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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Altoona, WI: $31.75

Avg. Paid

$31.75

Range

$6.38 – $67.79

Total Claims

27,378

Providers

32

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 Altoona, WI

Provider Avg. Paid Claims Patients
Ryan J Donegan

1200 Oakleaf Way Ste A

 $25.80 7,796 4,499
Robert Joseph Defatta

1490 Rivers Edge Trail

 $29.24 2,929 2,613
Eric Francis Caporusso

1200 Oakleaf Way

 $20.33 2,184 1,679
Chanrachna Ladin

3119 Woodman Dr

 $46.92 1,973 1,871
Kayla G Hertenstein

3040 Meadowlark Ln Ste 2

 $45.50 1,583 1,382
Heather Conn

3040 Meadowlark Ln Ste 2

 $40.41 1,327 1,248
Patrick Lyndon Brauer

1490 Rivers Edge Trl

 $67.79 1,195 1,114
John C Berschback

1200 Oakleaf Way

 $26.77 1,130 905
Shawna Rose Mess

1200 Oakleaf Way Ste A

 $23.12 1,047 814
Rima Abraham Defatta

1490 Rivers Edge Trl

 $20.10 812 733
Laura Ann Smith

3085 Meadowlark Ln Ste 20

 $35.70 784 696
Jens Brown

3119 Woodman Dr

 $48.05 633 574
Kirsten Elise Kern

1490 Rivers Edge Trl

 $32.31 631 539
Austin J Crow

1200 Oakleaf Way

 $21.06 438 346
Carol Sue Carlson

1200 Oakleaf Way Ste A

 $23.16 340 246
Mark A Mccarthy

1200 Oakleaf Way Ste A

 $25.65 300 231
Berkin Olcay Ulgen

3119 Woodman Dr

 $39.42 299 256
Steven Long

3085 Meadowlark Ln

 $29.52 288 259
Brent Dixon Carlson

1200 Oakleaf Way

 $17.64 259 197
Troy Lyman Berg

1200 Oakleaf Way

 $24.02 258 197
Lia Pender

3119 Woodman Dr

 $27.38 226 187
Rebecca Rae Biasi

3040 Meadowlark Ln Ste 2

 $38.67 198 165
Nathaniel James Stewart

1200 Oakleaf Way

 $18.11 157 114
Albert J Cecchini

3119 Woodman Dr

 $43.78 128 115
Evan John Peissig

1200 Oakleaf Way Ste A

 $23.75 126 100
Nathan Hoadley Harris

1200 Oakleaf Way Ste A

 $20.65 101 74
Elise Jane Jensen

1200 Oakleaf Way

 $33.76 91 82
Kamal Thapar

1200 Oakleaf Way

 $7.17 43 28
Annette B Caporusso

1200 Oakleaf Way

 $14.70 41 25
Jeremy C Alderfer

3119 Woodman Dr

 $45.72 29 26
Jose Abran Padilla

1200 Oakleaf Way

 $6.38 19 12
Natalee Z Frie

3063 Meadowlark Ln Ste 10

 $47.73 13 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 Altoona, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Altoona, WI is $31.75 per claim, based on 27,378 claims from 32 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 Altoona, WI?

There are 32 Medicaid providers offering Office Visit related services in Altoona, WI according to public payment data.

What is the price range for Office Visit in Altoona, WI?

Medicaid reimbursement for Office Visit in Altoona, WI ranges from $6.38 to $67.79 per claim, with an average of $31.75. 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 Altoona, WI

Personal Care Services

Avg $12.38

21,077 claims

Speech Therapy

Avg $11.54

19,937 claims

Durable Medical Equipment (DME)

Avg $28.76

19,091 claims

Prescription Medications

Avg $0.00

10,278 claims

Non-Emergency Medical Transportation

Avg $23.65

7,236 claims

Physical Therapy

Avg $16.08

5,569 claims

Dental Cleaning & Exam

Avg $4.36

5,531 claims

Podiatry (Foot Care)

Avg $6.56

4,039 claims