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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Darlington, WI: $70.78

Avg. Paid

$70.78

Range

$10.96 – $135.94

Total Claims

8,356

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 Darlington, WI

Provider Avg. Paid Claims Patients
Lafayette County

211 Bev Anderson Drive

 $135.94 2,922 2,407
Lafayette County

211 Bev Anderson Dr.

 $46.70 1,597 1,395
Donald Thomas Hay

731 Clay St

 $37.91 981 931
Renee D Edge

211 Bev Anderson Dr

 $18.59 519 421
Lucas Adam Suthers

731 Clay St

 $35.80 486 459
Nicolas Rodolfo Sanhueza Castillo

731 Clay St

 $36.57 313 241
Debasish Bhattacharyya

800 Clay St

 $19.05 283 244
Matthew Solverson

731 Clay St

 $41.24 271 245
Amy L. Tibbits

731 Clay St

 $33.66 254 216
Cheyanne Kubatzke

731 Clay St

 $23.30 233 205
Michelle L. Reisen-Garvey

731 Clay St

 $24.88 207 184
Michele A. Roelli

Memorial Hospital Of Lafayette County

 $22.95 158 139
Paul Curtis Lueck

346 Main St

 $44.49 58 58
Lafayette County

729 Clay Street

 $10.96 40 39
Martin Cleary

731 Clay St

 $23.96 21 16
Melinda Thomas

731 Clay St

 $87.39 13 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 Darlington, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Darlington, WI is $70.78 per claim, based on 8,356 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 Darlington, WI?

There are 16 Medicaid providers offering Office Visit related services in Darlington, WI according to public payment data.

What is the price range for Office Visit in Darlington, WI?

Medicaid reimbursement for Office Visit in Darlington, WI ranges from $10.96 to $135.94 per claim, with an average of $70.78. 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 Darlington, WI

Behavioral & Mental Health Therapy

Avg $74.55

17,424 claims

Speech Therapy

Avg $14.85

7,868 claims

Psychiatric Evaluation

Avg $37.13

4,367 claims

Blood Work & Lab Tests

Avg $4.25

3,440 claims

Dental Cleaning & Exam

Avg $1.36

2,962 claims

Emergency Room Visit

Avg $194.57

1,871 claims

Tooth Extraction

Avg $3.28

1,573 claims

Substance Abuse Treatment

Avg $71.43

1,468 claims