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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Germantown, WI: $34.21

Avg. Paid

$34.21

Range

$16.32 – $67.45

Total Claims

31,497

Providers

43

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 Germantown, WI

Provider Avg. Paid Claims Patients
Bruce H Boyd

N112W17975 Mequon Rd

$33.68 4,631 4,316
Mark Rhyner

W168N11237 Western Ave

$30.80 3,870 3,401
Tarek Amin

N112W17975 Mequon Rd

$43.32 3,582 3,014
Christopher Edward Weber

N112W15415 Mequon Rd

$32.90 2,777 2,462
Peeush Singhal

W180N11070 River Ln

$25.41 2,529 2,324
Timothy F Goggins

W180N11070 River Ln

$29.20 1,367 1,079
Michael James Brody

N112W17975 Mequon Rd

$27.22 1,249 1,139
Michael L Otte

N112W17975 Mequon Rd

$32.00 1,125 939
Latosha Marie Harper

N112W17975 Mequon Rd

$43.97 1,054 919
Alyssa Tennies

W168N11237 Western Ave

$29.28 915 803
Stephanie Anne Momper

N112W15415 Mequon Rd

$32.26 807 670
Dane W Mccullough

N96W19150 County Line Rd

$19.19 753 649
Marianne M Junck

N112W17975 Mequon Rd

$42.29 744 692
David Imse

W168 N11237 Western Ave

$32.73 652 591
Henrietta C Abili

N112W17975 Mequon Rd

$67.45 645 570
Kelly Cole

W180N11070 River Ln

$56.20 555 473
Darcy L Lesniak

N112W15415 Mequon Rd

$32.33 508 455
David Sliwoski

W180N11070 River Ln

$30.49 503 460
Karen Alice Brown

N112W15415 Mequon Rd

$38.37 376 313
Cheryl Kaminski

N112W15415 Mequon Rd

$29.08 321 265
Adrienne M. Maurer

N112W17975 Mequon Rd

$40.21 316 298
Danielle K B Nevins

W168N11237 Western Ave

$33.45 285 251
Paul R. Miller

W180N11070 River Ln

$20.15 273 241
Kaitlin Rose Grigoryev

N112W15415 Mequon Rd

$53.97 224 184
Douglas Marx

W168N11237 Western Ave

$44.02 210 182
Alvin F Cardona

W168N11237 Western Ave

$32.87 158 141
Lindsey R Lorenz

W180N11070 River Ln

$19.81 157 131
Mark J. Salisz

W180N11070 River Ln

$16.32 153 138
Jennifer M Nagy

W168N11237 Western Ave

$32.91 120 98
Andrew Knoernschild

W168N11237 Western Ave

$24.30 106 89
Kirsten L O'Quinn

W178N9912 Rivercrest Dr Ste 105

$24.10 89 84
Shaunta Ford-Pierce

W180N11070 River Ln

$46.87 70 55
Jessica Ewig

W168N11237 Western Ave

$35.49 58 53
Katerina Christopherson

N112W17975 Mequon Rd

$37.71 52 42
Avi N Bernstein

N112W15415 Mequon Rd

$24.15 45 26
Jamie W Simon

N112W17975 Mequon Rd

$38.30 45 39
Amanda Nicole Cooper

N112W15415 Mequon Rd

$23.07 41 38
Kayla Elizabeth Sanfelippo

W168N11237 Western Ave

$30.46 32 29
Amy L Miller

W168N11237 Western Ave

$47.44 30 26
Kara Mayerbock

W168N11237 Western Ave

$47.18 28 26
Matthew Michael Gevelinger

W180N11070 River Ln

$31.02 15 15
Emily Yanez

W180N11070 River Ln

$63.40 15 12
Robert Mueller

W168N11237 Western Ave

$23.27 12 12

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 Germantown, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Germantown, WI is $34.21 per claim, based on 31,497 claims from 43 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 Germantown, WI?

There are 43 Medicaid providers offering Office Visit related services in Germantown, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Germantown, WI ranges from $16.32 to $67.45 per claim, with an average of $34.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Germantown, WI