Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Franklin, WI: $37.17

Avg. Paid

$37.17

Range

$12.86 – $84.52

Total Claims

119,559

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 Franklin, WI

Provider	Avg. Paid	Claims	Patients
Sanjeev N. Shukla 10101 South 27Th Street	$44.50	15,148	12,997
Maria Quevado Visaya 9200 W Loomis Rd	$60.18	14,935	13,756
Francis J Cuevas 7410 W Rawson Avenue	$23.19	6,714	5,606
John P Krebsbach 7400 W Rawson Ave	$23.67	4,734	4,056
Salman Waheeduddin 4225 W Oakwood Park Ct	$35.29	4,329	4,039
Geoffrey A Scott 4202 W Oakwood Park Ct	$34.23	3,581	3,301
Jonathan Scott Treisman 7410 W Rawson Ave	$23.67	3,262	2,730
Ivica Boban 9969 S 27Th St	$29.45	2,882	2,643
Gary Duane Nordyke 10500 W Loomis Rd	$28.47	2,821	2,518
Saleem Aman 9969 S 27Th St	$33.37	2,628	2,299
Douglas Milosavljevic 8153 S 27Th St	$16.32	2,627	2,243
Daniel Rogers 9200 W Loomis Rd	$33.65	2,559	2,325
Jonathan Shih 9200 W Loomis Rd Ste 116	$39.39	2,524	2,343
Valerie Nelson 7400 W Rawson Ave	$84.52	2,448	1,944
Patrick Spiering 7400 W Rawson Ave	$35.03	2,410	2,123
Kenneth Daniel Strzelecki 7322 W Rawson Ave	$40.19	2,290	2,096
Fahmina Y Hussain 10101 S 27Th St	$34.45	2,255	2,023
Susan J Hill 7400 W Rawson Ave	$35.67	1,951	1,759
Carl Bellinger 9200 W Loomis Rd Ste 212	$34.74	1,906	1,795
Jessica De Valk 7322 W Rawson Ave	$45.08	1,837	1,716
Randall Dei 7400 W Rawson Ave	$21.43	1,810	1,565
Sarah Helen Vicari 10500 W Loomis Rd	$30.48	1,808	1,665
Robert D Matteucci 8153 S 27Th St	$12.86	1,741	1,219
Bridget Bodenbach 9200 W Loomis Rd	$35.80	1,668	1,580
Dorothy A Koenig 8885 S 68Th St	$30.44	1,493	1,401
Vinodkumar Shah 10101 S 27Th St	$33.94	1,333	1,186
Martha T. Aregbesola 10101 S 27Th St	$36.07	1,204	1,117
David J Clark 9120 W Loomis Rd	$29.39	1,180	1,096
Kimberly J Little 9200 W Loomis Rd	$31.93	1,163	1,097
Rodrigo G Valadares De Sousa 4225 W. Oakwood Park Ct	$27.19	1,147	960
Lisa Obrien 3111 W Rawson Ave Ste 210	$24.60	1,132	1,031
Jennifer Thomas 4202 W. Oakwood Park Ct.	$31.33	1,066	977
Brittney Anhalt 4225 W Oakwood Park Ct	$31.88	1,001	947
Michael D D'Amico 4202 W. Oakwood Park Ct	$30.69	977	905
Trisha L. Kohn 7322 W Rawson Ave	$43.60	925	863
Lisa J York 3111 W Rawson Ave Ste 235	$19.86	864	772
Stephanie Sue Olson 7322 W Rawson Ave	$35.25	811	748
Melissa A Jackson 9809 S Franklin Dr Ste 302	$24.58	780	367
Madeline Jane Schaeffer 10500 W Loomis Rd Ste 110	$40.88	779	620
Amanda F Sell 4225 W Oakwood Park Ct	$26.71	770	716
Tracy Lynn Nelson 5600 W Rawson Ave Ste 101	$24.10	755	668
Kaitlyn Scott 6501 S 27Th St	$50.93	714	668
Nighat D Siddiqui 9200 W Loomis Rd	$40.00	705	659
Veronica Lorelei Zimmer 4202 W Oakwood Park Ct Ste 200	$27.62	701	626
Jonathan Stone 3111 W Rawson Ave Ste 200205	$26.82	699	634
Michael J Bohn 5263 W. Harvard Dr.	$24.80	628	574
Katherine L Pampuch 9200 W Loomis Rd	$36.84	611	566
Laura Burgmeier 3111 W Rawson Ave	$25.79	525	485
Heather A Underkofler 7322 W Rawson Ave	$40.09	508	477
Amanda Lyne Bartels 8153 S 27Th St Ste 600	$24.31	501	431

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 Franklin, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Franklin, WI is $37.17 per claim, based on 119,559 claims from 89 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 Franklin, WI?

There are 89 Medicaid providers offering Office Visit related services in Franklin, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Franklin, WI ranges from $12.86 to $84.52 per claim, with an average of $37.17. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Franklin, WI: $37.17

Providers Offering Office Visit in Franklin, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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