Skip to content
Based on public Medicaid payment data.

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

Other Procedures in Hayward, WI