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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Grafton, WI: $32.48

Avg. Paid

$32.48

Range

$0.55 – $99.39

Total Claims

39,810

Providers

66

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 Grafton, WI

Provider Avg. Paid Claims Patients
Julie Chicks

1990 Wisconsin Ave

$49.35 4,761 3,860
Matthew Paul Wichman

975 Port Washington Rd

$22.73 2,527 2,337
Angela M Sweeney

215 Washington St

$31.92 2,291 2,130
Katherine N Burrows

2061 Cheyenne Ct

$36.22 2,163 1,801
Brooke Delaney Simons

215 Washington St

$0.55 2,035 975
Reuel Kagamba Muiruri

1225 12Th Ave

$20.20 2,004 1,742
Omar J. Darr

975 Port Washington Road

$33.33 1,752 1,619
Leah M Sternat

215 Washington St

$35.67 1,586 1,488
Cara A Petri

215 Washington St

$26.85 1,484 1,345
Adam Peter Calusic

215 Washington St

$36.91 1,477 1,381
Dana Osburn

215 Washington St

$57.86 1,358 1,234
Holly A Schneider

215 Washington St

$39.54 1,252 1,170
John A Feilbach

215 Washington St

$29.45 1,246 1,155
Rafael Walker -Santiago

975 Port Washington Rd

$31.17 1,031 945
Joseph C Darin

215 Washington St

$27.03 948 874
Justin J Yoon

215 W Washington St

$31.30 855 810
Ali N Khan

975 Port Washington Rd

$28.70 845 791
Daniel Attanasio

215 Washington St

$31.41 766 689
Eric S. Gaenslen

975 Port Washington Road

$20.40 754 699
Eoin Gorman

2061 Cheyenne Ct

$16.77 733 520
John Scott Maul

975 Port Washington Rd

$27.30 722 619
Angela Jill David

975 Port Washington Rd

$28.21 690 638
Anne Kozuch

2061 Cheyenne Ct

$37.22 560 498
Kristina H Elfe

975 Port Washington Rd

$56.72 470 392
Kelly E Miller

975 Port Washington Rd

$55.13 447 404
Mark D Shewczyk

2061 Cheyenne Ct

$27.05 421 298
Gillian G Lettre

1225 12Th Ave

$28.28 386 340
Katie M Henke

975 Port Washington Rd

$33.45 274 255
Kevin B Scammell

215 W Washington Street

$27.67 271 246
Ashwini Gundelly

215 Washington St

$30.58 266 253
Kevin Kornowski

975 Port Washington Rd

$25.14 263 243
Katherine S Laszkiewicz

215 Washington St

$27.18 261 226
Lisa M Sershon

975 Port Washington Rd

$17.16 250 235
Samantha Lynn Mcgreer Winstead

2061 Cheyenne Ct

$99.39 243 239
Eric J. Belin

975 Port Washington Rd

$37.65 219 193
Shannon J. Reinbold

2061 Cheyenne Court

$34.84 204 175
Rebecca L White

975 Port Washington Rd

$19.15 179 166
Lolita R Hansen

126 W Falls Rd

$18.47 165 131
Katherine Kormanik

215 Washington St

$37.55 163 150
Andrew Ceelen

975 Port Washington Rd

$6.36 145 131
Anthony Nashid

215 Washington St

$62.63 129 117
Emily J Churchill

215 Washington St

$43.57 125 109
Thomas E Vravick

215 Washington St

$34.55 105 101
Nathan J Kopydlowski

975 Port Washington Rd

$29.19 97 93
Peter J Polewski

975 Port Washington Rd

$17.70 95 92
Charlotte N Lim

975 Port Washington Rd

$7.25 90 51
Robyn Nothem

215 Washington St

$23.07 75 68
Laura Mckinnis

1505 Wisconsin Ave Ste 150

$68.15 72 63
Mohsin Karim Khan

975 Port Washington Rd

$10.75 71 65
Leslie May

975 Port Washington Rd

$9.37 59 41

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 Grafton, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grafton, WI is $32.48 per claim, based on 39,810 claims from 66 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 Grafton, WI?

There are 66 Medicaid providers offering Office Visit related services in Grafton, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Grafton, WI ranges from $0.55 to $99.39 per claim, with an average of $32.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Grafton, WI