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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wilmette, IL: $58.89

Avg. Paid

$58.89

Range

$12.99 – $129.44

Total Claims

24,457

Providers

33

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 Wilmette, IL

Provider Avg. Paid Claims Patients
Liborka Kos

3232 Lake Ave

 $66.29 6,069 5,661
Paul Kuder

328 Linden Ave

 $52.77 3,200 2,397
Jacqueline Delia Welter

3232 Lake Ave Ste 330

 $59.84 3,069 2,773
Hani Jacob Saleh

328 Linden Ave

 $69.77 2,274 1,713
Robert Stanley Rosen

3201 Old Glenview Rd Ste 130

 $19.77 2,044 1,922
Allen M Chernoff

3201 Old Glenview Rd

 $24.09 1,680 1,508
Gerta S Janss

711 11Th St

 $38.33 1,040 951
Scott M Bolton

3232 Lake Ave Ste 330

 $80.81 876 842
Miroslaw Jan Walo

1010 Central Ave Unit 4A

 $129.44 809 702
Deborah Hope Matek

736 11Th St

 $100.29 750 561
Aleksandar Radovic

3207 Lake Ave

 $40.13 491 457
Neil Edward Soifer

2336 Meadow Dr S

 $40.04 405 388
Jana Mechurova

1625 Sheridan Rd Ste A

 $60.19 398 380
Katelyn Anne Dato-On

3232 Lake Ave Ste 330

 $76.57 238 233
Nathan Douglas Holliday

3131 Lake Ave Unit C

 $40.82 206 200
Neil R Friedman

3201 Old Glenview Rd

 $29.77 175 156
Sarah B Mathias

3232 Lake Ave

 $79.17 96 96
Pamela J. Goodwin

328 Linden Ave

 $98.33 93 47
Samra Khalid

328 Linden Ave

 $116.26 91 62
Rachel Loth

328 Linden Ave

 $117.05 77 61
Sabrina My Lin

3232 Lake Ave Ste 330

 $78.15 66 65
Rajesh Jindal

1921 Lake Ave Ste A

 $63.83 57 50
Gaye Desiree Koconis

328 Linden Ave

 $95.47 43 40
Sapna Kansal Mukherjee

3232 Lake Ave Ste 330

 $54.47 40 40
Mary Morgan Snediker

1625 Sheridan Rd

 $79.20 33 27
Shoshana Elkin Waskow

1144 Wilmette Ave

 $75.30 28 24
Sunder Vinodkumar

500 Lavergne Ave

 $39.60 27 12
Angela Niezgoda

328 Linden Ave

 $103.61 15 15
Mary Mckensie Murphy

328 Linden Ave

 $116.58 15 13
Sukaina Hasnie

3232 Lake Ave Ste 330

 $57.01 14 14
Debora J Lesnick

328 Linden Ave

 $109.26 13 13
Ajay Kailas

401 Linden Ave

 $55.78 13 12
John T Leyland

3201 Old Glenview Rd Ste 130

 $12.99 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 Wilmette, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wilmette, IL is $58.89 per claim, based on 24,457 claims from 33 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 Wilmette, IL?

There are 33 Medicaid providers offering Office Visit related services in Wilmette, IL according to public payment data.

What is the price range for Office Visit in Wilmette, IL?

Medicaid reimbursement for Office Visit in Wilmette, IL ranges from $12.99 to $129.44 per claim, with an average of $58.89. 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 Wilmette, IL

Dental Cleaning & Exam

Avg $33.57

12,397 claims

Speech Therapy

Avg $74.49

5,957 claims

Psychiatric Evaluation

Avg $48.56

4,695 claims

Dialysis

Avg $71.65

3,176 claims

Emergency Room Visit

Avg $133.25

2,966 claims

Urinalysis & Urine Tests

Avg $2.89

2,878 claims

Nursing Facility Care

Avg $28.33

2,687 claims

Physical Therapy

Avg $45.05

1,837 claims