Average Medicaid Office Visit Payments in Zion, IL: $27.49
Avg. Paid
$27.49
Range
$0.11 – $108.37
Total Claims
83,585
Providers
27
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 Zion, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Lake
1911 27Th St |
$0.11 | 27,123 | 22,132 |
|
Mauliben Patel
2606 Elisha Ave |
$22.09 | 17,449 | 13,961 |
|
Uday K Paul
2723 Sheridan Rd Ste C |
$59.12 | 7,559 | 4,858 |
|
Lizel Ann Granada
2723 Sheridan Road |
$49.98 | 7,220 | 4,919 |
|
Pedro Palu-Ay
2606 Elisha Ave |
$42.54 | 7,218 | 5,727 |
|
Kristen Marie Hilburger
2520 Elisha Ave |
$26.32 | 4,156 | 3,851 |
|
Gopal N Bhalala
2024 Lewis Ave |
$49.78 | 2,210 | 1,933 |
|
Harsha Kaza
3115 Lewis Ave |
$25.58 | 2,056 | 1,843 |
|
Jessica H. Partyka
2520 Elisha Avenue |
$66.24 | 1,584 | 1,194 |
|
Aleksandra Besterfeldt
2534 Elim Ave |
$72.19 | 1,469 | 1,317 |
|
Teja Poosarla
2520 Elisha Avenue |
$90.53 | 1,023 | 795 |
|
Ajaz M. Khan
Cancer Treatment Centers Of America |
$31.97 | 883 | 732 |
|
Ryan H. Engel
Cancer Treatment Centers Of America |
$30.14 | 841 | 717 |
|
Dennis E Mccreary
3115 Lewis Ave |
$58.55 | 682 | 623 |
|
Tulio E Rodriguez
2520 Elisha Avenue |
$53.73 | 611 | 405 |
|
Wallis Olivia Edwards
2723 Sheridan Rd Ste C |
$63.77 | 370 | 346 |
|
Mohanad Joudeh
2520 Elisha Ave |
$54.90 | 344 | 287 |
|
Neil Curtis Dunavin
2520 Elisha Ave |
$108.37 | 304 | 235 |
|
Elisa A Demet
Cancer Treatment Centers Of America |
$24.80 | 222 | 193 |
|
Jane Vaysberg
2520 Elisha Avenue |
$39.09 | 54 | 49 |
|
Guy Torres
2520 Elisha Ave |
$83.37 | 49 | 49 |
|
Timothy C Skalitzky
Cancer Treatment Centers Of America |
$19.24 | 47 | 38 |
|
Evan Philip Pisick
2520 Elisha Avenue |
$68.47 | 40 | 30 |
|
Ashwin Murigeppa Sheelvanth
2520 Elisha Ave |
$43.66 | 29 | 27 |
|
Kumar Gaurav
Cancer Treatment Centers Of America |
$28.43 | 16 | 13 |
|
Kenny L Fritz
2625 Elisha Ave |
$6.62 | 14 | 13 |
|
Crisciel Hidalgo
2520 Elisha Ave |
$12.51 | 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 Zion, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Zion, IL is $27.49 per claim, based on 83,585 claims from 27 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 Zion, IL?
There are 27 Medicaid providers offering Office Visit related services in Zion, IL according to public payment data.
What is the price range for Office Visit in Zion, IL?
Medicaid reimbursement for Office Visit in Zion, IL ranges from $0.11 to $108.37 per claim, with an average of $27.49. 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 Zion, IL
Vaccines & Immunizations
Avg $1.02
53,518 claims
Nursing Facility Care
Avg $20.03
19,305 claims
Non-Emergency Medical Transportation
Avg $21.80
15,972 claims
Speech Therapy
Avg $15.32
15,545 claims
Ambulance Transport
Avg $528.96
14,380 claims
Blood Work & Lab Tests
Avg $9.32
7,617 claims
Substance Abuse Treatment
Avg $70.22
7,334 claims
Physical Therapy
Avg $17.45
5,725 claims