Average Medicaid Office Visit Payments in Marinette, WI: $38.84
Avg. Paid
$38.84
Range
$0.00 – $59.95
Total Claims
105,680
Providers
82
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 Marinette, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Oconto Hospital & Medical Center Inc
2820 Roosevelt Road |
$48.08 | 31,296 | 28,748 |
|
Ulysses Salvador Boco
4061 Old Peshtigo Rd |
$42.66 | 5,016 | 4,607 |
|
Guy Edward Powers
2500 Hall Ave |
$13.33 | 4,071 | 3,289 |
|
Marianne H Mainhardt
4061 Old Peshtigo Rd |
$44.63 | 3,578 | 2,843 |
|
Christopher B Kordiyak
3200 Shore Dr |
$32.24 | 3,539 | 3,284 |
|
Aurora Bay Area Medical Group Llc
3003 University Dr |
$52.12 | 2,649 | 2,392 |
|
Marissa J Maguire
2820 Roosevelt Rd |
$36.19 | 2,390 | 2,188 |
|
Nicholas Patrick Grimm
3515 Murray St |
$24.32 | 2,355 | 2,145 |
|
Susan A Sanfilippo
3200 Shore Dr |
$38.71 | 2,340 | 2,135 |
|
Lara M Powers
1409 Cleveland Ave |
$37.62 | 2,225 | 1,875 |
|
Jeffrey R. Urban
2820 Roosevelt Road |
$42.19 | 2,198 | 2,010 |
|
County Of Marinette
2500 Hall Ave Suite C |
$10.53 | 2,133 | 2,077 |
|
Nathan Wallenfang
4061 Old Peshtigo Rd |
$35.78 | 2,088 | 1,836 |
|
Dianna Langner
4061 Old Peshtigo Rd |
$29.02 | 2,005 | 1,734 |
|
Aurora Medical Center Bay Area, Inc
3003 University Dr |
$43.72 | 1,912 | 1,312 |
|
Thomas Val Mack
4061 Old Peshtigo Rd |
$33.19 | 1,682 | 1,539 |
|
Erin M Zerbst
2820 Roosevelt Rd |
$37.67 | 1,581 | 1,420 |
|
Shadi Hamdan
3100 Shore Dr |
$59.95 | 1,525 | 1,286 |
|
Mridani Choudhury
4061 Old Peshtigo Rd |
$40.96 | 1,491 | 1,341 |
|
Heather R Fochesato
2820 Roosevelt Rd |
$23.26 | 1,448 | 1,300 |
|
Erin Lynne Pape
4061 Old Peshtigo Rd |
$37.35 | 1,384 | 1,211 |
|
Jennifer Leigh Krause
4601 Peshtigo Rd |
$31.40 | 1,313 | 1,195 |
|
Elizabeth Devries
2741 Roosevelt Rd |
$22.93 | 1,260 | 1,141 |
|
Yasser S Salem
1281 Marinette Ave |
$21.18 | 1,150 | 991 |
|
Chad Ermis
3003 University Dr |
$29.59 | 1,126 | 1,021 |
|
Sandra B Macarthur
2820 Roosevelt Rd |
$34.17 | 973 | 890 |
|
Amy M Recla
2820 Roosevelt Rd |
$44.28 | 923 | 809 |
|
Shanique Nastassja Jarrett
3003 University Dr |
$31.49 | 884 | 800 |
|
Abigail R Laplant
2820 Roosevelt Rd |
$49.44 | 873 | 785 |
|
Adam Mehmet Gulhan
3130 Shore Dr Ste 111 |
$38.11 | 872 | 827 |
|
Debora Elena Bensi
4061 Old Peshtigo Rd |
$39.79 | 813 | 730 |
|
Terra L Menghini-Cox
3003 University Dr |
$33.59 | 808 | 652 |
|
Leslie Pranger
3003 University Dr |
$22.00 | 801 | 725 |
|
Shobha Ramaiah
4061 Old Peshtigo Rd |
$30.13 | 746 | 688 |
|
David Garrett Gossman
3003 University Dr |
$32.84 | 730 | 649 |
|
Stacie Marie Zdroik
2820 Roosevelt Rd |
$44.77 | 711 | 640 |
|
Brandy Michelle Sabel
1409 Cleveland Ave |
$40.36 | 692 | 629 |
|
Matthew Brian Kowalke
4061 Old Peshtigo Rd |
$37.41 | 641 | 559 |
|
Meghan M Russell
4061 Old Peshtigo Road |
$41.25 | 622 | 528 |
|
Christy Ann Brown
4061 Old Peshtigo Rd |
$37.58 | 620 | 566 |
|
Tyler Edward Spletzer
2741 Roosevelt Rd |
$46.60 | 618 | 564 |
|
Lisa R Cook
2820 Roosevelt Rd |
$36.07 | 598 | 516 |
|
John F Nielsen
4061 Old Peshtigo Rd |
$37.15 | 589 | 541 |
|
Gary L Metcalf
4061 Old Peshtigo Rd |
$34.34 | 583 | 519 |
|
Elaine Gavaras
3003 University Dr |
$22.77 | 580 | 538 |
|
Tyler Dean Manley
2820 Roosevelt Rd |
$50.46 | 539 | 482 |
|
Stephen C Caselton
1510 University Dr |
$58.62 | 528 | 487 |
|
Ashley Jones
4061 Old Peshtigo Rd |
$43.31 | 517 | 482 |
|
Bilal Shaikh
4061 Old Peshtigo Rd |
$32.62 | 511 | 457 |
|
Margaret M Lagodny
3003 University Dr |
$22.19 | 509 | 358 |
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 Marinette, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marinette, WI is $38.84 per claim, based on 105,680 claims from 82 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 Marinette, WI?
There are 82 Medicaid providers offering Office Visit related services in Marinette, WI according to public payment data.
What is the price range for Office Visit in Marinette, WI?
Medicaid reimbursement for Office Visit in Marinette, WI ranges from $0.00 to $59.95 per claim, with an average of $38.84. 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 Marinette, WI
Blood Work & Lab Tests
Avg $8.45
119,424 claims
Emergency Room Visit
Avg $64.98
70,586 claims
Behavioral & Mental Health Therapy
Avg $74.28
56,379 claims
Physical Therapy
Avg $24.84
32,892 claims
Personal Care Services
Avg $12.45
24,931 claims
Urinalysis & Urine Tests
Avg $4.38
24,201 claims
Psychiatric Evaluation
Avg $30.67
23,150 claims
EKG / ECG (Electrocardiogram)
Avg $2.48
22,050 claims