Based on public Medicaid payment data.

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
Allan M Burke 150 E Willow Ave Ste 100	$40.19	12	12
Jeremy Schmitz 150 E Willow Ave Ste 100	$55.35	12	12
Mathew Suresh Philip 150 E Willow Ave # 100	$10.37	12	12
Steven L Burandt 2001 S Wiesbrook Rd	$74.43	13	12
Abby Lynn Ianakiev 1725 S Naperville Rd Ste 100	$0.00	13	12
Gregory Lucien Fenton 2015 N Main St	$20.80	13	13
Edward Patrick Conrad 199 Town Square	$20.79	15	14
William Patrick Zeller 2001 N Gary Ave	$48.21	16	12
Ancy Zacharia 1800 N Main St	$44.58	18	12
Terry G Voirin 2015 N Main St	$68.51	20	15
Krishna B Patel 2015 N Main St	$38.57	25	25
Dorothy N Jones 2001 S Wiesbrook Rd	$57.72	25	24
Joseph Zillur Rahman 2100 Manchester Rd Ste 1510	$90.27	26	12
Swaramsi Katragadda 26W171 Roosevelt Rd	$54.84	26	26
Robert Kemp 150 E Willow Ave Ste 300	$57.05	27	25
Sapan M Patel 150 E Willow Ave Ste 110	$70.01	29	29
Rosanne J Browne 150 E Willow Ave Ste 300	$55.47	31	26
Lyndon Villasenor 7 Blanchard Circle	$74.13	34	13
Elliott Pae 7 Blanchard Cir	$169.97	37	13
Robert Dean Vacek 26W171 Roosevelt Rd Ste 101	$36.77	39	37
Patrick Michael Mackey 150 E Willow Ave Ste 300	$57.10	42	38
Elizabeth Weintraub 7 Blanchard Cir	$39.73	43	34
Beth E Larson 2001 S Wiesbrook Rd	$63.48	44	40
Susan J Anderson-Nelson 2015 N Main St	$35.60	48	46
Jason M Carter 2001 S Wiesbrook Rd	$67.46	50	49
Frini A. Makadia 2015 N Main St	$20.30	50	50
Kimberly Ann Mulvey 2100 Manchester Rd Ste 1605	$228.86	54	47
Douglas A Ambler 7 Blanchard Cir Ste 206	$71.73	55	36
Kathleen Jane Ryan Schroeder 2001 S Wiesbrook Rd	$56.73	58	53
Lori L Laycock 2001 S Wiesbrook Rd	$60.02	63	57
James Herrmann 199 Town Sq	$27.86	63	54
Bryan Patrick Lamb 26W171 Roosevelt Rd	$24.79	70	64
Jeremy B Wingard 2015 N Main St	$28.61	77	76
Tanya Stann 7 Blanchard Cir Ste 102	$48.68	87	74
Anita Kinga Bednarz 150 E Willow Ave Ste 300	$54.56	94	94
John Pak 2015 N Main St	$29.39	99	86
Elizabeth Ann Giese 150 E Willow Ave Ste 300	$67.58	107	96
Janet A Lee 2015 N Main St	$33.23	109	98
Vikram J Setlur 2015 N Main St	$37.10	113	108
Kimberly Diane Blankshain 2015 N Main St	$32.21	115	106
Ashley Martin 150 E Willow Ave Ste 200	$65.19	117	109
Dejan Rikert 150 E Willow Ave Ste 300	$56.27	118	114
Marie Ellen Corcoran 7 Blanchard Cir	$67.47	129	82
Nathaniel Erick Mcintyre 2015 N Main St	$46.30	134	128
Meagan Frances Alberts 199 Town Sq Ste A	$39.47	134	132
Samuel D Delisi 111 N County Farm Rd	$30.59	145	118
Claire Creed 1725 S Naperville Rd	$73.38	163	132
Siya Huo 2015 N Main St	$33.37	174	165
Julienne N Kebi 1910 E Roosevelt Rd	$74.45	203	185
Stephen C Gieser 2015 N Main St	$28.27	214	213

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.

Average Medicaid Office Visit Payments in Wheaton, IL: $64.98

Providers Offering Office Visit in Wheaton, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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