Average Medicaid Office Visit Payments in Wheeling, IL: $44.24
Avg. Paid
$44.24
Range
$0.00 – $72.79
Total Claims
195,586
Providers
19
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 Wheeling, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anthony Spitz
505 N Wolf Rd |
$0.00 | 12 | 12 |
|
Michael S Michaels
92 S. Milwaukee Ave |
$0.00 | 16 | 16 |
|
Asha M Patel
427 Commanche Trl |
$34.13 | 94 | 73 |
|
Maria E Gonzalez
794 W Dundee Rd |
$33.19 | 390 | 307 |
|
Yevgeny Eugene Tarasov
201 E Strong St |
$72.79 | 487 | 400 |
|
Paul Potach
31 West Dundee |
$33.55 | 504 | 456 |
|
Rustam Safarov
10 N Milwaukee Ave |
$49.19 | 866 | 774 |
|
Simon Donets
77 S Milwaukee Ave |
$20.21 | 2,550 | 2,242 |
|
Greater Family Health
300 Mchenry Rd |
$0.01 | 4,409 | 2,991 |
|
Slawomir Urgacz
201 E Strong St Ste 3 |
$45.92 | 10,780 | 8,534 |
|
Michael G Tsinman
1344 Horizon Trl |
$25.14 | 11,247 | 8,238 |
|
Yakov Ryabov
505 N Wolf Rd |
$46.27 | 12,185 | 10,575 |
|
Helen Plavnik
201 E Strong St Ste 3 |
$37.72 | 12,391 | 9,950 |
|
Miroslawa A Kuder
325 N Milwaukee Ave Unit Ef |
$47.33 | 13,665 | 10,824 |
|
Lila Dana Elman
1111 W Dundee Rd |
$54.20 | 15,294 | 12,196 |
|
Tatiana Scolin
201 E Strong St |
$47.92 | 19,153 | 15,133 |
|
Jorge E Brunelle
52 N Wolf Rd |
$53.84 | 19,308 | 15,468 |
|
Veronika V Kroin
201 E Strong St |
$42.99 | 35,381 | 28,946 |
|
Boris Lelchuk
201 E Strong St |
$46.85 | 36,854 | 28,997 |
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 Wheeling, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wheeling, IL is $44.24 per claim, based on 195,586 claims from 19 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 Wheeling, IL?
There are 19 Medicaid providers offering Office Visit related services in Wheeling, IL according to public payment data.
What is the price range for Office Visit in Wheeling, IL?
Medicaid reimbursement for Office Visit in Wheeling, IL ranges from $0.00 to $72.79 per claim, with an average of $44.24. 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 Wheeling, IL
Dental Cleaning & Exam
Avg $32.70
91,425 claims
Blood Work & Lab Tests
Avg $7.90
59,758 claims
Vaccines & Immunizations
Avg $13.22
43,066 claims
Speech Therapy
Avg $24.23
35,701 claims
Substance Abuse Treatment
Avg $91.79
28,282 claims
Urinalysis & Urine Tests
Avg $2.42
27,697 claims
Home Health Visit
Avg $35.52
23,251 claims
Hearing Test (Audiometry)
Avg $14.80
20,998 claims