Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Fitchburg, WI: $28.78

Avg. Paid

$28.78

Range

$12.18 – $69.38

Total Claims

11,072

Providers

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 Fitchburg, WI

Provider	Avg. Paid	Claims	Patients
Christopher S. Nevers 3590 Breckenridge Ct	$27.34	2,055	1,857
Don A Bukstein 2955 Triverton Pike Dr.	$18.42	1,175	821
Lalitha V Iyer 5543 E Cheryl Pkwy	$15.59	1,152	1,051
Harrison M Gimbel 2844 Index Rd	$48.77	1,012	912
Tessa Semlek 2401 W Hill Dr	$19.25	552	504
Kaye Mcgrath 5543 E Cheryl Pkwy	$37.20	499	449
Megan Elizabeth Galske 2844 Index Rd	$31.69	494	452
Carole Elizabeth Perry 5543 E Cheryl Pkwy	$24.29	445	411
David Francis Florio 3051 Cahill Main	$44.11	389	357
Chad M Conley 2961B Yarmouth Greenway Dr	$19.40	367	353
Robert Freidel 5543 E Cheryl Pkwy	$35.32	296	264
Katelyn D Beemon 3051 Cahill Main	$31.27	273	247
Joseph A Crisalli 2844 Index Rd	$69.38	268	255
Leslie Leigh Adams 5543 E Cheryl Pkwy	$32.80	219	177
Cheryl A Martin-Foster 2690 Research Park Dr	$16.57	214	195
Katherine L Simons 5123 Central Park Pl	$38.57	187	183
Tyler Cole Gorman 3034 Fish Hatchery Rd	$24.91	184	177
Meriel S Rongstad 5543 E Cheryl Pkwy	$16.45	169	157
Katherine A Mccreary 5543 E Cheryl Pkwy	$34.35	146	139
Carol Ballweg 3051 Cahill Main	$33.83	133	133
Francesca Jeffries Vash 3051 Cahill Main	$33.97	120	109
Sadat Abiri 2500 Rimrock Rd Apt 102	$18.45	94	73
Mark R Mccabe 5543 E Cheryl Pkwy	$19.46	90	77
Mark P. Huth 3051 Cahill Main	$12.18	75	74
Bradleigh Rose Schafer 5535 Nobel Dr	$28.44	65	65
William P Shannon 3026 Yarmouth Greenway Dr	$22.09	62	57
Stephen Lo 3051 Cahill Main	$29.08	57	52
Ewa I Alexander 2844 Index Rd	$46.68	54	50
Jonathan Bohman 3051 Cahill Main	$27.68	39	36
Megan A Rocke 2844 Index Rd	$21.33	38	31
Annie Dutcher 3051 Cahill Main	$25.05	37	36
Michelle Mortensen 2844 Index Rd	$23.17	27	26
Adam N Considine 3070 Fish Hatchery Rd Ste 2	$16.13	17	14
Jaclyn M Ayers 5535 Nobel Dr	$22.59	16	16
Fahad Aziz 3034 Fish Hatchery Rd	$17.32	14	12
Carlene Oakley 3051 Cahill Main	$34.18	13	12
Kathy A Rozema 6041 Basswood Dr	$17.49	13	12
Kristopher S Denby 3051 Cahill Main	$25.25	12	12

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 Fitchburg, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fitchburg, WI is $28.78 per claim, based on 11,072 claims from 38 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 Fitchburg, WI?

There are 38 Medicaid providers offering Office Visit related services in Fitchburg, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Fitchburg, WI ranges from $12.18 to $69.38 per claim, with an average of $28.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Fitchburg, WI: $28.78

Providers Offering Office Visit in Fitchburg, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Fitchburg, WI

Dental Cleaning & Exam

Blood Work & Lab Tests

Substance Abuse Treatment

Dialysis

EKG / ECG (Electrocardiogram)

Chiropractic Care

Emergency Room Visit

Vaccines & Immunizations