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

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
James D Larson 975 Port Washington Rd	$59.03	13	13
Lauren Marie Mcguire 975 Port Washington Rd	$34.83	14	12
Todd R Stanley 975 Port Washington Rd	$21.22	14	14
Nihal Herath 975 Port Washington Rd	$19.60	14	14
Nikole Anne Neufuss 975 Port Washington Rd	$43.66	15	12
Sameer Sharma 975 Port Washington Rd	$28.33	15	12
Aurora Medical Center Grafton, Llc 975 Port Washington Road	$57.35	23	12
Robert Sean Churchill 975 Port Washington Road	$22.07	26	25
Christopher G Kelley 975 Port Washington Rd	$36.34	28	26
Sarah Lyne Godbert Gaethke 215 Washington St	$34.75	28	28
Rose M Dotson 975 Port Washington Rd	$35.17	29	27
Sonia Sharma Dhingra 975 Port Washington Rd	$16.85	33	29
Eric S. Malicky 975 Port Washington Rd	$25.22	37	31
Maren Elizabeth Miller 215 Washington St	$48.82	41	40
Lauren Weasler 1369 N Port Washington Rd Ste 362	$30.17	47	41
Michael J. Krco 215 Washington St	$11.64	48	46
Leslie May 975 Port Washington Rd	$9.37	59	41
Mohsin Karim Khan 975 Port Washington Rd	$10.75	71	65
Laura Mckinnis 1505 Wisconsin Ave Ste 150	$68.15	72	63
Robyn Nothem 215 Washington St	$23.07	75	68
Charlotte N Lim 975 Port Washington Rd	$7.25	90	51
Peter J Polewski 975 Port Washington Rd	$17.70	95	92
Nathan J Kopydlowski 975 Port Washington Rd	$29.19	97	93
Thomas E Vravick 215 Washington St	$34.55	105	101
Emily J Churchill 215 Washington St	$43.57	125	109
Anthony Nashid 215 Washington St	$62.63	129	117
Andrew Ceelen 975 Port Washington Rd	$6.36	145	131
Katherine Kormanik 215 Washington St	$37.55	163	150
Lolita R Hansen 126 W Falls Rd	$18.47	165	131
Rebecca L White 975 Port Washington Rd	$19.15	179	166
Shannon J. Reinbold 2061 Cheyenne Court	$34.84	204	175
Eric J. Belin 975 Port Washington Rd	$37.65	219	193
Samantha Lynn Mcgreer Winstead 2061 Cheyenne Ct	$99.39	243	239
Lisa M Sershon 975 Port Washington Rd	$17.16	250	235
Katherine S Laszkiewicz 215 Washington St	$27.18	261	226
Kevin Kornowski 975 Port Washington Rd	$25.14	263	243
Ashwini Gundelly 215 Washington St	$30.58	266	253
Kevin B Scammell 215 W Washington Street	$27.67	271	246
Katie M Henke 975 Port Washington Rd	$33.45	274	255
Gillian G Lettre 1225 12Th Ave	$28.28	386	340
Mark D Shewczyk 2061 Cheyenne Ct	$27.05	421	298
Kelly E Miller 975 Port Washington Rd	$55.13	447	404
Kristina H Elfe 975 Port Washington Rd	$56.72	470	392
Anne Kozuch 2061 Cheyenne Ct	$37.22	560	498
Angela Jill David 975 Port Washington Rd	$28.21	690	638
John Scott Maul 975 Port Washington Rd	$27.30	722	619
Eoin Gorman 2061 Cheyenne Ct	$16.77	733	520
Eric S. Gaenslen 975 Port Washington Road	$20.40	754	699
Daniel Attanasio 215 Washington St	$31.41	766	689
Ali N Khan 975 Port Washington Rd	$28.70	845	791

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.

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

Providers Offering Office Visit in Grafton, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Grafton, WI

Physical Therapy

Personal Care Services

Blood Work & Lab Tests

Emergency Room Visit

Psychiatric Evaluation

Speech Therapy

Prescription Medications

Non-Emergency Medical Transportation