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Based on public Medicaid payment data.

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
Jaimie R Deans

248 Mchenry St

$2.68 12 12
Corina E Beck

248 Mchenry St

$23.90 13 13
Steven Ropers

709 Spring Valley Rd

$32.54 13 12
Gretchen Wagner

2088 Milwaukee Ave Ste 1

$21.07 13 12
Matthew A Nerland

252 Mchenry St

$20.26 13 12
Katrina Goetzke

709 Spring Valley Rd

$26.68 14 13
Anthony R Ricci

709 Spring Valley Rd

$13.81 14 14
Katie Vanbeckum

248 Mchenry St

$0.00 18 12
Magdalena Anna Horn

248 Mchenry St

$31.16 25 25
Daniel John Lunetta

248 Mchenry St

$44.93 29 27
Leilani Gruezo Luell

248 Mchenry St

$23.28 32 20
Laura E Schemm

709 Spring Valley Rd

$41.89 35 32
Violeta J Komotos

248 Mchenry St

$24.31 37 34
Meenakshi S Bhillakar

248 Mchenry St

$25.72 44 39
Michael J Anderson

733 N Pine

$16.23 48 41
Kelly Schneider

248 Mchenry St

$55.56 54 54
Anil Khurana

252 Mchenry St Ste 140

$15.67 65 65
Robert L Richmond

248 Mchenry St

$23.34 65 63
Paul A Sauer

709 Spring Valley Rd

$36.95 89 86
Marthe Ngongang Dika

1050 Milwaukee Ave Ste 101

$44.04 98 86
Lisa L Bray

709 Spring Valley Rd

$27.33 103 85
Stephen J Welka

248 Mchenry St

$25.13 106 104
Christopher James Dietzman

1050 Milwaukee Ave Ste 102

$42.72 109 99
Indre Aleksaite

248 Mchenry St

$58.18 113 109
Andrew Lange

709 Spring Valley Rd

$18.63 118 108
Daniel Joseph Wright

252 Mchenry St

$40.69 126 114
Melinee D Burnett

252 Mchenry St

$36.55 131 123
Emily Margaret Gilanyi

709 Spring Valley Rd

$50.30 147 136
Gerald R Schneider

248 Mchenry St

$22.59 156 150
Elijah I Hinton

709 Spring Valley Rd

$20.89 157 137
Aasim Mohammed

116 N Dodge St Ste 201

$16.32 197 166
Randall William Schmidt

248 Mchenry St

$25.41 198 180
Tamer O Katamesh

709 Spring Valley Rd

$48.45 201 184
Aurora Health Care Southern Lakes, Inc.

252 Mchenry St

$55.23 201 110
David L Taylor

248 Mchenry St

$35.67 228 203
James L Waller

709 Spring Valley Rd

$21.74 238 221
Leonid Bouinyi

709 Spring Valley Rd

$30.49 260 235
Ryan S Bauman

733 N Pine St

$18.50 270 242
Sarah Marie Lamont

709 Spring Valley Rd

$39.93 270 261
Roger M Lyon

252 Mchenry St

$30.69 274 259
Jennifer A Merker-Horton

709 Spring Valley Rd

$31.05 275 249
Julie A Klein

248 Mchenry St

$32.22 312 286
Nichole Gunyon

248 Mchenry St

$44.72 335 306
Crystal D Cowan

709 Spring Valley Rd

$31.30 339 323
Randy John Folker

709 Spring Valley Rd

$68.44 378 332
Tony Tang Tran

709 Spring Valley Rd

$26.61 379 349
Humaira Achakzai

248 Mchenry St

$36.23 387 347
Brian A Schroeder

248 Mchenry St

$21.16 434 374
Richard A Ellingstad

248 Mchenry St

$37.15 459 439
Jeffrey T. Follansbee

252 Mchenry St

$7.09 498 346

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

Other Procedures in Burlington, WI