Average Medicaid Office Visit Payments in Fort Atkinson, WI: $44.59
Avg. Paid
$44.59
Range
$9.22 – $334.89
Total Claims
67,832
Providers
53
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 Fort Atkinson, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fort Healthcare, Inc.
611 Sherman Ave E |
$62.14 | 17,776 | 14,795 |
|
Michael D Dougherty
611 Sherman Ave East |
$38.31 | 8,019 | 7,468 |
|
Stanley Fudala
500 Mcmillen Street |
$30.11 | 7,904 | 6,327 |
|
Fort Healthcare Inc
500 Mcmillen St |
$62.22 | 7,878 | 6,627 |
|
Barry P Cash
740 Reena Ave |
$28.72 | 2,551 | 2,118 |
|
Thomas Tackman
611 Sherman Ave E |
$18.33 | 2,284 | 1,592 |
|
Heidi J Jennrich
500 Mcmillen Street |
$27.20 | 1,900 | 1,569 |
|
Catherine L Sweeney
500 Mcmillen St |
$27.72 | 1,789 | 1,530 |
|
Lauren P Mayer
611 Sherman Ave E |
$25.78 | 1,470 | 1,229 |
|
Shauna J Meyer
601 Handeyside Ln |
$30.51 | 1,432 | 1,267 |
|
Susan K Ipsen
1520 Madison Ave |
$28.98 | 1,335 | 1,106 |
|
Luella M Guzman
611 Sherman Ave E |
$31.11 | 1,261 | 1,080 |
|
Martin Okun
611 Sherman Ave E |
$17.30 | 1,212 | 1,019 |
|
William C. Hofmann
611 Sherman Ave E |
$24.52 | 1,074 | 926 |
|
Michael R Anderson
611 Sherman Ave E |
$23.79 | 907 | 798 |
|
Ramsey G Larson
611 Sherman Ave E |
$185.44 | 817 | 427 |
|
Patrick Thomas Daley
1620 Mehta Ln |
$33.42 | 803 | 730 |
|
Scott J Brantmeier
1620 Mehta Ln |
$34.03 | 710 | 623 |
|
Jennifer Ann Winter
1520 Madison Ave |
$32.34 | 698 | 606 |
|
Stephen C Riggs
740 Reena Ave |
$28.98 | 667 | 557 |
|
Nicole Lee Lankey
611 Sherman Ave E |
$25.41 | 514 | 434 |
|
Bret Hunt
611 E Sherman Ave |
$39.00 | 495 | 435 |
|
Laurel J Runte
426 Mcmillen St |
$23.78 | 494 | 402 |
|
Ernesto Bogarin Miranda
1520 Madison Ave |
$27.99 | 454 | 398 |
|
Tina M Yoss
740 Reena Ave |
$32.58 | 372 | 315 |
|
Angela Schuldies
611 Sherman Ave E |
$41.36 | 346 | 297 |
|
Joellyn Krause
1520 Madison Ave |
$37.40 | 331 | 289 |
|
Dane Schultz
611 Sherman Ave E |
$34.98 | 300 | 256 |
|
Scott Schlais
611 Sherman Ave E |
$42.95 | 294 | 265 |
|
Akm Abuhiya
500 Mcmillen St |
$41.93 | 283 | 269 |
|
William J Cannon
500 Mcmillen St |
$22.71 | 192 | 137 |
|
Alison Nicole Lehman
1520 Madison Ave |
$44.21 | 141 | 120 |
|
Kristin L Moseman
740 Reena Ave Ste B |
$55.31 | 127 | 118 |
|
Kelly Rae Toijala
1620 Mehta Ln |
$34.98 | 121 | 115 |
|
Matthew T Sdano
611 Sherman Ave E |
$31.12 | 114 | 111 |
|
Kaylin Gaia Darling
1620 Mehta Ln |
$49.25 | 96 | 89 |
|
Bonnie L Poppy
611 Sherman Ave E |
$54.18 | 83 | 73 |
|
Paul W Schuppner
1504 Madison Ave |
$29.13 | 71 | 60 |
|
Laura Koenig
500 Mcmillen St |
$32.60 | 70 | 54 |
|
James Brown
611 Sherman Ave E |
$9.22 | 61 | 57 |
|
Becky Lynn Jaracz Kohl
611 E Sherman Ave |
$40.43 | 50 | 48 |
|
Jeffrey Patrick Mcguire
1620 Mehta Ln |
$32.37 | 45 | 38 |
|
John P Doerfer
740 Reena Ave |
$334.89 | 41 | 41 |
|
Breah Klemp
1620 Mehta Ln |
$31.77 | 40 | 39 |
|
Catherine H Lee
740 Reena Ave |
$29.15 | 39 | 39 |
|
Robert P Sievert
611 Sherman Ave E |
$33.29 | 30 | 24 |
|
Isidoro V Zambrano
1504 Madison Ave |
$19.78 | 30 | 25 |
|
Patricia A Steckelmann
611 Sherman Ave E |
$37.18 | 29 | 28 |
|
Joyce M Dedrick
650 Mcmillen St |
$32.58 | 27 | 24 |
|
Matthew S Bliss
1504 Madison Ave |
$51.78 | 16 | 13 |
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 Fort Atkinson, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fort Atkinson, WI is $44.59 per claim, based on 67,832 claims from 53 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 Fort Atkinson, WI?
There are 53 Medicaid providers offering Office Visit related services in Fort Atkinson, WI according to public payment data.
What is the price range for Office Visit in Fort Atkinson, WI?
Medicaid reimbursement for Office Visit in Fort Atkinson, WI ranges from $9.22 to $334.89 per claim, with an average of $44.59. 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 Fort Atkinson, WI
Blood Work & Lab Tests
Avg $7.75
134,102 claims
Physical Therapy
Avg $18.37
63,491 claims
Emergency Room Visit
Avg $53.41
49,098 claims
Personal Care Services
Avg $10.40
45,350 claims
Urinalysis & Urine Tests
Avg $7.10
35,697 claims
Speech Therapy
Avg $12.29
33,615 claims
Non-Emergency Medical Transportation
Avg $19.70
27,687 claims
Chiropractic Care
Avg $15.45
18,285 claims