Average Medicaid Office Visit Payments in Ladysmith, WI: $51.33
Avg. Paid
$51.33
Range
$12.25 – $119.99
Total Claims
37,735
Providers
34
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 Ladysmith, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mchs Hospitals Inc
1200 Port Arthur Rd |
$67.95 | 5,851 | 5,086 |
|
Mchs Hospitals Inc
1200 Port Arthur Rd |
$111.53 | 4,642 | 3,836 |
|
Amanda Michelle Crabb
1101 Lake Ave W |
$34.41 | 3,751 | 3,286 |
|
Joel D. Dekrey
1101 Lake Ave W |
$32.23 | 3,443 | 3,008 |
|
Richard W Rapp
1200 Port Arthur Rd |
$35.30 | 2,086 | 1,845 |
|
Kellsey Mary Fellbaum
1200 Port Arthur Rd |
$46.46 | 1,882 | 1,694 |
|
Rebecca J Allen
906 College Ave West |
$37.19 | 1,877 | 1,711 |
|
Mahmoud Ahmed
200 W 5Th St S |
$25.39 | 1,548 | 1,457 |
|
Suzanne Blimling
1000 College Ave W |
$44.77 | 1,424 | 1,044 |
|
Danielle Ranee Soltis
1200 Port Arthur Rd |
$33.65 | 1,414 | 1,236 |
|
Brita Lynn Bush
1200 Port Arthur Rd |
$42.18 | 1,397 | 1,226 |
|
Stephanie Shane Croft
900 College Ave W |
$36.42 | 1,354 | 1,220 |
|
Samantha Jo Runstrom
1101 Lake Ave W |
$35.03 | 1,198 | 1,048 |
|
Kristin E Verville
900 College Ave W |
$64.76 | 968 | 734 |
|
Sheila Patricia Heiser
200 W 5Th St S |
$30.86 | 592 | 516 |
|
Becky Jean Komro
906 College Ave W |
$20.40 | 591 | 466 |
|
Thomas A Tozer
W8646 Us Highway 8 |
$15.88 | 538 | 421 |
|
Tonya Ray Prokop-Nette
W8646 Us Highway 8 |
$18.34 | 522 | 487 |
|
County Of Rusk
900 College Avenue West |
$102.76 | 373 | 341 |
|
Amy M Oebser
906 College Ave W |
$43.95 | 347 | 316 |
|
Mohammed Dodwad
900 College Ave W |
$62.25 | 337 | 278 |
|
Robert A Nogler
906 College Ave West |
$30.33 | 336 | 289 |
|
Jenafer Marie Donohue
804 W 9Th St N |
$17.17 | 260 | 214 |
|
Amber Rene Hall
1200 Port Arthur Rd |
$42.53 | 201 | 180 |
|
Andrey Mironenko
1200 Port Arthur Rd |
$86.03 | 166 | 124 |
|
Elizabeth Henderson Cernohous
906 College Ave West |
$36.12 | 129 | 126 |
|
Rusk County Public Health Department
311 Miner Ave E |
$12.25 | 121 | 111 |
|
Inimfon Udoh
1200 Port Arthur Rd |
$59.28 | 103 | 84 |
|
Katherine Suzanne Winiarczyk
1200 Port Arthur Rd |
$26.04 | 73 | 65 |
|
County Of Rusk
900 College Ave W |
$50.02 | 67 | 51 |
|
Ernest L Hall
1200 Port Arthur Rd |
$119.99 | 45 | 42 |
|
Jessica Lynn Takach
1200 Port Arthur Rd |
$62.58 | 43 | 40 |
|
Neil Thomas Donohue
804 W 9Th St N |
$16.88 | 40 | 37 |
|
John L Ziemer
906 College Ave West |
$30.84 | 16 | 15 |
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 Ladysmith, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ladysmith, WI is $51.33 per claim, based on 37,735 claims from 34 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 Ladysmith, WI?
There are 34 Medicaid providers offering Office Visit related services in Ladysmith, WI according to public payment data.
What is the price range for Office Visit in Ladysmith, WI?
Medicaid reimbursement for Office Visit in Ladysmith, WI ranges from $12.25 to $119.99 per claim, with an average of $51.33. 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 Ladysmith, WI
Blood Work & Lab Tests
Avg $4.92
51,074 claims
Chiropractic Care
Avg $19.62
31,646 claims
Emergency Room Visit
Avg $130.40
27,863 claims
Dental Cleaning & Exam
Avg $16.91
27,769 claims
Behavioral & Mental Health Therapy
Avg $67.25
12,016 claims
Speech Therapy
Avg $8.60
11,294 claims
Urinalysis & Urine Tests
Avg $3.88
9,901 claims
Personal Care Services
Avg $14.67
9,770 claims