Average Medicaid Office Visit Payments in Eau Claire, WI: $37.36
Avg. Paid
$37.36
Range
$0.00 – $187.89
Total Claims
429,148
Providers
464
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 Eau Claire, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mchs Hospitals Inc
2310 Craig Rd |
$62.35 | 79,183 | 69,361 |
|
Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
1221 Whipple St |
$13.25 | 17,811 | 15,220 |
|
Paul Raymond Horvath
1400 Bellinger St |
$11.70 | 15,729 | 14,032 |
|
Sacred Heart Hospital Of The Hospital Sisters-3Rd Order Of St Francis
900 W Clairemont Ave |
$67.77 | 8,738 | 7,525 |
|
Planned Parenthood Of Wisconsin
1231 Menomonie St |
$32.82 | 6,254 | 5,923 |
|
Kristi Margaret Burdick
1906 Brackett Ave Suite B |
$29.86 | 5,929 | 4,196 |
|
Alison Jones
1000 Starr Ave |
$61.62 | 5,070 | 4,898 |
|
Leanna M Munoz
733 W Clairemont Ave |
$12.96 | 4,885 | 4,435 |
|
Efrain Sueldo
2116 Craig Rd |
$28.28 | 4,808 | 4,287 |
|
Omprakash Ahuja
2116 Craig Rd |
$29.18 | 4,680 | 4,303 |
|
Dharmesh Babaria
2116 Craig Rd |
$25.72 | 4,334 | 3,894 |
|
Odette Morgan
2116 Craig Rd |
$25.83 | 3,879 | 3,592 |
|
Denise Z. Toperzer
2116 Craig Rd |
$28.43 | 3,687 | 3,246 |
|
James L Wirth
1400 Bellinger St |
$31.50 | 3,485 | 3,312 |
|
Nicole O'Donnell
1400 Bellinger St |
$41.36 | 3,416 | 3,029 |
|
Aron S Adkins
3802 Oakwood Mall Dr |
$26.79 | 3,405 | 3,125 |
|
Kimberly Franklin
1000 Starr Ave |
$29.27 | 3,358 | 2,864 |
|
Neeka M Koepl
2116 Craig Rd |
$43.64 | 3,129 | 2,919 |
|
Amy M Ludwikowski
431 E Clairemont Ave Ste C |
$24.78 | 3,080 | 2,427 |
|
Jeffrey A Jackson
3703 Oakwood Hills Pkwy Ste 100 |
$23.87 | 3,022 | 2,645 |
|
John David Anczak
733 W Clairemont Ave |
$54.59 | 2,959 | 2,833 |
|
Mark Gideonsen
1002 W Clairemont Ave |
$29.36 | 2,860 | 2,534 |
|
Ganesh Kumar Namachivayam
733 W Clairemont Ave |
$48.68 | 2,800 | 2,628 |
|
Patricia F Mccafferty
1221 Whipple St |
$29.46 | 2,700 | 2,535 |
|
Scott T. Schmidt
1221 Whipple St |
$53.34 | 2,635 | 2,353 |
|
Thomas K. Hunt
3802 Oakwood Mall Dr |
$36.73 | 2,577 | 2,377 |
|
Seema Rahman
2116 Craig Road |
$18.06 | 2,573 | 2,304 |
|
Kent E Ray
2116 Craig Rd |
$20.57 | 2,549 | 2,351 |
|
Glenn Robert Kauppila
733 W Clairemont Ave |
$32.44 | 2,547 | 2,308 |
|
Andrew Pankratz
2116 Craig Rd |
$21.08 | 2,536 | 2,236 |
|
Melissa S. Eskridge Schaub
2116 Craig Rd |
$29.15 | 2,466 | 2,265 |
|
Martha A. Hidalgo
2116 Craig Rd |
$25.89 | 2,392 | 2,210 |
|
William E Cayley
3802 Oakwood Mall Dr |
$26.49 | 2,384 | 2,057 |
|
Brenda Kibola
2004 Highland Ave Ste 2B |
$37.02 | 2,314 | 2,100 |
|
Sara J Culhane
617 W Clairemont Ave |
$27.61 | 2,285 | 2,115 |
|
Christina Y Stanga
1221 Whipple St |
$46.09 | 2,256 | 1,934 |
|
Sheila S Galbraith
733 W Clairemont Ave |
$36.94 | 2,235 | 2,109 |
|
Pravesh Sharma
1400 Bellinger St |
$53.20 | 2,227 | 2,097 |
|
Nicole Marie Erickson
3802 Oakwood Mall Dr |
$21.99 | 2,187 | 2,017 |
|
Edward S Pisarcik
900 W Clairemont Ave |
$32.44 | 2,159 | 1,946 |
|
Brent William Jensen
3213 Stein Blvd |
$31.49 | 2,150 | 1,817 |
|
Kim R Edson
1400 Bellinger St |
$55.46 | 2,044 | 1,928 |
|
Charles T Bingham
1400 Bellinger St |
$10.99 | 2,030 | 1,859 |
|
Patrick Roberts
1400 Bellinger St |
$14.46 | 1,956 | 1,548 |
|
Jennifer Rae Reimer
1221 Whipple St |
$28.08 | 1,956 | 1,814 |
|
Linda Kollross
2116 Craig Road |
$28.88 | 1,928 | 1,842 |
|
Tony Maul
1221 Whipple St |
$46.64 | 1,926 | 1,780 |
|
Laurie Louise Peterson
2116 Craig Rd |
$47.51 | 1,925 | 1,827 |
|
Tatsiana Halkova
3501 Golf Rd |
$27.30 | 1,839 | 1,699 |
|
Kathy Keebaugh
733 W Clairemont Ave |
$68.97 | 1,834 | 1,742 |
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 Eau Claire, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Eau Claire, WI is $37.36 per claim, based on 429,148 claims from 464 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 Eau Claire, WI?
There are 464 Medicaid providers offering Office Visit related services in Eau Claire, WI according to public payment data.
What is the price range for Office Visit in Eau Claire, WI?
Medicaid reimbursement for Office Visit in Eau Claire, WI ranges from $0.00 to $187.89 per claim, with an average of $37.36. 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 Eau Claire, WI
Blood Work & Lab Tests
Avg $8.64
449,960 claims
Substance Abuse Treatment
Avg $12.36
398,101 claims
Behavioral & Mental Health Therapy
Avg $119.91
259,429 claims
Emergency Room Visit
Avg $55.46
172,380 claims
Chiropractic Care
Avg $18.54
164,659 claims
Psychiatric Evaluation
Avg $62.56
164,120 claims
Speech Therapy
Avg $12.72
115,604 claims
X-Ray
Avg $4.71
110,719 claims