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 |
|---|---|---|---|
|
Ryan B Marendiuk
430 E Division St |
$114.74 | 12 | 12 |
|
Jacklyn R Osborne
421 Camelot Dr |
$45.70 | 12 | 12 |
|
Brenda J Grass
420 E Division St |
$39.90 | 13 | 12 |
|
Clark Pomeroy Searle
421 Camelot Dr |
$50.43 | 14 | 12 |
|
Alan W Roetker
421 Camelot Dr |
$35.30 | 14 | 14 |
|
Lisa M Patterson
420 E Division St |
$15.87 | 15 | 12 |
|
Maria E Saleh
355 N Peters Ave Ste 3 |
$36.29 | 15 | 13 |
|
Ashley Lauren Kluge
430 E Division St |
$35.90 | 17 | 14 |
|
Fond Du Lac County Dcp Case Management
459 E 1St St |
$0.00 | 19 | 18 |
|
Joshua M Mulloy
210 Wisconsin American Dr |
$60.17 | 20 | 17 |
|
Mark James Donovan
210 Wisconsin American Dr |
$37.38 | 25 | 24 |
|
Crystal J Kleiber Balderrama
420 E Division St |
$33.44 | 27 | 24 |
|
Craig S Wink
924 Forest Ave |
$29.98 | 28 | 26 |
|
Jonathan K Stroebel
421 Camelot Dr |
$27.40 | 29 | 28 |
|
Kierstyn Lee Lomprey
420 E Division St |
$9.18 | 30 | 28 |
|
Kelly Jean Brunet
420 E Division St |
$24.37 | 40 | 38 |
|
Fond Du Lac County
459 E 1St St |
$9.85 | 40 | 38 |
|
Tadeo A Diaz Balderrama
420 E Division St |
$22.28 | 41 | 40 |
|
Kimberly Kay Hornes
420 E Division St |
$17.39 | 41 | 37 |
|
Lisa R Weber
420 E Division St |
$31.30 | 42 | 39 |
|
Daniel William Klumb
420 E Division St |
$21.64 | 43 | 40 |
|
Sonia Miley
420 E Division St |
$30.85 | 43 | 39 |
|
Jeanette Roehl
210 Wisconsin American Dr |
$57.52 | 47 | 45 |
|
Andrea Jean Aul
430 E Division St |
$32.18 | 50 | 45 |
|
Kelly Marie Hagner
480 E Division St |
$20.60 | 51 | 43 |
|
Jennifer Nicole Stephany
420 E Division St |
$47.23 | 53 | 48 |
|
Laura R Suprenand
421 Camelot Dr |
$20.51 | 56 | 49 |
|
James E Cauley
420 E Division St |
$13.68 | 63 | 58 |
|
David Lee Haller
420 E Division St |
$23.50 | 63 | 55 |
|
Kimberly Moldenhauer
23 W Scott St |
$31.45 | 64 | 59 |
|
Robert Michael Bertram
421 Camelot Dr |
$21.42 | 85 | 79 |
|
Brita C Mccullough
420 E Division St |
$23.67 | 85 | 74 |
|
Robert J Grass
420 E Division St |
$31.40 | 87 | 81 |
|
Jeremy M. Bell
210 Wisconsin American Dr |
$23.44 | 89 | 79 |
|
Lewis A Sierra
145 N Main St |
$29.24 | 95 | 92 |
|
Greta M Kostac
210 Wisconsin American Dr |
$36.20 | 95 | 92 |
|
Karen L Meyer
420 E Division St |
$43.71 | 99 | 89 |
|
James A Wright
420 E Division St |
$14.06 | 104 | 93 |
|
Kevin Andrew Jessen
912 S Hickory St |
$32.26 | 109 | 98 |
|
Glen J Kemp
421 Camelot Dr |
$34.39 | 111 | 102 |
|
Scott Thomas Suprenand
103 S Pioneer Rd Ste 200 |
$18.98 | 112 | 104 |
|
Betty Xiong-Thompson
210 Wisconsin American Dr |
$14.75 | 112 | 99 |
|
David C. Beringer
430 E Division St |
$40.35 | 115 | 113 |
|
Garrett Westman
210 Wisconsin American Dr |
$44.16 | 116 | 102 |
|
Benjamin Richard Wiseley
421 Camelot Dr |
$33.66 | 117 | 105 |
|
Tiffany Marie Boelk
420 E Division St |
$22.13 | 118 | 110 |
|
Sela Sherr
430 E Division St |
$31.73 | 123 | 123 |
|
Jessica B Harding
420 E Division St |
$21.98 | 130 | 124 |
|
Steven A Magoline
421 Camelot Dr |
$17.70 | 139 | 127 |
|
Lisa Mae Michels
480 E Division St |
$15.49 | 142 | 119 |
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