Average Medicaid Office Visit Payments in Grantsburg, WI: $54.00
Avg. Paid
$54.00
Range
$31.07 – $106.62
Total Claims
16,315
Providers
14
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 Grantsburg, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amy P Wachter
257 W Saint George Ave |
$38.10 | 3,048 | 2,718 |
|
Richard Wayne Burris
257 W Saint George Ave |
$50.82 | 2,800 | 2,655 |
|
Burnett Medical Center Inc
257 W Saint George Ave |
$53.76 | 2,777 | 2,428 |
|
Adeola A Jolayemi
257 W Saint George Ave |
$106.62 | 2,692 | 2,658 |
|
Jordan Fraser
257 W Saint George Ave |
$37.57 | 1,184 | 918 |
|
David A Lang
257 W Saint George Ave |
$32.11 | 900 | 759 |
|
Timothy George Novick
257 W Saint George Ave |
$44.33 | 804 | 703 |
|
Molly Ilstrup
257 W Saint George Ave |
$31.07 | 591 | 516 |
|
Gretchen Jean Gerovac
257 W Saint George Ave |
$43.49 | 481 | 405 |
|
Blaise Paul Vitale
257 W Saint George Ave |
$31.34 | 400 | 367 |
|
Sarah Jane Ogilvie
257 W Saint George Ave |
$41.00 | 298 | 260 |
|
Mary Frances Flaherty Baig
257 W Saint George Ave |
$38.30 | 170 | 155 |
|
Linae Marie Hicks
257 W Saint George Ave |
$38.71 | 142 | 126 |
|
Debra Harris Hammer
257 W Saint George Ave |
$45.45 | 28 | 27 |
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 Grantsburg, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grantsburg, WI is $54.00 per claim, based on 16,315 claims from 14 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 Grantsburg, WI?
There are 14 Medicaid providers offering Office Visit related services in Grantsburg, WI according to public payment data.
What is the price range for Office Visit in Grantsburg, WI?
Medicaid reimbursement for Office Visit in Grantsburg, WI ranges from $31.07 to $106.62 per claim, with an average of $54.00. 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 Grantsburg, WI
Blood Work & Lab Tests
Avg $4.78
20,017 claims
Emergency Room Visit
Avg $250.72
9,265 claims
Speech Therapy
Avg $7.66
6,998 claims
Urinalysis & Urine Tests
Avg $2.83
3,780 claims
Physical Therapy
Avg $15.10
2,079 claims
EKG / ECG (Electrocardiogram)
Avg $7.00
2,056 claims
Dental Cleaning & Exam
Avg $46.72
1,743 claims
Dental Filling
Avg $119.92
1,038 claims