Average Medicaid Office Visit Payments in Fond Du Lac, WI: $30.99
Avg. Paid
$30.99
Range
$0.00 – $148.99
Total Claims
187,764
Providers
163
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 Fond Du Lac, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Agnesian Healthcare, Inc
430 E Division St |
$38.90 | 21,552 | 14,835 |
|
Scott J Stellmacher
210 Wisconsin American Dr |
$36.01 | 8,235 | 7,671 |
|
Kent B Hartung
145 N Main St |
$30.12 | 7,962 | 7,232 |
|
Michele D Lindsey
210 Wisconsin American Dr |
$42.21 | 6,900 | 6,356 |
|
Sarah J Guse
210 Wisconsin American Dr |
$33.32 | 6,846 | 6,264 |
|
Joline Brotzman
459 E 1St St |
$12.98 | 6,041 | 4,568 |
|
Barbara D Zink
210 Wisconsin American Dr |
$31.72 | 5,445 | 4,706 |
|
Marian E Asfeld Freund
210 Wisconsin American Dr |
$43.51 | 5,206 | 4,781 |
|
Louann L Biddick
420 E Division St |
$22.34 | 4,587 | 3,825 |
|
Amy S Emmer-Sheldon
210 Wisconsin American Dr |
$38.71 | 4,019 | 3,676 |
|
Lynda J Kasper
420 E Division St |
$27.42 | 3,874 | 3,499 |
|
Xian F Gu
420 E Division St |
$29.06 | 3,709 | 3,361 |
|
Tanya Watry
210 Wisconsin American Dr |
$37.16 | 3,542 | 3,310 |
|
Jamie Rambeau
459 E 1St St |
$16.60 | 3,510 | 2,790 |
|
Scott A Calvert
145 N Main St |
$26.15 | 3,465 | 3,153 |
|
Jennifer I Giesige
430 E Division St |
$14.88 | 3,384 | 2,608 |
|
Kristine S Taivalmaa
420 E Division St |
$28.55 | 3,352 | 3,079 |
|
Mary V Kirkwood
430 E Division St |
$20.36 | 3,194 | 2,768 |
|
Douglas C Wonder
145 N Main St |
$27.13 | 2,628 | 2,338 |
|
James E Schuster
305 Camelot Dr |
$25.52 | 2,502 | 2,312 |
|
Stacie M Valukas
210 Wisconsin American Dr |
$33.07 | 2,336 | 2,124 |
|
Nicole Denise Schwendel
420 E Division St |
$29.49 | 2,253 | 1,993 |
|
Jammi G Cairns
420 E Division St |
$28.06 | 1,948 | 1,655 |
|
Alexandria Lynn Hefter
430 E Division St |
$26.48 | 1,904 | 1,577 |
|
Mark S Kermgard
145 N Main St |
$24.94 | 1,902 | 1,663 |
|
Oana Enea
420 E Division St |
$47.38 | 1,898 | 1,719 |
|
Paul R Chambers
145 N Main St |
$27.81 | 1,786 | 1,628 |
|
Sachin S Jogal
420 E Division St |
$38.61 | 1,758 | 1,507 |
|
Radu E Pirvanescu
420 E Division St |
$33.33 | 1,616 | 1,462 |
|
Khalid I Chaudhry
459 E 1St St |
$12.01 | 1,600 | 1,262 |
|
Joseph Puskar
420 E Division St |
$45.87 | 1,564 | 1,443 |
|
Oliver A Clements
420 E Division St |
$31.56 | 1,530 | 1,283 |
|
Kris A Homb
421 Camelot Dr |
$44.68 | 1,523 | 1,367 |
|
Cheryl R Tapp
430 E Division St |
$14.63 | 1,513 | 1,168 |
|
Thomas J Fabricius
420 E Division St |
$24.19 | 1,500 | 1,341 |
|
Howard L Dhonau
420 E Division St |
$29.37 | 1,473 | 1,304 |
|
Suhail M Hariri
421 Camelot Dr |
$28.49 | 1,452 | 1,318 |
|
Courtney M Collien
889 E Johnson St |
$33.57 | 1,436 | 1,196 |
|
Jagadeeswara Rao Musunuru
459 E 1St St |
$25.81 | 1,397 | 1,169 |
|
Ryan M Pizinger
421 Camelot Dr |
$29.11 | 1,384 | 1,218 |
|
Nichole R Nelson
210 Wisconsin American Dr |
$33.72 | 1,370 | 1,197 |
|
Carly Marie Salter
420 E Division St |
$39.28 | 1,302 | 1,156 |
|
Joanne Christine Farrelly
145 N Main St |
$33.80 | 1,225 | 1,135 |
|
Daisy I Santa
420 E Division St |
$30.06 | 1,098 | 990 |
|
Ramon Pajarillo
210 Wisconsin American Dr |
$29.62 | 1,076 | 986 |
|
Nora L Olson
420 E Division St |
$33.13 | 1,068 | 961 |
|
Patricia A Michels
421 Camelot Dr |
$14.51 | 1,055 | 972 |
|
Teegan R Kraus
889 E Johnson St |
$22.79 | 1,015 | 900 |
|
Brian C Christenson
430 E Division St |
$11.98 | 1,009 | 854 |
|
Sandra K Zernzach-Schertz
1081 E Johnson St |
$27.99 | 965 | 775 |
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 Fond Du Lac, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fond Du Lac, WI is $30.99 per claim, based on 187,764 claims from 163 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 Fond Du Lac, WI?
There are 163 Medicaid providers offering Office Visit related services in Fond Du Lac, WI according to public payment data.
What is the price range for Office Visit in Fond Du Lac, WI?
Medicaid reimbursement for Office Visit in Fond Du Lac, WI ranges from $0.00 to $148.99 per claim, with an average of $30.99. 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 Fond Du Lac, WI
Substance Abuse Treatment
Avg $10.48
448,434 claims
Blood Work & Lab Tests
Avg $8.83
327,918 claims
Emergency Room Visit
Avg $46.88
110,069 claims
Physical Therapy
Avg $17.98
104,978 claims
Case Management Services
Avg $237.57
102,660 claims
Personal Care Services
Avg $7.13
98,362 claims
Speech Therapy
Avg $11.33
84,147 claims
Psychiatric Evaluation
Avg $35.02
76,059 claims