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 |
|---|---|---|---|
|
Leonardo G Fugoso
733 W Clairemont Ave |
$7.77 | 12 | 12 |
|
Christopher Thomas Roberts
1400 Bellinger St |
$26.90 | 12 | 12 |
|
Michelle Rupslauskas
1221 Whipple St |
$36.02 | 12 | 12 |
|
Julia Christine Ryder
1221 Whipple St |
$43.79 | 12 | 12 |
|
Chris L Hubbell
2130 Brackett Ave |
$48.00 | 12 | 12 |
|
Kaye I Krave
1400 Bellinger St |
$26.39 | 12 | 12 |
|
James B Miettunen
733 W Clairemont Ave |
$63.95 | 12 | 12 |
|
Thomas John Pavey
733 W Clairemont Ave |
$97.74 | 12 | 12 |
|
Jon Warren Potter
4109 Oakwood Hills Parkway |
$7.09 | 13 | 12 |
|
Tamara Jean Slinkard
3221 Stein Blvd |
$24.71 | 13 | 13 |
|
William Morin
1400 Bellinger St |
$39.48 | 13 | 12 |
|
Jeffrey Bartynski
733 W Clairemont Ave |
$13.74 | 13 | 13 |
|
Myles David Keroack
2116 Craig Rd |
$92.90 | 13 | 12 |
|
Donald George Lorentz
963 W Clairemont Ave |
$48.00 | 13 | 13 |
|
Aryan Shiari
1400 Bellinger St |
$17.14 | 13 | 13 |
|
Andrew W Brown
900 W Clairemont Ave |
$16.79 | 13 | 13 |
|
Andrew Kieffer
1400 Bellinger St |
$27.90 | 13 | 12 |
|
Ashley Lynn Peterson
1221 Whipple St |
$11.58 | 13 | 13 |
|
Alex J Beuning
1221 Whipple St |
$29.03 | 13 | 12 |
|
Stephen Mathias Endres
1221 Whipple St |
$37.45 | 13 | 12 |
|
Leonard C Ezenagu
1400 Bellinger St |
$23.06 | 14 | 14 |
|
Patrick J Hassemer
1400 Bellinger St |
$20.48 | 14 | 12 |
|
Michelle Botts Olson
1400 Bellinger St |
$31.05 | 14 | 13 |
|
Taylor Jackson North
1400 Bellinger St |
$113.20 | 14 | 13 |
|
Thomas Lewis
1400 Bellinger St |
$26.33 | 14 | 14 |
|
Stacy R Saffert
1400 Bellinger St |
$13.44 | 14 | 13 |
|
Michael John Rentzepis
1400 Bellinger St |
$17.45 | 14 | 13 |
|
Emilee Forrest Schaefer
1400 Bellinger St |
$25.58 | 14 | 13 |
|
Chelsea Demarre
1400 Bellinger St |
$37.28 | 14 | 12 |
|
Robert M. Washecka
1400 Bellinger St |
$30.27 | 14 | 12 |
|
Daniel T Kincaid
1400 Bellinger St |
$13.27 | 15 | 15 |
|
Lori L Arndt
1400 Bellinger St |
$3.82 | 15 | 14 |
|
Suzette K Peltier
1400 Bellinger St |
$23.63 | 15 | 13 |
|
Laura Leigh Ambler
1400 Bellinger St |
$27.51 | 15 | 14 |
|
Thomas J Bramwell
2116 Craig Rd |
$4.36 | 15 | 13 |
|
David Michael Junker
2116 Craig Rd |
$15.55 | 15 | 14 |
|
Emily Mary Erickson
1400 Bellinger St |
$49.02 | 15 | 13 |
|
Johann M Peikert
1400 Bellinger St |
$23.71 | 15 | 15 |
|
Tina Hogan
1400 Bellinger St |
$12.32 | 16 | 14 |
|
Lee Allan Hofer
2715 Damon St |
$22.85 | 16 | 14 |
|
Rhiannon C Riley
1400 Bellinger Street |
$25.75 | 16 | 14 |
|
Laura Dawn Bertram
3519 Gateway Drive |
$16.09 | 16 | 13 |
|
Kristin Anne Severson
3802 Oakwood Mall Dr |
$38.79 | 16 | 13 |
|
Danielle Kay Knetter
2522 Golf Rd Ste 1 |
$14.72 | 16 | 12 |
|
Craig Steven Tarini
3519 Gateway Drive |
$18.48 | 18 | 17 |
|
Jordan Levi Reed
1400 Bellinger St |
$29.65 | 19 | 19 |
|
Jenna Swenson
3131 Stein Blvd |
$52.47 | 19 | 18 |
|
Miechia Ashawn Esco
900 W Clairemont Ave |
$10.68 | 19 | 17 |
|
Aaron Triplett
1221 Whipple St |
$25.01 | 19 | 18 |
|
Jordan Crow
3213 Stein Blvd |
$22.48 | 20 | 19 |
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