Average Medicaid Office Visit Payments in La Crosse, WI: $52.54
Avg. Paid
$52.54
Range
$0.00 – $455.50
Total Claims
582,675
Providers
507
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 La Crosse, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gundersen Lutheran Medical Center Inc
1910 South Ave |
$76.51 | 236,236 | 199,367 |
|
Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
700 West Ave S |
$13.95 | 30,190 | 25,573 |
|
Victoria L Wilcox
2635 Hemstock St |
$42.98 | 8,510 | 4,514 |
|
Clarence W. Brown
1836 South Ave |
$41.14 | 8,375 | 6,917 |
|
Planned Parenthood Of Wisconsin
1201 Caledonia St |
$38.14 | 7,516 | 7,226 |
|
Nathaniel L Stepp
1836 South Ave |
$33.12 | 7,265 | 6,543 |
|
Karl O Borge
1836 South Ave |
$30.19 | 5,543 | 5,046 |
|
Options In Reproductive Care, Inc.
1201 Caledonia St |
$24.85 | 5,508 | 5,264 |
|
Mauricio Infante
212 11Th St S |
$45.80 | 5,277 | 4,618 |
|
Aubrey Wesely
1836 South Ave |
$31.18 | 4,690 | 4,380 |
|
Peter A. Ramirez
212 11Th St S |
$43.38 | 4,667 | 4,268 |
|
Robert Lauria
1836 South Ave |
$95.26 | 4,416 | 3,773 |
|
Allison L Humes
700 West Ave S |
$25.91 | 4,348 | 1,751 |
|
Landon Bresina
1836 South Ave |
$27.16 | 4,328 | 3,879 |
|
Erin F Morcomb
815 10Th St S |
$27.84 | 4,301 | 3,945 |
|
Kristina A Schlecht
815 10Th St S |
$27.27 | 3,767 | 3,398 |
|
Khou Xiong
700 West Ave S |
$23.04 | 3,503 | 3,016 |
|
Nicole L Barbee
1836 South Ave |
$44.64 | 3,472 | 3,122 |
|
Stephanie Erin Doyle
1836 South Ave |
$30.45 | 3,365 | 3,071 |
|
Brad D Nitzsche
700 West Ave S |
$73.21 | 3,291 | 1,568 |
|
Evan K Sandok
724 Denton St |
$20.98 | 3,154 | 2,891 |
|
Edward J Malone
815 10Th Street S. |
$26.96 | 3,088 | 2,884 |
|
Reka Furedi
212 11Th St S |
$29.15 | 3,059 | 2,793 |
|
Myriah Zeien-Tarantelli
1910 South Ave |
$70.94 | 2,987 | 2,845 |
|
Kathryn Bluske
1836 South Ave |
$26.70 | 2,948 | 2,661 |
|
Steven K. Perkins
800 West Ave S |
$24.55 | 2,837 | 2,445 |
|
Isidora Sharlene Luther
1836 South Ave |
$30.51 | 2,747 | 2,491 |
|
Michael C Morell
1836 South Ave |
$5.17 | 2,627 | 1,777 |
|
Stephen J Randall
1836 South Ave |
$35.37 | 2,623 | 2,417 |
|
Rebecca Sue Krambeer
1836 South Ave |
$31.78 | 2,446 | 2,205 |
|
Stephen Kimball Stacey
815 South 10Th St |
$32.12 | 2,369 | 2,202 |
|
James Eldon Lean
1836 South Ave |
$34.84 | 2,300 | 2,046 |
|
Jennifer S Lahmann
1836 South Ave |
$50.24 | 2,288 | 2,039 |
|
Paula A Bank
1836 South Ave |
$44.57 | 2,279 | 2,087 |
|
Eric M Rotert
1836 South Ave |
$83.48 | 2,276 | 2,096 |
|
Jessica Marie Johnson
1836 South Ave |
$65.61 | 2,258 | 2,001 |
|
Julie A Smith
1836 South Ave |
$33.11 | 2,247 | 2,059 |
|
Brianna Collins
1836 South Ave |
$29.35 | 2,201 | 2,043 |
|
Timothy R Cox
700 West Ave S |
$38.76 | 2,119 | 1,978 |
|
Teague A Martis
1836 South Ave |
$25.31 | 2,101 | 1,917 |
|
Todd A Mahr
1836 South Ave |
$38.13 | 1,990 | 1,775 |
|
Christopher J Larson
1836 South Ave |
$11.95 | 1,987 | 1,853 |
|
Kelly Dot Howell
1836 South Ave |
$38.29 | 1,978 | 1,812 |
|
Brett S Whyte
1836 South Ave |
$41.16 | 1,946 | 1,862 |
|
Katrin M.G. Tsigonis
815 10Th St S |
$455.50 | 1,927 | 1,716 |
|
Gabriel T. Berendes
800 West Ave S |
$27.64 | 1,847 | 1,653 |
|
Kallie A Mcgettigan
1836 South Ave |
$30.75 | 1,840 | 1,650 |
|
Kristine L Johnson
1836 South Ave |
$36.22 | 1,778 | 1,610 |
|
Anna Jane Jackson
1836 South Ave |
$35.93 | 1,775 | 1,679 |
|
Alexander Molter
615 10Th St S |
$29.14 | 1,762 | 1,637 |
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 La Crosse, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in La Crosse, WI is $52.54 per claim, based on 582,675 claims from 507 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 La Crosse, WI?
There are 507 Medicaid providers offering Office Visit related services in La Crosse, WI according to public payment data.
What is the price range for Office Visit in La Crosse, WI?
Medicaid reimbursement for Office Visit in La Crosse, WI ranges from $0.00 to $455.50 per claim, with an average of $52.54. 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 La Crosse, WI
Blood Work & Lab Tests
Avg $10.84
556,706 claims
Behavioral & Mental Health Therapy
Avg $96.84
458,048 claims
Emergency Room Visit
Avg $54.64
200,060 claims
X-Ray
Avg $5.71
140,788 claims
Physical Therapy
Avg $24.07
120,845 claims
Psychiatric Evaluation
Avg $51.86
108,336 claims
Urinalysis & Urine Tests
Avg $6.63
94,700 claims
Eye Exam
Avg $29.83
94,624 claims