Average Medicaid Office Visit Payments in Lancaster, WI: $56.32
Avg. Paid
$56.32
Range
$0.47 – $129.21
Total Claims
33,796
Providers
31
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 Lancaster, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Grant Regional Health Center, Inc.
507 S Monroe St |
$129.21 | 8,770 | 7,047 |
|
Becky R Manning
200 W Alona Ln |
$20.92 | 3,529 | 2,878 |
|
Grant Regional Health Center, Inc
507 S Monroe St |
$18.86 | 2,395 | 2,095 |
|
Kelly S Muench
507 S Monroe St |
$27.16 | 2,218 | 1,988 |
|
Katherine Shanon Mcquillan
507 S Monroe St |
$46.71 | 2,168 | 1,619 |
|
Abby Elizabeth Allen
507 S Monroe St |
$25.15 | 1,835 | 1,639 |
|
Abigail Marie Burns
507 S Monroe St |
$27.08 | 1,385 | 1,241 |
|
James C Rosser
507 S Monroe St |
$86.25 | 1,368 | 1,333 |
|
County Of Grant
111 S Jefferson St Fl 2 |
$10.52 | 1,355 | 1,321 |
|
Katherine C Reuter
507 S Monroe St |
$27.40 | 1,238 | 1,055 |
|
Clark L Williams
507 S Monroe St |
$25.18 | 1,164 | 918 |
|
Kimberly A Perttu
507 S Monroe St |
$33.68 | 896 | 784 |
|
Jessica H Varnam
105 E Lincoln Ave |
$33.17 | 856 | 784 |
|
Neil T Martin
105 E Lincoln Ave |
$28.75 | 790 | 682 |
|
Sheirlie Ann Lamantia
507 S Monroe St |
$25.65 | 781 | 662 |
|
Jolene Ziebart
507 S Monroe St |
$23.39 | 621 | 462 |
|
Rachel Elizabeth Loeffelholz
507 S Monroe St |
$31.47 | 499 | 419 |
|
Karen Diane Farris
105 E Lincoln Ave |
$93.88 | 404 | 238 |
|
David Eduardo Casillas Plazola
507 S Monroe St |
$30.65 | 303 | 261 |
|
Eric G Slane
105 E Lincoln Ave |
$37.33 | 268 | 247 |
|
Nathan John Stocco
507 S Monroe St |
$23.83 | 191 | 168 |
|
Laurie J Meighan
500 S Madison St |
$23.66 | 155 | 132 |
|
Eric E Stader
105 E Lincoln Ave |
$33.48 | 141 | 129 |
|
Eli T. James
507 S Monroe St |
$24.74 | 131 | 123 |
|
County Of Grant
200 W Alona Ln |
$0.47 | 108 | 106 |
|
Erin L Huebschman
507 S Monroe St Ste 1 |
$23.03 | 84 | 72 |
|
Bradley G Binsfeld
507 S Monroe St |
$17.00 | 53 | 41 |
|
Mark S Gedden
507 S Monroe St |
$28.85 | 26 | 25 |
|
Ronald Joseph White
507 S Monroe St |
$52.39 | 26 | 24 |
|
Ryan Leibfried
1800 Industrial Park Rd |
$18.81 | 24 | 24 |
|
Joshua J Wilson
9102 Short Cut Rd |
$10.96 | 14 | 12 |
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 Lancaster, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lancaster, WI is $56.32 per claim, based on 33,796 claims from 31 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 Lancaster, WI?
There are 31 Medicaid providers offering Office Visit related services in Lancaster, WI according to public payment data.
What is the price range for Office Visit in Lancaster, WI?
Medicaid reimbursement for Office Visit in Lancaster, WI ranges from $0.47 to $129.21 per claim, with an average of $56.32. 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 Lancaster, WI
Blood Work & Lab Tests
Avg $4.92
27,502 claims
Personal Care Services
Avg $12.36
25,754 claims
Speech Therapy
Avg $12.92
21,039 claims
Behavioral & Mental Health Therapy
Avg $89.25
17,835 claims
Physical Therapy
Avg $15.73
10,520 claims
Emergency Room Visit
Avg $101.72
9,030 claims
Case Management Services
Avg $31.52
8,360 claims
Psychiatric Evaluation
Avg $96.83
5,754 claims