Average Medicaid Office Visit Payments in Beloit, WI: $32.54
Avg. Paid
$32.54
Range
$2.40 – $90.93
Total Claims
168,794
Providers
105
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 Beloit, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Karleen F. Mcbride
1670 Lee Ln |
$30.47 | 13 | 12 |
|
Warren E Tripp
1969 W Hart Rd |
$31.45 | 13 | 13 |
|
Ryan Mitchell Arthur
1969 W Hart Rd |
$32.12 | 13 | 13 |
|
Melissa A. Amberger
Beloit Health System Inc. |
$42.73 | 14 | 13 |
|
John Peder Littlefield
1905 E Huebbe Pkwy |
$18.77 | 14 | 12 |
|
Daniel C. Sellman
1905 E Huebbe Pkwy |
$13.85 | 18 | 14 |
|
Michal B. Gutowski
1905 East Huebbe Parkway |
$21.24 | 20 | 12 |
|
Tessa Lucille Mersberger
1969 W Hart Rd |
$45.17 | 21 | 16 |
|
John F. Johanson
1905 E, Huebbe Parkway |
$24.45 | 28 | 18 |
|
Jennifer D. Dochee
Beloit Memorial Hospital |
$30.49 | 29 | 27 |
|
Cheryl S Peterson
2797 Prairie Ave |
$32.30 | 30 | 29 |
|
Neel K Karne
1905 E. Huebbe Parkway |
$33.24 | 31 | 25 |
|
Nissage Cadet
1905 E Huebbe Pkwy |
$24.49 | 35 | 29 |
|
Kerilynn Loftus
1905 E. Huebbe Parkway |
$22.72 | 38 | 30 |
|
Steven E Diebold
1969 W Hart Rd |
$35.44 | 48 | 45 |
|
Margaret M Lowery
Beloit Clinic |
$19.09 | 49 | 41 |
|
Laquisha M Stahl
1650 Lee Lane |
$34.77 | 74 | 72 |
|
Steven S. Yang
1905 E. Huebbe Parkway |
$30.12 | 99 | 92 |
|
James K Frey
1969 W Hart Rd |
$41.75 | 123 | 118 |
|
Shianne Strommen
1969 W Hart Rd |
$34.21 | 125 | 111 |
|
Ruth Christiansen
Beloit Memorial Hospital |
$14.56 | 128 | 50 |
|
Edward Alan Nabrinsky
Beloit Health System Uwcancer Care |
$27.37 | 129 | 94 |
|
Community Health Systems, Inc.
74 Eclipse Ctr |
$2.40 | 132 | 118 |
|
Tsu-Hon Wang
1905 E. Huebbe Parkway |
$15.23 | 145 | 119 |
|
Anne Marie C Matelski
Beloit Clinic |
$22.74 | 150 | 135 |
|
Dawn M Johnson
Beloit Clinic |
$5.27 | 163 | 141 |
|
Brian W Martinson
1969 W Hart Rd |
$28.50 | 182 | 158 |
|
Kathleen M Klespis-Wick
1905 E. Huebbe Parkway |
$21.51 | 190 | 162 |
|
Shawn P Wilson
1969 W Hart Rd |
$51.13 | 192 | 190 |
|
Doris Vargas
1969 W Hart Rd |
$30.18 | 195 | 182 |
|
Kendall Christidis
74 Eclipse Ctr |
$57.01 | 195 | 175 |
|
Lisa Garcia Reinicke
1905 E. Huebbe Parkway |
$15.97 | 195 | 156 |
|
Cynthia L Philpott
Beloit Clinic |
$26.32 | 198 | 165 |
|
Erika Leigh Bourdeaux
2825 Prairie Ave |
$27.64 | 206 | 161 |
|
Robert A Nerad
1969 W Hart Rd |
$24.58 | 210 | 187 |
|
Charles L Laham
Beloit Memorial Hospital |
$26.06 | 274 | 246 |
|
Paula B Riebe
1969 W Hart Rd |
$45.28 | 281 | 274 |
|
Vijaya Somaraju
1905 E. Huebbe Parkway |
$21.48 | 289 | 225 |
|
Stacy Heitz
1969 W Hart Rd |
$33.22 | 298 | 272 |
|
Alice M Townshend
1905 E. Huebbe Parkway |
$12.19 | 299 | 230 |
|
Ajmal Matloob
1905 E. Huebbe Parkway |
$23.53 | 323 | 279 |
|
Alyssa Tranchita
2825 Prairie Ave |
$56.67 | 326 | 310 |
|
Cheryl M Miller
1905 E. Huebbe Parkway |
$17.54 | 344 | 287 |
|
Kenneth I Gold
1905 E. Huebbe Parkway |
$15.82 | 358 | 270 |
|
Ling Dan Twohig
Beloit Memorial Hospital |
$26.66 | 360 | 323 |
|
David K Yoon
1905 E Huebbe Pkwy |
$31.25 | 380 | 338 |
|
Tracy Ellen Saladar
74 Eclipse Ctr |
$23.62 | 385 | 339 |
|
Giuliana Jose Gonzalez Barrios
74 Eclipse Ctr |
$35.39 | 395 | 346 |
|
Jennifer Hope Taylor
74 Eclipse Ctr |
$22.02 | 402 | 340 |
|
Robert R Harris
Beloit Clinic |
$44.80 | 429 | 364 |
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 Beloit, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Beloit, WI is $32.54 per claim, based on 168,794 claims from 105 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 Beloit, WI?
There are 105 Medicaid providers offering Office Visit related services in Beloit, WI according to public payment data.
What is the price range for Office Visit in Beloit, WI?
Medicaid reimbursement for Office Visit in Beloit, WI ranges from $2.40 to $90.93 per claim, with an average of $32.54. 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 Beloit, WI
Blood Work & Lab Tests
Avg $7.21
364,358 claims
Substance Abuse Treatment
Avg $10.93
292,167 claims
Personal Care Services
Avg $7.93
199,701 claims
Emergency Room Visit
Avg $57.49
124,331 claims
Speech Therapy
Avg $11.55
95,118 claims
Urinalysis & Urine Tests
Avg $8.15
83,039 claims
Physical Therapy
Avg $13.20
70,376 claims
X-Ray
Avg $3.09
68,865 claims