Average Medicaid Office Visit Payments in Hayward, WI: $62.26
Avg. Paid
$62.26
Range
$14.91 – $131.76
Total Claims
66,288
Providers
50
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 Hayward, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medical Services, Inc
11040 N State Road 77 |
$131.76 | 17,590 | 15,112 |
|
St Mary'S Hospital Of Superior
11134 N State Road 77 |
$75.20 | 8,259 | 6,995 |
|
Miriam Amber Sward
15954 Rivers Edge Dr |
$22.87 | 4,439 | 3,706 |
|
Angela Pank
13380 W Trepania Rd |
$30.82 | 3,461 | 2,648 |
|
Jamie Lea Taylor Bell
11134 N State Road 77 |
$33.50 | 2,717 | 2,471 |
|
Tommy D Nigbor
15954 Rivers Edge Dr |
$18.59 | 2,175 | 1,895 |
|
Amanda Lee Suino-Malcolm
13447 W County Road B |
$44.26 | 2,134 | 1,767 |
|
Mary A. Davis
10212 N Greenwood Ln |
$44.56 | 1,891 | 1,545 |
|
Michaela Hyunjoo Tong
15954 Rivers Edge Dr |
$33.18 | 1,775 | 1,507 |
|
Cynthia M. Hart
11040 N State Rd 77 |
$20.74 | 1,484 | 1,326 |
|
Lisa M. Bratvold
11040 N State Rd 77 |
$34.69 | 1,416 | 1,250 |
|
Brent L Kelley
15954 Rivers Edge Dr |
$17.75 | 1,378 | 1,187 |
|
Michele E. Armstrong
11040 N State Rd 77 |
$14.91 | 1,344 | 1,078 |
|
Martha Krasean
11040 N State Road 77 |
$23.28 | 1,293 | 1,087 |
|
Julie A. Dean
15954 Rivers Edge Dr |
$22.95 | 1,262 | 1,076 |
|
Sandra J Johnson
13380 W Trepania Rd |
$21.96 | 1,201 | 726 |
|
Devon Sanger Dannen
11040 N State Rd 77 |
$19.00 | 1,136 | 921 |
|
Daniel Meier
10788 Minnie Ave |
$20.43 | 996 | 947 |
|
Marianna Worczak
535 11040 N State Rd 77St |
$51.14 | 936 | 911 |
|
Sarah Dums
11040 N State Road 77 |
$23.64 | 922 | 781 |
|
Julie A Arnett
11134 N State Road 77 |
$31.66 | 877 | 792 |
|
Rachael L Chambers
11134 North Hwy 77 |
$40.05 | 820 | 745 |
|
Lisa M Gowey-Fischer
9086 W Moores Bay Rd |
$21.98 | 683 | 661 |
|
Harry Douglas Malcolm
9940 N County Hwy K |
$34.18 | 599 | 559 |
|
Brian Donahue
11040 N State Road 77 |
$24.65 | 570 | 433 |
|
Ryan Thomas Hansen
10787 Minnie Ave |
$20.40 | 562 | 541 |
|
Michelle Lynn Lowe
13380 W Trepania Rd |
$40.19 | 533 | 503 |
|
Jessica Renea Rands
10212 N Greenwood Ln |
$51.61 | 427 | 371 |
|
Karlye Nicole Rodriguez-Wisdom
11040 N State Rd 77 |
$35.26 | 391 | 331 |
|
County Of Sawyer
10610 Main St |
$17.34 | 247 | 239 |
|
Sabrina Ann Dunlap
11040 N State Rd 77 |
$21.44 | 244 | 207 |
|
Matthew James Luedke
11134 N Hwy 77 |
$31.57 | 243 | 229 |
|
Julie Beth Kahl
11134 N. State Rd 77 |
$33.23 | 235 | 221 |
|
Debbra Lee Spexet
11040 N State Road 77 |
$25.18 | 233 | 198 |
|
Mikeal Robert Ostrander
15569 Railroad St Ste 301 |
$46.04 | 214 | 208 |
|
Ashli Srmek
15954 Rivers Edge Dr |
$50.04 | 186 | 166 |
|
Kristen S Rodeheaver
11040 N State Rd 77 |
$59.03 | 178 | 153 |
|
Martha Grace Courtright
11134 N State Road 77 |
$49.11 | 173 | 167 |
|
Laura Murphy
11040 N State Rd 77 |
$36.51 | 167 | 142 |
|
Benjamin Forbes Turner
11134 N State Road 77 |
$33.50 | 167 | 152 |
|
Matthew Paul Wheeler
11134 N State Road 77 |
$47.75 | 156 | 139 |
|
Anna Sophia Sande
11134 N State Road 77 |
$42.79 | 100 | 88 |
|
John Robert Mckevett
11134 N Hwy 77 |
$29.62 | 100 | 90 |
|
Barbara L Bowman
11040 N State Road 77 |
$25.73 | 83 | 75 |
|
Jessica Marie Kratz
11134 N State Road 77 |
$56.46 | 81 | 72 |
|
Kevin John Donovan
11040 N State Rd 77 |
$50.35 | 68 | 55 |
|
Dorothy Agnes Novak
11040 State Hwy 77 |
$33.22 | 63 | 53 |
|
Kate Marie Leslie
11134 N State Road 77 |
$30.72 | 50 | 49 |
|
Timothy J Frederiksen
15569 Railroad St |
$45.00 | 16 | 16 |
|
Jordan Smith
11040 N State Rd 77 |
$50.78 | 13 | 13 |
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 Hayward, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hayward, WI is $62.26 per claim, based on 66,288 claims from 50 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 Hayward, WI?
There are 50 Medicaid providers offering Office Visit related services in Hayward, WI according to public payment data.
What is the price range for Office Visit in Hayward, WI?
Medicaid reimbursement for Office Visit in Hayward, WI ranges from $14.91 to $131.76 per claim, with an average of $62.26. 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 Hayward, WI
Blood Work & Lab Tests
Avg $5.48
54,639 claims
Physical Therapy
Avg $27.33
32,822 claims
Emergency Room Visit
Avg $166.16
27,338 claims
Speech Therapy
Avg $11.36
22,001 claims
Behavioral & Mental Health Therapy
Avg $119.44
20,627 claims
Psychiatric Evaluation
Avg $62.18
17,261 claims
EKG / ECG (Electrocardiogram)
Avg $3.05
14,037 claims
Chiropractic Care
Avg $22.94
13,350 claims