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
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