Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Appleton, WI: $33.88

Avg. Paid

$33.88

Range

$0.00 – $150.50

Total Claims

465,504

Providers

458

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 Appleton, WI

Provider	Avg. Paid	Claims	Patients
Stacy Mielke 2500 E Capitol Dr # 2600	$16.65	12	12
Kathryn M Meyer 1531 S Madison St	$24.22	12	12
Kimberly J Seeger Langlais 2575 E Evergreen Drive	$105.92	12	12
Christine R Weibel 1506 S Oneida St	$30.85	12	12
Casey R Schoenberger 1818 N Meade St	$45.79	12	12
Shayna Stoop 1818 N Meade St	$15.17	12	12
Pa Kou Vang Thao 508 W Wisconsin Ave	$55.69	12	12
Benjamin R Reineking 1314 W College Ave Ste 6	$11.95	13	12
Deborah A Ihde 2500 E Capitol Dr	$20.34	13	12
Glenn Richard Huth 5045 W Grande Market Dr	$16.53	13	12
Amanda Wallace 1531 S Madison St Fl 3	$56.05	13	13
Joseph Patrick Cullen 2323 N Casaloma Dr	$19.70	13	12
Ariel L Stilp 2000 E Milestone Dr	$12.35	13	12
Hillary Marie Keeler 5045 W Grande Market Dr	$13.31	13	12
Leonard Leveille 4480 W Spencer St	$29.69	13	12
Jessica L Sabel 1818 N Meade St	$17.89	13	13
Ann Elizabeth Dettlaff 720 W. Association Dr.	$45.44	14	14
Sreedevi Sreenarasimhaiah 2501 E Enterprise Ave	$26.10	14	12
Rishi Subbarayan 2000 E Milestone Dr	$24.45	14	12
Jon J Cherney 2323 N Casaloma Dr	$43.26	14	12
Paul D Nelsen 2600 S Heritage Woods Dr	$22.47	14	14
Alexander Spencer Tretinyak 1818 N Meade St	$33.75	14	13
Mohamed Ragab Zakarya 1506 S Oneida St Ste 484	$2.14	14	12
Bryan A Avery 1506 S Oneida St	$20.25	14	12
Randy D Readling 320 S Walnut St	$108.69	14	12
Molly J Rasmussen Peeters 1818 N Meade St	$10.38	14	13
Pamela R Lewis 1506 S Oneida St	$23.77	14	12
Jennifer Ashley Anderson 2400 E Capitol Dr	$47.20	15	15
Cornelia B Masak 1818 N Meade St	$21.41	15	12
Boyd C Lumsden 2323 N Casaloma Dr	$40.38	15	12
Stefanie Thiel 2500 E Capitol Dr Ste 2600	$9.24	15	13
Leah Ebben 2500 E Capitol Dr	$17.15	15	15
Michael John Van Abel 3916 N Intertech Ct	$0.00	15	12
Samantha J Fox 1818 N Meade St	$34.55	15	15
Michael J Ziegele 2400 E Capitol Dr	$10.78	15	13
Jena Rae Wilhelmi 247 S Nicolet Rd	$47.49	16	13
Michael Anthony Roegner 5320 W Michaels Dr	$58.55	16	15
Shea Horton 3232 N Ballard Rd Ste 202	$44.83	16	16
Cheryl E Christensen 2500 E Capitol Dr	$23.73	16	14
Alyssa Mader 2500 E Capitol Dr	$33.72	16	12
Heather Books 820 E Grant St	$19.04	16	14
Alison Pelger 3916 North Intertech Court	$20.07	16	14
Lisa M Grothe 1818 N Meade St	$26.84	17	16
Thomas G Hoeft 1531 S Madison St	$27.35	17	15
Kate M Myers 2500 E Capitol Dr Ste 1700	$33.85	18	16
Robyn W Lauritsen 2575 E Evergreen Dr	$45.55	18	15
Mark G Adorjan W3124 Van Roy Rd	$26.15	18	14
Steven L Kagen 100 W Lawrence St	$19.70	18	12
Nicole Katherine Luehring 2500 E Capitol Dr	$55.17	21	21
Linda K Onson 1506 S Oneida St	$24.45	21	15

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 Appleton, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Appleton, WI is $33.88 per claim, based on 465,504 claims from 458 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 Appleton, WI?

There are 458 Medicaid providers offering Office Visit related services in Appleton, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Appleton, WI ranges from $0.00 to $150.50 per claim, with an average of $33.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Appleton, WI: $33.88

Providers Offering Office Visit in Appleton, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

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Non-Emergency Medical Transportation

Psychiatric Evaluation