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
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 Grafton, WI
Physical Therapy
Avg $25.75
105,022 claims
Personal Care Services
Avg $10.31
59,752 claims
Blood Work & Lab Tests
Avg $10.07
54,807 claims
Emergency Room Visit
Avg $48.62
34,000 claims
Psychiatric Evaluation
Avg $35.02
31,271 claims
Speech Therapy
Avg $12.82
22,542 claims
Prescription Medications
Avg $0.18
17,144 claims
Non-Emergency Medical Transportation
Avg $10.03
14,227 claims