Average Medicaid Office Visit Payments in Hartland, WI: $36.63
Avg. Paid
$36.63
Range
$24.34 – $74.13
Total Claims
11,107
Providers
20
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 Hartland, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daihanara Cintron-Lafontaine
625 Walnut Ridge Dr Ste 101 |
$28.25 | 3,007 | 2,413 |
|
Samuel E Kaminski
600 Walnut Ridge Dr |
$33.48 | 1,599 | 1,491 |
|
Kirk Hanson
600 Walnut Ridge Dr |
$28.59 | 1,482 | 1,353 |
|
Thomas Holbrook
555 S Industrial Dr |
$59.15 | 1,268 | 1,010 |
|
Veena V Gonuguntla
600 Walnut Ridge Dr |
$47.94 | 1,111 | 967 |
|
Mark Kamsler
1005 Richards Rd |
$32.11 | 873 | 754 |
|
Jeanne L Pallagi
600 Walnut Ridge Dr |
$24.34 | 588 | 534 |
|
Colleen Marie Worth
140 North Ave |
$57.29 | 487 | 347 |
|
Fawad Khan
600 Walnut Ridge Dr |
$32.02 | 212 | 192 |
|
Vincent Borkowski
600 Walnut Ridge Dr |
$52.25 | 110 | 100 |
|
Cheryl C. Serb
1500 Walnut Ridge Dr |
$29.73 | 75 | 67 |
|
Michelle Wavra
600 Walnut Ridge Dr |
$74.13 | 68 | 62 |
|
Beth G Keefe
600 Walnut Ridge Dr |
$25.47 | 56 | 42 |
|
Todd A Miller
600 Walnut Ridge Dr |
$25.06 | 36 | 31 |
|
Michelle Jansen
1500 Walnut Ridge Dr |
$38.43 | 32 | 27 |
|
Sheila K Maurer
600 Walnut Ridge Dr |
$26.54 | 32 | 30 |
|
Sheena Marie Sweeney
600 Walnut Ridge Dr |
$47.47 | 25 | 24 |
|
Kaitlin R. Ziemke
520 Hartbrook Dr Ste H |
$46.06 | 18 | 15 |
|
Lauren K Bremberger
1500 Walnut Ridge Dr |
$38.34 | 16 | 16 |
|
Samuel Seunghoon Yoon
600 Walnut Ridge Dr |
$52.20 | 12 | 12 |
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 Hartland, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hartland, WI is $36.63 per claim, based on 11,107 claims from 20 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 Hartland, WI?
There are 20 Medicaid providers offering Office Visit related services in Hartland, WI according to public payment data.
What is the price range for Office Visit in Hartland, WI?
Medicaid reimbursement for Office Visit in Hartland, WI ranges from $24.34 to $74.13 per claim, with an average of $36.63. 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 Hartland, WI
Personal Care Services
Avg $16.62
27,305 claims
Dental Cleaning & Exam
Avg $23.26
14,431 claims
Speech Therapy
Avg $12.27
10,519 claims
Chiropractic Care
Avg $19.44
3,972 claims
Non-Emergency Medical Transportation
Avg $10.68
3,932 claims
Dental Filling
Avg $62.91
2,448 claims
Physical Therapy
Avg $13.90
2,152 claims
Blood Work & Lab Tests
Avg $0.37
2,080 claims