Average Medicaid Office Visit Payments in Cedarburg, WI: $37.54
Avg. Paid
$37.54
Range
$18.28 – $268.42
Total Claims
7,033
Providers
17
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 Cedarburg, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel P Duffy
W62 N179 Washington Ave |
$40.18 | 1,737 | 1,364 |
|
Matthew Maves
7861 State Road 60 |
$37.87 | 1,544 | 1,414 |
|
Elizabeth Hagen
N143W6515 Pioneer Rd |
$29.73 | 1,041 | 941 |
|
Daniel Jablonski
N143W6515 Pioneer Rd |
$24.91 | 981 | 724 |
|
Emily Valkenburgh
N69W5269 Columbia Rd |
$70.43 | 403 | 386 |
|
Lori Ann Albright
7861 State Road 60 |
$39.77 | 235 | 204 |
|
Maria N Mendoza-Lemes
W62N179 Washington Ave. |
$37.59 | 208 | 164 |
|
Elizabeth Ann Doro
7861 State Road 60 |
$29.14 | 200 | 190 |
|
Carol J Estill
7861 State Road 60 |
$26.76 | 124 | 114 |
|
Kristen L Maskala
W62N179 Washington Avenue Suite 3 |
$55.05 | 119 | 113 |
|
Boyd Miller
7861 State Road 60 |
$32.73 | 110 | 101 |
|
Julie E Mossberg
N69W5269 Columbia Rd |
$26.92 | 109 | 101 |
|
Daniel A Hagerman
N143W6515 Pioneer Rd |
$40.82 | 99 | 93 |
|
Donald J. Meyer
W62N248 Washington Ave |
$37.90 | 61 | 50 |
|
Jessica Leigh Minder
W62N179 Washington Ave Ste 3 |
$18.28 | 30 | 24 |
|
Kaylynn Julia Jones
W63N545 Hanover Ave |
$268.42 | 19 | 17 |
|
Melanie M. Thompson
N143W6515 Pioneer Rd |
$48.74 | 13 | 13 |
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 Cedarburg, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cedarburg, WI is $37.54 per claim, based on 7,033 claims from 17 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 Cedarburg, WI?
There are 17 Medicaid providers offering Office Visit related services in Cedarburg, WI according to public payment data.
What is the price range for Office Visit in Cedarburg, WI?
Medicaid reimbursement for Office Visit in Cedarburg, WI ranges from $18.28 to $268.42 per claim, with an average of $37.54. 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 Cedarburg, WI
Personal Care Services
Avg $12.26
33,807 claims
Speech Therapy
Avg $13.27
17,447 claims
Psychiatric Evaluation
Avg $71.58
8,080 claims
Vaccines & Immunizations
Avg $7.34
7,081 claims
Physical Therapy
Avg $25.14
2,514 claims
Non-Emergency Medical Transportation
Avg $9.15
1,340 claims
Nursing Facility Care
Avg $16.19
283 claims
Podiatry (Foot Care)
Avg $8.41
58 claims