Average Medicaid Office Visit Payments in Ashland, WI: $64.31
Avg. Paid
$64.31
Range
$11.12 – $112.75
Total Claims
119,335
Providers
68
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 Ashland, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Memorial Medical Center Inc
1615 Maple Ln |
$112.75 | 48,243 | 41,375 |
|
Andrew T Matheus
1001 Main St W |
$30.10 | 7,917 | 6,550 |
|
Lynn Marie Hall
1615 Maple Ln |
$28.52 | 4,215 | 3,593 |
|
Grant Scott Bludorn
1615 Maple Ln |
$33.92 | 3,789 | 3,605 |
|
Aistis J Tumas
415 Ellis Ave |
$31.00 | 3,507 | 3,217 |
|
Michael C Murphy
1615 Maple Ln |
$38.70 | 2,652 | 2,398 |
|
Kristine G Matson
1615 Maple Ln Ste 1 |
$32.18 | 2,621 | 2,171 |
|
Dana R Katchka
300 Main St W |
$23.78 | 2,513 | 2,231 |
|
Rebecca Fleming
Memorial Medical Center |
$25.97 | 2,368 | 1,956 |
|
Eric Scott Sherck
1615 Maple Ln |
$33.63 | 2,273 | 1,993 |
|
Gerald Mark Kubik
1615 Maple Ln Ste 1 |
$34.94 | 2,089 | 1,890 |
|
Stuart Hawley Sheets
1635 Maple Ln |
$22.02 | 1,928 | 1,673 |
|
Erika Lynn Carrier
1615 Maple Ln Ste 1 |
$18.28 | 1,920 | 1,625 |
|
Heather Pawlak
1615 Maple Ln |
$47.98 | 1,824 | 1,611 |
|
Matthew John Horning
415 Ellis Ave |
$30.45 | 1,812 | 1,659 |
|
Amanda Marie Vitovsky
300 W Main St |
$40.16 | 1,808 | 1,494 |
|
Sharon M. Hammond
415 Ellis Ave |
$27.01 | 1,721 | 1,576 |
|
Katelyn Jenelle Mohrbacher
2201 Lake Shore Dr E |
$37.14 | 1,558 | 1,400 |
|
Shelby Lee Larson
1615 Maple Ln Ste 1 |
$33.65 | 1,362 | 1,226 |
|
Jenna Fox
1615 Maple Ln Ste 1 |
$38.97 | 1,254 | 1,111 |
|
Rachel Elizabeth Bebeau
1615 Maple Ln Ste 1 |
$32.35 | 1,153 | 1,025 |
|
Terrence C. Tuominen
1615 Maple Ln |
$37.17 | 1,101 | 949 |
|
Tammie S Jonas-Marsland
53585 Nokomis Rd |
$38.49 | 1,046 | 767 |
|
Colten Peter Thewis
1615 Maple Ln |
$52.10 | 1,040 | 935 |
|
Sharon Handy
53585 Nokomis Rd |
$12.03 | 1,009 | 524 |
|
Monica Kristen Lee
415 Ellis Ave |
$27.57 | 963 | 873 |
|
Carrie L Alajoki
1001 Main St W |
$37.01 | 957 | 848 |
|
Ashley Levra
53585 Nokomis Rd |
$53.02 | 943 | 713 |
|
Kristie Johnson
2201 Lake Shore Dr E |
$29.25 | 921 | 847 |
|
Ryan Richard Vanderscheuren
1615 Maple Ln |
$27.02 | 853 | 642 |
|
Anika Whiting
2201 Lake Shore Dr E |
$24.54 | 831 | 769 |
|
John Douglas Ipsen
53585 Nokomis Rd |
$13.76 | 814 | 462 |
|
Maxine Lynn Paquet
1615 Maple Ln Ste 1 |
$25.13 | 797 | 689 |
|
Anna Lee B Wilke
1615 Maple Ln Ste 1 |
$34.46 | 789 | 697 |
|
Brianne M. Sable
1615 Maple Lane, Suite 1 |
$27.43 | 788 | 672 |
|
Jackie Lynn Yaeger
1615 Maple Ln Ste 1 |
$36.13 | 774 | 622 |
|
Leo E Bay
1615 Maple Ln Ste 1 |
$33.26 | 699 | 621 |
|
Kristan A Wegerson
53585 Nokomis Road |
$11.99 | 610 | 388 |
|
Mark W. Sneed
Memorial Medical Center |
$16.65 | 535 | 450 |
|
Paul Michael Kasper
1615 Maple Ln |
$31.49 | 489 | 435 |
|
Khloe Chao Frank-Mcquarter
1615 Maple Ln Ste 1 |
$44.80 | 488 | 401 |
|
Beret Ann Casey
1615 Maple Ln Ste 1 |
$31.98 | 479 | 441 |
|
Michaelene Pheifer Jansen
1615 Maple Ln Ste 1 |
$37.01 | 411 | 378 |
|
Craig W. Florine
Memorial Medical Center |
$21.65 | 399 | 348 |
|
John Friedli
1625 Maple Ln |
$40.60 | 390 | 331 |
|
Cristina Wheeler Castillo-Nelson
2201 Lake Shore Dr E |
$48.24 | 350 | 315 |
|
Susan M Halbe
1615 Maple Ln |
$33.38 | 348 | 323 |
|
Mary Lee Vitek
1615 Maple Ln Ste 1 |
$19.56 | 305 | 280 |
|
Kim Marie Ogle
1615 Maple Ln Ste 1 |
$32.95 | 255 | 231 |
|
John C. White
1615 Maple Lane |
$39.18 | 175 | 170 |
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 Ashland, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ashland, WI is $64.31 per claim, based on 119,335 claims from 68 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 Ashland, WI?
There are 68 Medicaid providers offering Office Visit related services in Ashland, WI according to public payment data.
What is the price range for Office Visit in Ashland, WI?
Medicaid reimbursement for Office Visit in Ashland, WI ranges from $11.12 to $112.75 per claim, with an average of $64.31. 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 Ashland, WI
Blood Work & Lab Tests
Avg $7.21
77,299 claims
Behavioral & Mental Health Therapy
Avg $67.62
75,977 claims
Psychiatric Evaluation
Avg $66.70
53,310 claims
Emergency Room Visit
Avg $136.39
41,457 claims
Physical Therapy
Avg $23.39
39,946 claims
Speech Therapy
Avg $13.56
20,698 claims
Urinalysis & Urine Tests
Avg $3.69
15,872 claims
Personal Care Services
Avg $16.33
14,817 claims