Based on public Medicaid payment data.

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
John Patrick Wagener 409 E Milwaukee St	$17.82	12	12
Michelle B Esch 3200 E Racine St	$50.05	12	12
Katheryn R Kaldor 1000 Mineral Point Ave	$32.12	13	12
Ramez M Khoury 3524 E Milwaukee St	$33.09	13	12
Ronald K Bowers 3524 E Milwaukee St	$18.33	13	13
Scott M Priske 1010 N Washington St	$15.00	13	12
Morgan Lange Hennes 3200 E Racine St	$39.98	14	12
Maria Kostantacos 1010 N Washington St	$24.11	15	12
Adriana Cristina Roman Soto 849 Kellogg Ave	$27.88	15	14
Krystal Romero Valentin 1000 Mineral Point Ave	$20.78	17	16
Mitchell A Kopnick 3200 E Racine St	$14.52	17	12
Franz A. Keilhauer 1000 Mineral Point Ave	$26.68	18	17
Nancy C Rainiero 3200 E Racine St	$29.80	25	24
Jacob Ginglen 1000 Mineral Point Ave	$30.84	25	25
Kevin J Dardis 1000 Mineral Point Ave	$24.08	27	27
Joseph O Hughes 3200 E Racine St	$40.30	27	25
Imdad Ahmed 1000 Mineral Point Ave	$20.44	30	25
Weafue Ahmed Saab 1000 Mineral Point Ave	$90.89	31	31
Lynn M Johnston 1000 Mineral Point Ave	$24.69	32	30
Saad Mohsin 849 Kellogg Ave	$33.64	34	31
Ann Elizabeth Holt-Minard 1010 N Washington St	$16.89	34	26
Mercy Health System Corporation 903 Mineral Point Ave	$0.00	38	12
Sean William Marquis 1000 Mineral Point Ave	$34.79	40	40
Adam Kedzia 3200 E Racine St	$50.67	41	37
Lawrence L Neuman 1000 Mineral Point Ave	$28.11	41	40
Amanda L Greene 3200 E Racine St	$20.66	43	41
Michael J Strassman 1000 Mineral Point Ave	$9.08	44	43
Patricia A Nahn 1000 Mineral Point Ave	$24.81	46	44
David E Pittenger 557 N Washington St	$22.62	48	44
Tad Mark Johnson 3524 E Milwaukee St	$40.34	49	44
Steven L Lyon 3200 E Racine St	$30.18	50	49
Nathan T Schlotthauer 3200 E Racine St	$28.68	50	49
Larry D Davis 849 Kellogg Ave	$30.64	51	51
Karlee Wilgenbusch 500 Midland Ct	$16.09	53	50
David Nilsen 557 N Washington St	$24.11	54	49
Rajesh Balagani 3200 E Racine St	$16.11	54	52
Aaron Taylor 1000 Mineral Point Ave	$23.97	54	51
Matthew D. Tyl 1000 Mineral Point Ave	$24.40	61	54
Leann M Derungs 3200 E Racine St	$32.52	62	61
John G Schoenenberger 1215 Black Bridge Rd	$33.46	63	50
David Richard Luellwitz 3524 E Milwaukee St	$14.37	67	64
Andrew E Paull 111 N Main St	$17.82	72	65
Christine E Langemo 3400 E Racine St	$33.12	72	68
Tyler John Runde 1000 Mineral Point Ave	$35.47	72	68
Mercy Health System Corporation 580 N Washington St	$0.00	74	68
Debra L Mills 3200 E Racine St	$23.63	75	72
John R Keener 3200 E Racine St	$39.27	75	68
Teresa L. Nehls 3400 E Racine St	$24.20	77	71
Christian J Posner 1000 Mineral Point Ave	$24.17	81	80
Rathna Sree Mallela 2600 Humes Rd Ste 100	$37.64	84	60

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.

Average Medicaid Office Visit Payments in Janesville, WI: $35.07

Providers Offering Office Visit in Janesville, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Janesville, WI

Non-Emergency Medical Transportation

Blood Work & Lab Tests

Ambulance Transport

Emergency Room Visit

Behavioral & Mental Health Therapy

Personal Care Services

Dental Cleaning & Exam

Urinalysis & Urine Tests