Average Medicaid Office Visit Payments in Janesville, WI: $35.07
Avg. Paid
$35.07
Range
$0.00 – $292.58
Total Claims
281,866
Providers
227
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 Janesville, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alfredo F Mendoza
3200 E Racine St |
$39.61 | 10,903 | 9,822 |
|
Melissa A Bent
3200 E Racine St |
$27.72 | 10,256 | 7,587 |
|
Jean A Ibric
1010 N Washington St |
$34.65 | 6,126 | 3,748 |
|
Daniel B Beardmore
3200 E Racine St |
$40.31 | 6,080 | 5,533 |
|
James G. Fitzgibbon
1010 N Washington St |
$26.74 | 5,983 | 5,521 |
|
Mark L Goelzer
3524 E Milwaukee St |
$29.62 | 5,699 | 4,836 |
|
Perka Iordanova Guenev
3200 E Racine St |
$40.91 | 5,451 | 5,088 |
|
Richard K Wagner
903 Mineral Point Ave |
$67.12 | 5,356 | 4,992 |
|
Marta Cooper
101 E Milwaukee St Ste 315 |
$50.56 | 4,911 | 2,652 |
|
Daniel Orozco
1000 Mineral Point Ave |
$36.13 | 4,789 | 4,454 |
|
Mohammed Abbas Rahemtulla
903 Mineral Point Ave |
$44.44 | 4,736 | 2,420 |
|
Shahid Shekhani
1000 Mineral Point Ave |
$31.23 | 4,467 | 3,745 |
|
Jordan L Perry
3200 E Racine St |
$29.65 | 4,448 | 4,094 |
|
Bobby Yap
3524 E Milwaukee St |
$29.26 | 4,441 | 4,142 |
|
Tina L. Kosnar
903 Mineral Point Ave |
$46.76 | 4,277 | 3,937 |
|
David D. Nelsen
3524 E Milwaukee St |
$39.06 | 4,167 | 3,933 |
|
Ryndon Negrillo Bautista
3524 E Milwaukee St |
$35.50 | 4,135 | 3,785 |
|
Maxim Gorelik
1000 Mineral Point Ave |
$38.06 | 4,056 | 3,371 |
|
Jonathan D Roe
3400 Deerfield Dr |
$31.08 | 3,975 | 3,478 |
|
Enrique F Perez
1010 N Washington St |
$34.38 | 3,970 | 3,716 |
|
Jared L Stahlecker
849 Kellogg Ave |
$32.63 | 3,917 | 3,506 |
|
Danielle J Westmoreland
903 Mineral Point Ave |
$37.77 | 3,903 | 3,400 |
|
Kristen M Goelzer
3524 E Milwaukee St |
$28.60 | 3,718 | 3,032 |
|
Beth Ann Blakeslee
3506 N Us Highway 51 |
$12.72 | 3,621 | 2,576 |
|
Leslie E Bernstein
3200 E Racine St |
$35.14 | 3,617 | 3,333 |
|
Kenneth Ian Robbins
1717 Center Ave |
$38.59 | 3,572 | 2,126 |
|
Jessica A. Wallace
903 Mineral Point Ave |
$29.47 | 3,514 | 2,843 |
|
Elizabeth Marie Loconto
3524 E Milwaukee St |
$39.35 | 3,500 | 3,039 |
|
Janet Barkhou
849 Kellogg Ave |
$35.62 | 3,481 | 3,277 |
|
Dennys E Maldonado
3524 E Milwaukee St |
$35.89 | 3,331 | 3,022 |
|
Furkhan Kachhawala
3200 E Racine St |
$38.65 | 3,198 | 2,775 |
|
Sue Ann Callison
903 Mineral Point Ave |
$44.51 | 3,144 | 2,991 |
|
Blaine B Nowak
3524 E Milwaukee St |
$29.69 | 2,900 | 2,513 |
|
Julie A Waraksa
3200 E Racine St |
$36.96 | 2,828 | 2,536 |
|
Timothy M Axe
3200 E Racine St |
$19.00 | 2,761 | 2,023 |
|
April H Garcia
3200 E Racine St |
$33.28 | 2,726 | 2,199 |
|
Divya Sharma
3200 E Racine St |
$31.53 | 2,620 | 2,300 |
|
Ryan Francis Dunphy
2025 Humes Road |
$20.07 | 2,514 | 2,398 |
|
Mark C Boettcher
3200 E Racine St |
$38.85 | 2,470 | 2,239 |
|
Andrea R Cavey
3200 E Racine St |
$29.92 | 2,374 | 2,108 |
|
Tanya N. Olin
903 Mineral Point Ave |
$46.06 | 2,345 | 2,201 |
|
Anneke Schlicht
3200 E Racine St |
$32.96 | 2,299 | 2,116 |
|
Mary T. Bonaccorsi
903 Mineral Point Ave |
$35.34 | 2,257 | 2,015 |
|
Mary Augustian
3524 E Milwaukee St |
$41.66 | 2,157 | 2,036 |
|
Monica Irina Simionescu
3200 E Racine St |
$38.10 | 2,101 | 1,872 |
|
Nichole Feldman
101 E Milwaukee St Ste 315 |
$64.58 | 2,077 | 1,302 |
|
Nader Honarkhah
3524 E Milwaukee St |
$25.47 | 2,072 | 1,964 |
|
Jane E Anderson
849 Kellogg Ave |
$30.17 | 2,057 | 1,848 |
|
Jason R. Moen
1000 Mineral Point Ave |
$32.67 | 2,046 | 1,844 |
|
Arthur Mark Altbuch
849 Kellogg Ave |
$27.35 | 2,011 | 1,851 |
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 Janesville, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Janesville, WI is $35.07 per claim, based on 281,866 claims from 227 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 Janesville, WI?
There are 227 Medicaid providers offering Office Visit related services in Janesville, WI according to public payment data.
What is the price range for Office Visit in Janesville, WI?
Medicaid reimbursement for Office Visit in Janesville, WI ranges from $0.00 to $292.58 per claim, with an average of $35.07. 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 Janesville, WI
Non-Emergency Medical Transportation
Avg $2.51
487,573 claims
Blood Work & Lab Tests
Avg $12.49
487,316 claims
Ambulance Transport
Avg $18.46
430,165 claims
Emergency Room Visit
Avg $56.21
261,364 claims
Behavioral & Mental Health Therapy
Avg $97.64
257,881 claims
Personal Care Services
Avg $6.93
218,441 claims
Dental Cleaning & Exam
Avg $25.91
140,572 claims
Urinalysis & Urine Tests
Avg $7.51
114,894 claims