956 |
|
Sonika Anand
140 East Loop Road |
$49.67 | 1,019 | 905 |
|
Jane Elizabeth Larsen
7 Blanchard Cir |
$64.12 | 1,007 | 786 |
|
Kathleen Marie Bock
1800 N Main St Ste 102 |
$55.23 | 923 | 864 |
|
Jasmine Marie Walton
7 Blanchard Cir Ste 102 |
$55.94 | 899 | 825 |
|
Emma Cabusao
1725 S Naperville Rd |
$71.73 | 897 | 797 |
|
Ute Lohrmann Monson
2001 N Gary Ave Ste 100 |
$71.87 | 876 | 825 |
|
Bernard Baylon Salvador
7 Blanchard Cir |
$68.23 | 874 | 740 |
|
Jennifer Chung
1800 N Main St Ste 100 |
$103.10 | 787 | 522 |
|
David Paul Hockett
7 Blanchard Cir |
$50.63 | 759 | 652 |
|
Firas Y Rafati
26W171 Roosevelt Rd |
$16.30 | 732 | 665 |
|
Edward Sung
2015 N Main St |
$29.00 | 592 | 582 |
|
Sonalee Jaya Ravi
2001 N Gary Ave Ste 240 |
$90.54 | 580 | 572 |
|
Ellen Elizabeth Wojciak
115 N County Farm Rd |
$103.64 | 569 | 342 |
|
Christopher G Santi
2001 S Wiesbrook Rd |
$64.94 | 563 | 506 |
|
Michael A Kipp
2015 N Main St |
$64.09 | 539 | 477 |
|
Nadia Khan
7 Blanchard Cir |
$66.40 | 527 | 361 |
|
Winston Sequeira
7 Blanchard Cir |
$39.77 | 521 | 491 |
|
Alexandra Josephine Rzepka
1800 N Main St Ste 100 |
$61.57 | 520 | 453 |
|
Saaquib R Bakhsh
2015 N Main St |
$81.00 | 512 | 396 |
|
Eveline Faith Tan
2001 S Wiesbrook Rd |
$25.93 | 488 | 441 |
|
Noha S Ekdawi
2015 N Main St |
$63.89 | 473 | 422 |
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 Wheaton, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wheaton, IL is $64.98 per claim, based on 116,180 claims from 122 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 Wheaton, IL?
There are 122 Medicaid providers offering Office Visit related services in Wheaton, IL according to public payment data.
What is the price range for Office Visit in Wheaton, IL?
Medicaid reimbursement for Office Visit in Wheaton, IL ranges from $0.00 to $228.86 per claim, with an average of $64.98. 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 Wheaton, IL
Case Management Services
Avg $44.68
84,532 claims
Substance Abuse Treatment
Avg $91.96
83,769 claims
Eye Exam
Avg $27.53
65,372 claims
Speech Therapy
Avg $18.59
64,291 claims
Behavioral & Mental Health Therapy
Avg $88.43
57,648 claims
Dental Cleaning & Exam
Avg $31.72
31,715 claims
Physical Therapy
Avg $47.12
30,874 claims
Non-Emergency Medical Transportation
Avg $28.70
21,575 claims