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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Elkhorn, WI: $32.73

Avg. Paid

$32.73

Range

$9.75 – $64.23

Total Claims

56,728

Providers

48

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 Elkhorn, WI

Provider Avg. Paid Claims Patients
Jeffrey D Tiemstra

W3985 County Road Nn

$31.44 5,756 4,921
Lauren H Walsh

W3985 County Road Nn

$33.36 5,502 4,759
Corinne M. Hansen

201 E Morrissey Dr

$32.50 3,549 3,262
Ashley Caravelli

201 E Morrissey Dr

$36.80 3,082 2,939
Jessie Lamberty

201 E Morrissey Dr

$43.54 2,781 2,626
Christa B Pierce

1910 County Road Nn

$18.47 2,574 2,041
Steven William Ortell

W4051 County Road Nn

$22.91 2,519 1,898
Adriana Tobar

201 E Morrissy Dr

$50.53 2,426 2,321
Kamal S Muzaffar

100 S Washington St

$27.57 2,147 1,587
Holly Crowley

201 E. Morrissey Dr.

$31.90 1,845 1,700
Amanda J Pipp

W3985 County Road Nn

$38.56 1,760 1,645
Sandra Arens

100 S Washington St

$31.18 1,578 965
Jeffrey Alan Kowalski

839 N Wisconsin St

$35.31 1,382 1,188
Marissa Le

201 E Morrissy Dr

$44.49 1,302 1,193
Mark Oliver Pease

W4051 Hwy Nn

$14.92 1,260 989
Katherine Jean Tura Spencer-Schuerman

201 E Morrissy Dr

$17.64 1,208 855
Sandra Homan

201 E Morrissy Dr

$35.16 1,159 1,028
Bridget A Kampman

201 E Morrissey Dr

$33.73 1,129 1,057
Brenda L Garrett

201 E Morrissy Dr

$35.31 1,028 991
Nishit Shah

W3985 County Road Nn

$36.45 940 807
Aurora Health Care Southern Lakes, Inc.

W3985 County Road Nn

$64.23 874 733
David Gerard Rzepczynski

W3985 County Road Nn

$30.25 845 717
Susan L Guthart

201 E Morrissey Dr

$35.53 837 802
Ajay K Reddy

W3985 County Road Nn

$43.03 834 723
Megan Burg

201 E Morrissey Dr

$41.31 769 716
County Of Walworth

1910 County Road Nn

$9.75 762 681
Benjamin R. Banks

W3985 County Road Nn

$37.38 687 597
Peter S Diamond

W3985 County Road Nn

$25.50 626 575
David C Thies

205 E Commerce St

$21.81 610 566
Nakash Grant

W3985 County Road Nn

$30.95 585 538
Michael S Hobbs

W3985 County Road Nn

$32.52 502 477
Nevin Uysal Biggs

W3985 County Road Nn

$13.38 491 465
Annisa R Schmidt

W3985 County Road Nn

$34.23 363 343
Anna Nusbaum

1910 County Road Nn

$23.68 356 289
Fares W Sweis

839 N Wisconsin St

$46.77 337 299
Elaine Marie Sorem

1910 County Road Nn

$19.64 336 243
Karen Breit

201 E Morrissy Dr

$30.29 332 321
Cary E Berkowitz

W 3985 County Road Nn

$24.24 316 271
Jane Porath

205 E Commerce St

$28.15 309 293
Heather Dawn Dalton

210 Oconnor Dr Ste 105

$18.82 228 218
Staci Brewer

201 E Morrissy Dr

$40.37 194 171
Ryan Brower

201 E Morrissey Dr

$29.37 152 144
Jessica Erin Furey

839 N Wisconsin St

$33.61 127 100
Steven Weiner

201 E Morrissey Dr

$18.55 94 88
Bria Rayome Prososki

201 E Morrissy Dr

$35.43 90 83
Karlie Bakovic

201 E Morrissy Dr

$44.87 74 63
Lynsea Monien

W3985 County Road Nn

$21.72 41 39
Marjorie Ann Willett

W3985 County Road Nn

$30.26 30 27

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 Elkhorn, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elkhorn, WI is $32.73 per claim, based on 56,728 claims from 48 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 Elkhorn, WI?

There are 48 Medicaid providers offering Office Visit related services in Elkhorn, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Elkhorn, WI ranges from $9.75 to $64.23 per claim, with an average of $32.73. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Elkhorn, WI