Average Medicaid Office Visit Payments in Delavan, WI: $32.29
Avg. Paid
$32.29
Range
$12.85 – $58.73
Total Claims
15,292
Providers
14
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 Delavan, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelly S Moralez
1711 Woolsey St. |
$48.18 | 12 | 12 |
|
Christine Lynn Weerts
1550 Hobbs Dr |
$18.35 | 14 | 12 |
|
Jamison Clyde David Utzig
1550 Hobbs Dr |
$58.73 | 16 | 15 |
|
Clifford Robert Poplar
915 Geneva Street |
$12.85 | 355 | 207 |
|
Jennifer A Junghen
1550 Hobbs Dr |
$42.28 | 397 | 376 |
|
Rachel Tara Joy Gronau
1038 E Geneva St |
$34.26 | 614 | 560 |
|
Michael J Fehling
1550 Hobbs Dr |
$24.67 | 640 | 566 |
|
Kurt E Brueckert
1550 Hobbs Dr |
$36.13 | 680 | 627 |
|
Lisa A Wang
1038 E Geneva St |
$34.25 | 963 | 867 |
|
Javier Gallegos
1550 Hobbs Dr |
$36.92 | 1,211 | 1,131 |
|
Alicia M Lanzito
1550 Hobbs Dr |
$22.26 | 1,224 | 1,116 |
|
Tesalia R Jordens
1550 Hobbs Dr |
$36.99 | 1,797 | 1,701 |
|
Planned Parenthood Of Wisconsin
312 S 7Th St |
$29.65 | 2,836 | 2,717 |
|
Roberta Ashby
1550 Hobbs Dr |
$33.92 | 4,533 | 4,144 |
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 Delavan, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Delavan, WI is $32.29 per claim, based on 15,292 claims from 14 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 Delavan, WI?
There are 14 Medicaid providers offering Office Visit related services in Delavan, WI according to public payment data.
What is the price range for Office Visit in Delavan, WI?
Medicaid reimbursement for Office Visit in Delavan, WI ranges from $12.85 to $58.73 per claim, with an average of $32.29. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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