Average Medicaid Office Visit Payments in Kenosha, WI: $34.61
Avg. Paid
$34.61
Range
$0.00 – $318.75
Total Claims
525,062
Providers
261
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 Kenosha, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gregory Kaftan
5555 30Th Ave |
$26.89 | 21,723 | 10,260 |
|
Ronald Rubin
3734 7Th Ave Ste 12 |
$19.35 | 16,138 | 11,174 |
|
Gwendolyn M Perry-Brye
8600 Sheridan Rd Ste 600 |
$37.83 | 15,965 | 9,227 |
|
Tanya M. Hoar
6226 14Th Ave |
$43.50 | 15,642 | 13,728 |
|
William Allen Yoder
3535 30Th Ave |
$18.04 | 13,862 | 10,814 |
|
Suheal Habiba
10400 75Th St |
$42.62 | 13,237 | 12,205 |
|
Planned Parenthood Of Wi, Inc.
3601 Roosevelt Rd |
$37.63 | 12,643 | 12,181 |
|
Vanessa Q Chang
10400 75Th St |
$26.51 | 10,793 | 8,820 |
|
Dana Mehring
6530 Sheridan Rd Ste 7 |
$38.69 | 9,848 | 5,233 |
|
Fuad Shihab Ahmad
6430 Greenbay Rd |
$53.03 | 9,810 | 8,162 |
|
Elizabeth Mary Timm Smith
8600 Sheridan Rd |
$40.30 | 9,728 | 5,245 |
|
Angela Long
7201 Green Bay Rd Ste D |
$44.00 | 8,802 | 4,593 |
|
Jawad Pervez
12225 71St St |
$26.66 | 7,330 | 6,232 |
|
Zaigham U Tahir
6809 122Nd Ave |
$53.19 | 7,236 | 6,591 |
|
Alwin A Diaz
7201 Green Bay Rd |
$35.65 | 7,126 | 5,934 |
|
Laura Rebecca Haas
10400 75Th St |
$39.32 | 6,521 | 5,936 |
|
John L Bostanche
6123 Green Bay Rd |
$16.59 | 6,453 | 5,231 |
|
Guadalupe Orlando Romero
4777 88Th Ave |
$50.29 | 6,358 | 3,349 |
|
Kenosha County Division Of Health
8600 Sheridan Rd |
$13.20 | 6,232 | 5,558 |
|
Aurora Health Care Southern Lakes, Inc.
10400 75Th St |
$43.69 | 6,188 | 4,956 |
|
Rachel M Smith
6811 118Th Ave |
$41.97 | 5,927 | 5,549 |
|
Dokota Brown
6530 Sheridan Rd Ste 8 |
$36.04 | 5,435 | 3,349 |
|
David B Kite
10400 75Th St |
$33.68 | 5,359 | 4,968 |
|
Priti J Patel
10400 75Th St |
$37.36 | 5,239 | 4,941 |
|
Jawaid Quddus
6123 Green Bay Road |
$19.57 | 5,171 | 3,819 |
|
Mukesh Kumar
10400 75Th St |
$45.38 | 5,147 | 4,830 |
|
Shauna K Richardson
1010 35Th St |
$21.97 | 5,131 | 3,819 |
|
Colleen Maroney Johnson
8600 75Th St Ste 101 |
$60.42 | 5,053 | 4,725 |
|
Juli Marie Degrave
3400 Market Ln |
$38.49 | 4,976 | 4,546 |
|
Alfred M Habel
6308 8Th Ave |
$26.54 | 4,898 | 4,465 |
|
James M Santarelli
2707 15Th Pl |
$22.64 | 4,818 | 4,342 |
|
Elizabeth Louise Armstrong
4303 39Th Ave |
$23.24 | 4,671 | 3,963 |
|
Arif G Jaka
10400 75Th St |
$41.22 | 4,622 | 4,334 |
|
Thao Nguyen Tran
7201 Green Bay Rd Ste C |
$72.92 | 4,597 | 4,240 |
|
Juvaria Shahabuddin
12225 71St St |
$37.90 | 4,573 | 4,084 |
|
Jerrilyn Johnson
8501 75Th St |
$31.20 | 4,570 | 3,970 |
|
Melissa Pestka
4536 22Nd Ave |
$21.31 | 4,286 | 3,670 |
|
Leah F. Farley
6809 122Nd Ave |
$40.89 | 4,144 | 3,747 |
|
Bharathi Pulla
6125 Green Bay Rd |
$25.70 | 4,014 | 3,132 |
|
Sheryn Abraham
8600 75Th St |
$42.49 | 3,936 | 3,588 |
|
Claudia Talley
10400 75Th St |
$34.62 | 3,909 | 3,565 |
|
Nancy Aiello
10400 75Th St |
$20.18 | 3,801 | 3,076 |
|
Heidi E Eckelberg
4536 22Nd Ave |
$23.16 | 3,772 | 3,015 |
|
Mathew Sean Mccarthy
3536 52Nd St |
$16.03 | 3,676 | 3,031 |
|
Rebecca Shawn Swenson
4777 88Th Ave |
$25.75 | 3,642 | 2,601 |
|
Sarah Joanna Ten Eyck
10400 75Th St |
$35.97 | 3,636 | 3,381 |
|
Neil A Shepler
3400 Market Ln |
$36.15 | 3,565 | 2,723 |
|
Alyssa Skalitzky
1010 35Th St |
$20.04 | 3,551 | 2,538 |
|
Christine M Jolly
8600 75Th St |
$45.02 | 3,486 | 3,220 |
|
Anna Klyachkina
12225 71St St |
$41.89 | 3,446 | 3,254 |
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 Kenosha, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kenosha, WI is $34.61 per claim, based on 525,062 claims from 261 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 Kenosha, WI?
There are 261 Medicaid providers offering Office Visit related services in Kenosha, WI according to public payment data.
What is the price range for Office Visit in Kenosha, WI?
Medicaid reimbursement for Office Visit in Kenosha, WI ranges from $0.00 to $318.75 per claim, with an average of $34.61. 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 Kenosha, WI
Behavioral & Mental Health Therapy
Avg $100.26
581,304 claims
Personal Care Services
Avg $6.12
190,314 claims
Physical Therapy
Avg $25.01
176,732 claims
Blood Work & Lab Tests
Avg $16.82
173,672 claims
Speech Therapy
Avg $10.92
172,933 claims
Emergency Room Visit
Avg $52.98
154,321 claims
Dental Cleaning & Exam
Avg $22.79
148,355 claims
Psychiatric Evaluation
Avg $57.44
145,514 claims