Average Medicaid Office Visit Payments in Burlington, WI: $33.95
Avg. Paid
$33.95
Range
$0.00 – $68.44
Total Claims
85,505
Providers
86
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 Burlington, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rakesh J Shah
116 N Dodge St Ste 5 |
$33.30 | 10,183 | 9,458 |
|
Elizabeth Joseph
248 Mchenry St |
$39.17 | 8,207 | 7,523 |
|
Moosa Kaleemullah
116 N Dodge St |
$28.27 | 6,202 | 5,640 |
|
Sapna Patel
248 Mchenry St |
$35.21 | 3,930 | 3,630 |
|
Kristina J Krogstad
248 Mchenry St |
$40.30 | 3,576 | 3,282 |
|
Shamsuddin Virani
709 Spring Valley Rd |
$25.17 | 3,574 | 2,853 |
|
Nathan M Lebak
248 Mchenry St |
$42.52 | 2,839 | 2,650 |
|
Stephanie Jorgensen
248 Mchenry St |
$30.82 | 2,786 | 2,628 |
|
Heather H Weber
248 Mchenry St |
$36.01 | 2,734 | 2,567 |
|
Heather Nicole Thomas
496 Mc Canna Pkwy |
$33.24 | 2,594 | 2,391 |
|
Rasheed Baya
248 Mchenry St |
$28.81 | 2,529 | 2,355 |
|
Nicole E Hammes
248 Mchenry St |
$32.70 | 2,181 | 2,036 |
|
Michelle Jayne Wagner
248 Mchenry St |
$32.41 | 2,006 | 1,819 |
|
Desiree A Mengo
248 Mchenry St |
$41.72 | 1,796 | 1,672 |
|
Todd R Nelson
248 Mchenry St |
$36.96 | 1,606 | 1,485 |
|
Jedediah Lars Jensen
709 Spring Valley Rd |
$50.69 | 1,604 | 1,469 |
|
Walter A Fuhr
2088 Milwaukee Ave Unit I |
$28.03 | 1,439 | 1,340 |
|
Heide Wakefield-Thorne
37007 65Th Ct |
$45.44 | 1,359 | 1,170 |
|
Katherine Akiko Bunce
248 Mchenry St |
$32.78 | 1,215 | 1,096 |
|
Robert O Ong
252 Mchenry St |
$29.38 | 1,177 | 1,083 |
|
Martin C Baur
248 Mchenry St |
$40.58 | 1,133 | 1,061 |
|
Linda M Rivera
248 Mchenry St |
$33.32 | 1,111 | 1,053 |
|
Ann M Thompson
709 Spring Valley Rd |
$33.05 | 1,080 | 1,001 |
|
Sarah C.S. Kaldem
248 Mchenry St |
$21.51 | 1,071 | 919 |
|
Jolanta M Twardy
248 Mchenry St |
$24.36 | 1,057 | 1,005 |
|
Kamil Krukowski
252 Mchenry St |
$28.11 | 970 | 901 |
|
Fouad Jamal-Ul Husnain
116 N Dodge St Ste 1 |
$21.60 | 968 | 877 |
|
Lina Melcher
248 Mchenry St |
$41.56 | 882 | 828 |
|
Victoria M Bleser
248 Mchenry St |
$44.46 | 804 | 729 |
|
Theresa Hewitt
248 Mchenry St |
$35.91 | 802 | 744 |
|
Jon A Dankle
248 Mchenry St |
$33.98 | 776 | 741 |
|
Michael Edward Kokat
1050 S Milwaukee Ave |
$13.90 | 753 | 572 |
|
Kevin Douglas Liberty
709 Spring Valley Rd |
$38.14 | 663 | 601 |
|
Liliana D Lozano De Velasco
248 Mchenry St |
$28.87 | 630 | 590 |
|
Anastasia H Wells
709 Spring Valley Rd |
$32.60 | 585 | 534 |
|
Amy E Swift-Johnson
248 Mchenry St |
$40.64 | 553 | 477 |
|
Jeffrey T. Follansbee
252 Mchenry St |
$7.09 | 498 | 346 |
|
Richard A Ellingstad
248 Mchenry St |
$37.15 | 459 | 439 |
|
Brian A Schroeder
248 Mchenry St |
$21.16 | 434 | 374 |
|
Humaira Achakzai
248 Mchenry St |
$36.23 | 387 | 347 |
|
Tony Tang Tran
709 Spring Valley Rd |
$26.61 | 379 | 349 |
|
Randy John Folker
709 Spring Valley Rd |
$68.44 | 378 | 332 |
|
Crystal D Cowan
709 Spring Valley Rd |
$31.30 | 339 | 323 |
|
Nichole Gunyon
248 Mchenry St |
$44.72 | 335 | 306 |
|
Julie A Klein
248 Mchenry St |
$32.22 | 312 | 286 |
|
Jennifer A Merker-Horton
709 Spring Valley Rd |
$31.05 | 275 | 249 |
|
Roger M Lyon
252 Mchenry St |
$30.69 | 274 | 259 |
|
Sarah Marie Lamont
709 Spring Valley Rd |
$39.93 | 270 | 261 |
|
Ryan S Bauman
733 N Pine St |
$18.50 | 270 | 242 |
|
Leonid Bouinyi
709 Spring Valley Rd |
$30.49 | 260 | 235 |
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 Burlington, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Burlington, WI is $33.95 per claim, based on 85,505 claims from 86 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 Burlington, WI?
There are 86 Medicaid providers offering Office Visit related services in Burlington, WI according to public payment data.
What is the price range for Office Visit in Burlington, WI?
Medicaid reimbursement for Office Visit in Burlington, WI ranges from $0.00 to $68.44 per claim, with an average of $33.95. 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 Burlington, WI
Emergency Room Visit
Avg $48.14
61,331 claims
Chiropractic Care
Avg $19.43
48,691 claims
Psychiatric Evaluation
Avg $52.67
47,559 claims
Physical Therapy
Avg $24.82
41,223 claims
Blood Work & Lab Tests
Avg $12.32
37,292 claims
Substance Abuse Treatment
Avg $12.61
26,449 claims
Personal Care Services
Avg $13.92
21,798 claims
Speech Therapy
Avg $10.80
20,802 claims