Average Medicaid Office Visit Payments in Deforest, WI: $27.13
Avg. Paid
$27.13
Range
$11.08 – $149.41
Total Claims
6,361
Providers
10
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 Deforest, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robyn D Knudtson Manske
488 Dahl Dr |
$11.08 | 29 | 24 |
|
Salam Syed
210 N Main St Ste 103 |
$149.41 | 64 | 60 |
|
Matthew Allan Mickelson
4200 Savannah Dr |
$35.89 | 106 | 99 |
|
Peter A Pickhardt
100 E North St |
$19.04 | 152 | 138 |
|
Michael Bollig
312 E North St |
$16.90 | 180 | 145 |
|
Robert B Gage
100 E North St |
$13.07 | 413 | 382 |
|
Kaylyn Bloyer
987 Griffin Way |
$19.14 | 652 | 603 |
|
Catrina Heath
4200 Savannah Dr |
$30.60 | 1,283 | 1,177 |
|
Farah Khan
4200 Savannah Dr |
$28.30 | 1,375 | 1,190 |
|
Mon L Yee
4200 Savannah Dr |
$27.01 | 2,107 | 1,864 |
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 Deforest, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Deforest, WI is $27.13 per claim, based on 6,361 claims from 10 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 Deforest, WI?
There are 10 Medicaid providers offering Office Visit related services in Deforest, WI according to public payment data.
What is the price range for Office Visit in Deforest, WI?
Medicaid reimbursement for Office Visit in Deforest, WI ranges from $11.08 to $149.41 per claim, with an average of $27.13. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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Avg $81.86
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Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Phoenix, AZ
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Avg $48.27
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Other Procedures in Deforest, WI
Chiropractic Care
Avg $17.19
4,589 claims
Substance Abuse Treatment
Avg $25.86
2,620 claims
Psychiatric Evaluation
Avg $60.90
2,136 claims
Nursing Facility Care
Avg $20.21
1,850 claims
Ambulance Transport
Avg $164.37
381 claims
Vaccines & Immunizations
Avg $4.82
318 claims
Blood Work & Lab Tests
Avg $0.00
169 claims
Ultrasound
Avg $44.15
113 claims