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
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 Elkhorn, WI
Personal Care Services
Avg $7.27
113,568 claims
Physical Therapy
Avg $26.09
105,934 claims
Behavioral & Mental Health Therapy
Avg $113.94
86,004 claims
Speech Therapy
Avg $13.54
64,936 claims
Emergency Room Visit
Avg $49.61
53,104 claims
Substance Abuse Treatment
Avg $8.03
50,372 claims
Blood Work & Lab Tests
Avg $14.64
46,209 claims
EKG / ECG (Electrocardiogram)
Avg $5.15
34,275 claims