Skip to content
Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Berlin, WI: $44.34

Avg. Paid

$44.34

Range

$17.48 – $157.18

Total Claims

25,500

Providers

24

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 Berlin, WI

Provider Avg. Paid Claims Patients
Kirsten Elizabeth Grove

225 Memorial Dr

 $35.86 3,345 2,976
Julie R Fredrick

225 Memorial Dr

 $40.02 2,767 2,393
Amber M Trochinski

225 Memorial Dr Ste 1300

 $35.18 2,758 2,512
Abigail K Puglisi

225 Memorial Dr Ste 1200

 $39.08 2,532 2,205
Amy L Schroeder

W832 Hwy 91

 $46.42 2,012 1,805
Craig Batley

W832 Hwy 91

 $37.13 1,833 1,652
Michael A Puglisi

225 Memorial Dr Ste 1100

 $30.70 1,645 1,484
David Budde

W832 Hwy 91

 $35.09 1,253 1,134
Kerry Mark Simon

225 Memorial Dr Ste 1200

 $157.18 1,235 1,128
Janelle R Vogler

225 Memorial Dr

 $40.43 1,070 993
Julie Ann Markowski

191 Memorial Dr

 $44.61 976 886
Maria Grace Cruz-Apolinario

225 Memorial Dr

 $40.71 939 795
Michelle L Lichtenberg

225 Memorial Dr

 $36.05 912 808
David R Jones

191 Memorial Dr

 $19.30 393 334
Vicki Christine Ray

225 Memorial Dr

 $25.13 378 316
Thedacare Medical Center - Berlin, Inc.

225 Memorial Drive

 $102.50 335 259
Cassandra Evon Weisnicht

225 Memorial Dr

 $60.13 252 244
Scott Kenneth Hetzel

225 Memorial Dr

 $42.09 190 166
Andrew Arthur Maes

225 Memorial Dr Ste 2010

 $17.48 174 164
Effie E. Siomos

225 Memorial Dr Ste 2030

 $25.13 169 141
Robert David Brooks

191 Memorial Dr

 $66.80 156 146
Eric W Newgent

191 Memorial Dr

 $19.20 149 146
Ty Rebedew

147 N State St

 $22.80 15 14
Emily M Strahota

191 Memorial Dr

 $51.52 12 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 Berlin, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Berlin, WI is $44.34 per claim, based on 25,500 claims from 24 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 Berlin, WI?

There are 24 Medicaid providers offering Office Visit related services in Berlin, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Berlin, WI ranges from $17.48 to $157.18 per claim, with an average of $44.34. 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 Berlin, WI

Blood Work & Lab Tests

Avg $5.48

75,144 claims

Emergency Room Visit

Avg $133.44

34,231 claims

Speech Therapy

Avg $11.38

18,866 claims

Personal Care Services

Avg $8.86

13,015 claims

X-Ray

Avg $13.00

11,389 claims

Physical Therapy

Avg $23.07

11,146 claims

Urinalysis & Urine Tests

Avg $4.06

11,066 claims

Chiropractic Care

Avg $14.68

8,720 claims