Average Medicaid Office Visit Payments in Columbus, WI: $142.29
Avg. Paid
$142.29
Range
$12.89 – $192.62
Total Claims
25,794
Providers
18
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 Columbus, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prairie Ridge Health, Inc.
1515 Park Ave |
$192.62 | 17,895 | 15,084 |
|
Carolyn Jean Reabe
1515 Park Ave |
$18.03 | 1,043 | 812 |
|
Rene A Gellings
1513 Park Ave |
$26.59 | 1,035 | 932 |
|
Janyne Rochelle Bolliger
1678 Esker Trl |
$30.17 | 977 | 706 |
|
Sean F Ackerman
1515 Park Ave |
$44.81 | 960 | 873 |
|
Tina Marie Haase
1513 Park Ave Fl 1 |
$33.69 | 770 | 680 |
|
Prairie Ridge Health, Inc.
1511 Park Ave |
$12.89 | 626 | 405 |
|
Samuel G. Poser
635 Park Ave |
$21.01 | 596 | 464 |
|
Bruce A. Kraus
1515 Park Ave |
$26.98 | 531 | 464 |
|
Heidi Hughes
1511 Park Ave |
$16.84 | 415 | 389 |
|
Jean Christina Carstensen
1513 Park Ave Fl 1 |
$31.97 | 337 | 279 |
|
Elise M Malzer
1515 Park Ave |
$59.23 | 204 | 192 |
|
Matthew C Niesen
1515 Park Ave |
$34.11 | 177 | 163 |
|
Susan E. Rupp
146 W Mill St |
$23.38 | 81 | 79 |
|
Nazi S Khan
1511 Park Ave |
$15.53 | 53 | 51 |
|
Babette Marie Mehling
1513 Park Ave Fl 1 |
$69.15 | 44 | 39 |
|
Leslie Kay Alzuhn-Hansen
1515 Park Ave |
$26.20 | 38 | 26 |
|
David L Peloza
1515 Park Ave |
$72.66 | 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 Columbus, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Columbus, WI is $142.29 per claim, based on 25,794 claims from 18 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 Columbus, WI?
There are 18 Medicaid providers offering Office Visit related services in Columbus, WI according to public payment data.
What is the price range for Office Visit in Columbus, WI?
Medicaid reimbursement for Office Visit in Columbus, WI ranges from $12.89 to $192.62 per claim, with an average of $142.29. 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 Columbus, WI
Personal Care Services
Avg $17.15
39,036 claims
Blood Work & Lab Tests
Avg $4.60
31,467 claims
Chiropractic Care
Avg $19.74
15,594 claims
Speech Therapy
Avg $12.78
14,166 claims
Emergency Room Visit
Avg $165.88
9,369 claims
Physical Therapy
Avg $19.44
7,932 claims
Urinalysis & Urine Tests
Avg $4.37
7,520 claims
EKG / ECG (Electrocardiogram)
Avg $3.05
5,808 claims