Average Medicaid Office Visit Payments in Cumberland, WI: $30.88
Avg. Paid
$30.88
Range
$17.82 – $101.00
Total Claims
19,034
Providers
16
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 Cumberland, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cumberland Memorial Hospital Inc
1705 16Th Ave |
$17.82 | 5,989 | 3,608 |
|
Jayne L Rieper
1200 State Hwy 48 |
$40.59 | 3,747 | 3,298 |
|
Christine A. Hines
1200 State Road 48 |
$47.34 | 3,091 | 2,736 |
|
Jay Mitchell Jevne
1110 7Th Ave |
$31.26 | 1,723 | 1,277 |
|
Gregory J Leitheiser
1475 Webb St |
$22.75 | 1,056 | 839 |
|
Faith A. Gustafson
1475 Webb St |
$34.88 | 864 | 760 |
|
Alan R Carlson
1475 Webb St |
$23.09 | 702 | 622 |
|
Thomas A Lingen
1475 Webb St |
$25.40 | 365 | 308 |
|
Craig Alexander Jennings
1110 7Th Ave |
$28.64 | 311 | 276 |
|
Cumberland Hc Medical Clinic
1705 16Th Ave |
$32.84 | 297 | 234 |
|
Tyler Miller
1110 7Th Ave |
$33.25 | 257 | 229 |
|
Kimberly Marie Aucoin
1110 7Th Ave |
$24.36 | 231 | 202 |
|
Adam Neter
1110 7Th Ave |
$53.40 | 178 | 151 |
|
Jodi Lynne Griffith
1425 2Nd Ave |
$19.40 | 144 | 133 |
|
Jennifer Jacobson Turcott
1357 2Nd Ave |
$40.07 | 66 | 62 |
|
Lakeview Medical Center Inc Of Rice Lake
1200 State Road 48 |
$101.00 | 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 Cumberland, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cumberland, WI is $30.88 per claim, based on 19,034 claims from 16 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 Cumberland, WI?
There are 16 Medicaid providers offering Office Visit related services in Cumberland, WI according to public payment data.
What is the price range for Office Visit in Cumberland, WI?
Medicaid reimbursement for Office Visit in Cumberland, WI ranges from $17.82 to $101.00 per claim, with an average of $30.88. 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 Cumberland, WI
Blood Work & Lab Tests
Avg $3.30
16,167 claims
Speech Therapy
Avg $9.42
12,135 claims
Chiropractic Care
Avg $15.15
8,503 claims
Physical Therapy
Avg $17.72
7,873 claims
Emergency Room Visit
Avg $126.50
5,595 claims
Eye Exam
Avg $19.07
4,004 claims
Non-Emergency Medical Transportation
Avg $47.99
2,713 claims
EKG / ECG (Electrocardiogram)
Avg $4.88
1,986 claims