Average Medicaid Office Visit Payments in Glendale, WI: $34.37
Avg. Paid
$34.37
Range
$0.00 – $63.64
Total Claims
128,372
Providers
64
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 Glendale, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Talal R Khairi
5650 N Green Bay Ave Ste 210 |
$36.67 | 12 | 12 |
|
Children'S Medical Group
4655 N Port Washington Rd Ste 200 |
$0.00 | 12 | 12 |
|
Lisa Haller
5650 N Green Bay Ave Ste 210 |
$21.08 | 13 | 13 |
|
Stephen Glenn Sievers
5650 N Green Bay Ave Ste 100 |
$21.68 | 13 | 12 |
|
Steven R Bergquist
7080 N Port Washington Rd |
$12.63 | 16 | 14 |
|
Dean W Ziegler
525 W River Woods Pkwy Ste 100 |
$7.60 | 16 | 12 |
|
Rebecca Ann Caples
400 W River Woods Pkwy |
$56.48 | 17 | 15 |
|
Dimitrios P Bousounis
200 W. Silver Spring Drive |
$37.05 | 34 | 26 |
|
David W Schulz
5900 N Port Washington Rd |
$18.73 | 34 | 24 |
|
Ascension Medical Group-Southeast Wisconsin Inc
400 W River Woods Pkwy |
$0.00 | 64 | 63 |
|
Rishi Kora
5650 N Green Bay Ave Ste 210 |
$16.05 | 68 | 56 |
|
Mary S. Frank
6900 N Port Washington Rd |
$37.50 | 77 | 65 |
|
Orthopaedic Hospital Of Wisconsin, Llc
475 W River Woods Pkwy |
$23.89 | 80 | 56 |
|
Alwin Edakkunnathu
5150 N Port Washington Rd Ste 251 |
$54.09 | 82 | 58 |
|
Juliana M Shah
7080 N Port Washington Road |
$15.76 | 86 | 84 |
|
Lisa Hahn Speidel
6900 N Port Washington Rd |
$43.36 | 94 | 83 |
|
Nathan Redlich
6420 N Bittersweet Ln |
$32.33 | 110 | 98 |
|
Linda M Wesp
4655 N Port Washington Rd |
$28.13 | 113 | 102 |
|
Lawrence John Maciolek
525 W River Woods Parkway |
$22.73 | 117 | 106 |
|
Michael H Gilman
4655 N Port Washington Rd |
$30.94 | 129 | 119 |
|
Steven J. Donatello
525 W River Woods Pkwy Ste 130 |
$40.17 | 130 | 123 |
|
Jeffrey J Stephany
525 W River Woods Parkway |
$15.36 | 139 | 118 |
|
James Richard Troken
400 W River Woods Pkwy |
$39.96 | 153 | 145 |
|
John Waeltz
4655 N Port Washington Rd |
$31.62 | 208 | 178 |
|
Anthony Arlo Ferguson
525 W River Woods Parkway |
$22.32 | 214 | 198 |
|
Katherine Healy Vissers Finn
7080 N Port Washington Road |
$43.82 | 281 | 226 |
|
Kurt R Oelke
7080 N Port Washington Rd |
$26.98 | 332 | 268 |
|
Stephen Eric Robbins
525 W River Woods Pkwy |
$28.57 | 402 | 347 |
|
Kenneth C Berg
525 W River Woods Pkwy Ste 100 |
$26.57 | 405 | 327 |
|
Erin K Gonzalez
4425 N Port Washington Rd |
$34.67 | 420 | 374 |
|
Allen D Van Scoyk
5306 N Port Washington Rd |
$27.61 | 444 | 413 |
|
Karen S Lim
377 W River Woods Pkwy Ste 201 |
$13.06 | 482 | 308 |
|
Brian Curtin
525 W River Woods Pkwy Ste 240 |
$23.70 | 499 | 427 |
|
Donald Kevin Middleton
525 W River Woods Parkway |
$19.74 | 543 | 474 |
|
John C Wu
525 W River Woods Pkwy Ste 230 |
$33.27 | 625 | 540 |
|
David William Meister
525 W River Woods Pkwy |
$31.30 | 856 | 757 |
|
Anushayanthan Alfred
5650 N Green Bay Ave Ste 210 |
$22.05 | 924 | 846 |
|
Arnold A Lim
7080 N Port Washington Road |
$25.63 | 998 | 915 |
|
Lori L. Hartz
4655N Port Washington Rd 325 |
$27.05 | 1,063 | 982 |
|
Thomas B Huizenga
525 W River Woods Parkway |
$19.76 | 1,067 | 925 |
|
Valerie B. Lyon
375 W River Woods Pkwy |
$37.43 | 1,070 | 1,006 |
|
Larry Sprung
5900 N Port Washington Rd |
$14.44 | 1,296 | 820 |
|
Jennifer M Hayes
377 W River Woods Pkwy Ste 201 |
$28.95 | 1,444 | 1,110 |
|
Tiffany A Darling
6791 N Green Bay Ave |
$33.68 | 1,452 | 1,297 |
|
Ilva E Van Valkenburgh
305 W Silver Spring Dr |
$20.28 | 1,489 | 1,280 |
|
Suhail Hameed
7080 N Port Washington Rd |
$18.19 | 1,732 | 1,441 |
|
Jonathan Kushi
7080 N Port Washington Rd |
$32.07 | 1,763 | 1,536 |
|
Farrukh Siere Pasha
7080 N Port Washington Rd |
$24.60 | 1,848 | 1,614 |
|
Jane Klemmer
377 W River Woods Pkwy Ste 201 |
$63.64 | 1,861 | 1,270 |
|
Matthew David Krasucki
1720 W Florist Ave Unit 203 |
$54.41 | 1,975 | 1,792 |
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 Glendale, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Glendale, WI is $34.37 per claim, based on 128,372 claims from 64 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 Glendale, WI?
There are 64 Medicaid providers offering Office Visit related services in Glendale, WI according to public payment data.
What is the price range for Office Visit in Glendale, WI?
Medicaid reimbursement for Office Visit in Glendale, WI ranges from $0.00 to $63.64 per claim, with an average of $34.37. 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 Glendale, WI
Prescription Medications
Avg $23.01
90,193 claims
Physical Therapy
Avg $17.01
87,386 claims
Tooth Extraction
Avg $136.43
53,890 claims
Blood Work & Lab Tests
Avg $4.28
48,656 claims
Personal Care Services
Avg $19.96
34,894 claims
Case Management Services
Avg $70.26
27,167 claims
Vaccines & Immunizations
Avg $4.63
22,060 claims
Eye Exam
Avg $11.56
21,688 claims