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 |
|---|---|---|---|
|
Ascension Ne Wisconsin, Inc
1506 S Oneida St |
$49.20 | 13,219 | 9,692 |
|
Dean Smith
1531 S Madison St |
$27.65 | 12,366 | 11,215 |
|
Santi Budiasih
2701 E Enterprise Ave |
$41.70 | 9,501 | 8,169 |
|
Mark T. Rovick
444 N Westhill Blvd |
$34.13 | 8,312 | 7,437 |
|
Lisa M. Engelhardt
444 N Westhill Blvd |
$26.57 | 7,354 | 6,248 |
|
Janelle J. Jensen
444 N Westhill Blvd |
$29.97 | 7,248 | 6,553 |
|
Jeremy G Gardner
1506 S Oneida St |
$43.40 | 6,382 | 5,813 |
|
Planned Parenthood Of Wisconsin
508 W Wisconsin Ave |
$35.02 | 5,862 | 5,549 |
|
Rebecca L Fabisch
2500 E Capitol Dr |
$32.03 | 5,771 | 3,606 |
|
Beth A Boehnlein
444 N Westhill Blvd |
$20.42 | 5,605 | 4,971 |
|
Todd L Mcniesh
2500 E Capitol Dr Ste 1200 |
$42.05 | 5,550 | 5,232 |
|
Kelli Heindel
2500 E Capitol Dr |
$32.88 | 5,407 | 5,028 |
|
Lance A Grammont
3925 N Gateway Dr |
$30.04 | 5,194 | 4,714 |
|
Stephen J Marquis
1506 S Oneida St |
$42.18 | 4,773 | 4,166 |
|
Jessica E Gorenc
3329 N Richmond St |
$33.29 | 4,666 | 4,175 |
|
John Paul Steinlage
Chc Of Wisconsin |
$30.82 | 4,534 | 4,060 |
|
Hillary Herman
1506 S Oneida St Fl 5 |
$42.28 | 4,455 | 3,972 |
|
Jorge Y Darwich
2701 E Enterprise Ave |
$38.41 | 4,263 | 3,878 |
|
Cynthia Frances Susedik
3925 N Gateway Dr |
$32.37 | 4,256 | 3,843 |
|
Brittany E Goodrich-Braun
3925 N Gateway Dr |
$26.66 | 4,247 | 3,855 |
|
Toni Jo Biese Neal
118 North Durkee Street |
$7.96 | 4,129 | 2,490 |
|
Michael Jakubowski
2701 E Enterprise Ave |
$33.83 | 4,102 | 3,771 |
|
Douglas Paul Moard
W5282 Amy Ave |
$31.27 | 3,960 | 3,555 |
|
Sarah C Campbell
1506 S. Oneida Street |
$44.18 | 3,921 | 3,567 |
|
Reid A Sousek
3329 N Richmond St |
$33.42 | 3,846 | 3,466 |
|
Wendy Barton
2701 E Enterprise Ave |
$35.05 | 3,812 | 3,512 |
|
Christoffer K Birn
1506 S Oneida St |
$40.85 | 3,808 | 3,484 |
|
Alexander Engel
3925 N Gateway Dr |
$28.06 | 3,700 | 3,259 |
|
Sharon Rink
2701 E Enterprise Ave |
$34.58 | 3,629 | 3,353 |
|
Mbonu Nnaji Ikezuagu
3925 N Gateway Dr |
$56.05 | 3,505 | 3,309 |
|
Paola A Palma Sisto
2575 E Evergreen Drive |
$56.90 | 3,381 | 3,210 |
|
Sourasack Kit Vongsa
2500 E Capitol Dr Ste 1200 |
$30.86 | 3,376 | 3,119 |
|
Milagros R Cuaresma-Ambas
320 S. Walnut St. |
$21.71 | 3,291 | 2,880 |
|
Julie Ann Lisa Reynolds
5337 W Grande Market Dr |
$37.36 | 3,287 | 2,145 |
|
Douglas Randal Zabrowski
2575 E Evergreen Dr |
$55.29 | 3,173 | 2,995 |
|
Eric Soucy Rueff
4321 W College Ave Ste 200 |
$21.38 | 3,139 | 2,791 |
|
Abra Seidler
1531 S Madison St |
$27.91 | 3,118 | 2,821 |
|
Jennifer A Hunt
2701 E Enterprise Ave |
$34.09 | 2,978 | 2,748 |
|
Luke E Menet
W5282 Amy Ave |
$33.13 | 2,909 | 2,574 |
|
Iris N Torres
5471 W Waterford Ln |
$25.01 | 2,894 | 2,557 |
|
Gbolahan Damilola Oyinloye
2500 E Capitol Dr |
$31.99 | 2,847 | 2,341 |
|
Jose C Dias
3329 Express Ct |
$30.00 | 2,778 | 2,580 |
|
Leah W Mcavoy
5471 W Waterford Ln Ste B |
$26.78 | 2,777 | 2,489 |
|
Deborah L Schultz
229 S Morrison St |
$31.61 | 2,771 | 2,518 |
|
Alice M Boshoven
229 S Morrison St |
$34.52 | 2,708 | 2,452 |
|
Richard Eric Hammond
1531 S Madison St |
$27.13 | 2,693 | 2,251 |
|
Oleg Chebotarev
1818 N Meade St |
$29.71 | 2,656 | 2,454 |
|
Sher Vang
3925 N Gateway Dr |
$32.81 | 2,622 | 2,425 |
|
Kathryn Gunn Huber
3329 N Richmond St |
$31.05 | 2,583 | 2,317 |
|
Amy Beth Felberg
2500 E Capitol Dr |
$40.73 | 2,545 | 2,260 |
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.
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 Appleton, WI
Blood Work & Lab Tests
Avg $16.55
608,141 claims
Substance Abuse Treatment
Avg $11.15
589,242 claims
Behavioral & Mental Health Therapy
Avg $78.04
417,838 claims
Personal Care Services
Avg $10.20
379,580 claims
Emergency Room Visit
Avg $51.76
230,945 claims
Speech Therapy
Avg $12.24
206,735 claims
Non-Emergency Medical Transportation
Avg $10.28
167,243 claims
Psychiatric Evaluation
Avg $32.81
157,706 claims