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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Hillsboro, WI: $76.89

Avg. Paid

$76.89

Range

$17.72 – $97.14

Total Claims

17,764

Providers

17

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 Hillsboro, WI

Provider Avg. Paid Claims Patients
St. Joseph'S Health Services, Inc.

400 Water Ave

 $97.14 12,095 9,228
Andrea L Anderson

400 Water Ave

 $33.21 1,087 1,025
Samantha R. Erie

400 Water Ave

 $31.38 803 734
Kelli L Pasch

400 Water Ave

 $17.72 726 559
Tamur Jehan Mueenuddin

400 Water Avenue

 $30.87 685 569
Cayle T Tompkins

400 Water Ave

 $33.07 570 480
Jessica Ann Thompson

400 Water Ave

 $38.91 470 427
Zachary S Meyer

400 Water Ave

 $45.58 418 392
Travis John Wojtowicz

400 Water Ave

 $47.90 312 289
Danielle M Shapiro

400 Water Ave

 $36.54 193 165
Richard H Shoskey

400 Water Ave

 $43.37 139 122
Brian Miller

840 Water Ave

 $24.47 71 68
Beth M Gagliardo

400 Water Ave

 $72.35 59 55
William T Cooke

400 Water Ave

 $31.77 45 33
Victor A Thonn

845 Water Ave

 $24.59 45 38
Katherine S Edsall

400 Water Ave

 $69.86 34 32
Katherine Anne O'Rourke

400 Water Ave

 $45.11 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 Hillsboro, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hillsboro, WI is $76.89 per claim, based on 17,764 claims from 17 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 Hillsboro, WI?

There are 17 Medicaid providers offering Office Visit related services in Hillsboro, WI according to public payment data.

What is the price range for Office Visit in Hillsboro, WI?

Medicaid reimbursement for Office Visit in Hillsboro, WI ranges from $17.72 to $97.14 per claim, with an average of $76.89. 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 Hillsboro, WI

Blood Work & Lab Tests

Avg $5.50

20,738 claims

Eye Exam

Avg $20.71

9,067 claims

Emergency Room Visit

Avg $145.51

8,866 claims

Speech Therapy

Avg $9.48

4,739 claims

Chiropractic Care

Avg $22.18

3,969 claims

Urinalysis & Urine Tests

Avg $2.88

3,438 claims

Physical Therapy

Avg $16.47

2,674 claims

EKG / ECG (Electrocardiogram)

Avg $5.67

1,859 claims