Average Medicaid Office Visit Payments in Franklin, WI: $37.17
Avg. Paid
$37.17
Range
$12.86 – $84.52
Total Claims
119,559
Providers
89
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 |
|---|---|---|---|
|
Jacqueline Ann Stencel
5050 W Rawson Ave |
$40.29 | 12 | 12 |
|
Christina Marie Golner
7400 W Rawson Ave |
$15.94 | 12 | 12 |
|
Brian A Bartz
3111 W Rawson Ave |
$15.24 | 15 | 12 |
|
Patricia F Golden
7400 W Rawson Ave |
$41.99 | 15 | 13 |
|
Kayla Weber
6557 S Whitnall Edge Rd |
$43.43 | 15 | 14 |
|
Christopher Kornowski
9969 S 27Th St |
$25.16 | 27 | 26 |
|
Melody Chen
4202 W Oakwood Park Ct |
$17.86 | 31 | 29 |
|
Peter Michael Medved
9200 W Loomis Rd |
$18.60 | 38 | 36 |
|
Kimberly Anne Cronsell
7322 W Rawson Ave |
$36.46 | 41 | 36 |
|
Jeffrey A. Aldred
9200 W Loomis Rd |
$23.22 | 45 | 39 |
|
Samantha Anderson
7400 W Rawson Ave |
$47.74 | 46 | 42 |
|
Heather Dawn Sweet
7441 S 27Th St Ste 101 |
$28.58 | 51 | 50 |
|
Dale R. Buettner
8225 S 27Th St |
$14.79 | 54 | 39 |
|
Leah Plaisier Mortensen
3111 W Rawson Ave |
$30.72 | 56 | 53 |
|
Timothy J Grass
10101 S 27Th St |
$41.36 | 57 | 51 |
|
Steven R Trinkl
3111 W Rawson Ave |
$17.62 | 59 | 50 |
|
William T Pennington
3111 W Rawson Ave |
$16.45 | 91 | 80 |
|
Melissa Wehrman Koss
9200 W Loomis Rd |
$26.19 | 105 | 96 |
|
Jamie O Edwards
3111 W Rawson Ave |
$25.44 | 109 | 95 |
|
Stacey Mulry
7322 W Rawson Ave |
$61.33 | 122 | 117 |
|
Elisa Marie Diermeier
3111 W Rawson Ave |
$28.55 | 122 | 114 |
|
Sandra Scalzitti
7400 W Rawson Ave |
$35.96 | 125 | 108 |
|
Wendy L Edwards
8109 S 47Th St |
$23.86 | 133 | 109 |
|
Debra Marie Pendergast
4202 W Oakwood Park Ct Ste 200 |
$38.53 | 135 | 133 |
|
Iryna O Janko
9969 S 27Th St Fl 2 |
$40.39 | 173 | 161 |
|
Daniel W Guehlstorf
3111 W Rawson Ave |
$19.71 | 176 | 156 |
|
Turia Hollingsworth
9200 W Loomis Rd |
$26.93 | 184 | 163 |
|
Dorota Wozniewicz
9200 W Loomis Rd |
$33.41 | 187 | 176 |
|
Dale S. Schaper
9200 W Loomis Rd |
$40.20 | 188 | 172 |
|
Angela L Baker-Franckowiak
7322 W Rawson Ave |
$48.50 | 209 | 202 |
|
Dennis J. Andersen
9120 W Loomis Rd |
$21.69 | 247 | 229 |
|
Nicholas Lee Herbert
7133 S 76Th St |
$35.18 | 256 | 190 |
|
Jack Steiner
4202 W Oakwood Park Ct |
$47.65 | 275 | 248 |
|
Mysore S Shivaram
7400 W Rawson Ave |
$33.21 | 298 | 246 |
|
Ronald I. Cohen
9200 W Loomis Rd |
$35.94 | 357 | 335 |
|
Jamie L Lovell
4225 W Oakwood Park Ct |
$39.76 | 358 | 334 |
|
Nathan Michael Ferda
7400 W Rawson Ave Ste 100 |
$35.37 | 384 | 334 |
|
Nalin S Soni
9969 S 27Th St |
$31.08 | 446 | 399 |
|
Kari Megan Dyer
9200 W Loomis Rd |
$27.86 | 465 | 439 |
|
Amanda Lyne Bartels
8153 S 27Th St Ste 600 |
$24.31 | 501 | 431 |
|
Heather A Underkofler
7322 W Rawson Ave |
$40.09 | 508 | 477 |
|
Laura Burgmeier
3111 W Rawson Ave |
$25.79 | 525 | 485 |
|
Katherine L Pampuch
9200 W Loomis Rd |
$36.84 | 611 | 566 |
|
Michael J Bohn
5263 W. Harvard Dr. |
$24.80 | 628 | 574 |
|
Jonathan Stone
3111 W Rawson Ave Ste 200205 |
$26.82 | 699 | 634 |
|
Veronica Lorelei Zimmer
4202 W Oakwood Park Ct Ste 200 |
$27.62 | 701 | 626 |
|
Nighat D Siddiqui
9200 W Loomis Rd |
$40.00 | 705 | 659 |
|
Kaitlyn Scott
6501 S 27Th St |
$50.93 | 714 | 668 |
|
Tracy Lynn Nelson
5600 W Rawson Ave Ste 101 |
$24.10 | 755 | 668 |
|
Amanda F Sell
4225 W Oakwood Park Ct |
$26.71 | 770 | 716 |
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.
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 Franklin, WI
Vaccines & Immunizations
Avg $5.16
26,038 claims
Physical Therapy
Avg $19.66
23,149 claims
Speech Therapy
Avg $9.61
20,259 claims
Chiropractic Care
Avg $18.89
14,228 claims
Emergency Room Visit
Avg $60.58
14,103 claims
Psychiatric Evaluation
Avg $48.84
10,064 claims
Eye Exam
Avg $8.92
9,735 claims
Podiatry (Foot Care)
Avg $10.93
9,386 claims