Average Medicaid Office Visit Payments in Marshfield, WI: $54.01
Avg. Paid
$54.01
Range
$0.00 – $117.28
Total Claims
420,848
Providers
233
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 Marshfield, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mchs Hospitals Inc
611 N Saint Joseph Ave |
$67.94 | 235,060 | 198,621 |
|
Ajay Kumar Parsaik
1000 N Oak Ave |
$37.51 | 8,992 | 8,163 |
|
Sujani Poonuru
1000 N Oak Ave |
$44.76 | 6,799 | 5,567 |
|
Christina A Corporon
1000 N Oak Ave |
$22.33 | 5,967 | 4,252 |
|
Michael P Sullivan
1000 N Oak Ave |
$38.88 | 5,887 | 5,351 |
|
Amy Elizabeth Falk
1000 N Oak Ave |
$33.82 | 5,706 | 5,212 |
|
Christopher Isaac Ordonez
1000 N Oak Ave |
$57.95 | 4,931 | 4,224 |
|
Keith W. Pulvermacher
1000 N Oak Ave |
$42.92 | 4,768 | 4,386 |
|
Preeti Arora Girotra
1000 N Oak Ave |
$0.77 | 4,223 | 3,870 |
|
James Nash
1000 N Oak Ave |
$10.44 | 3,920 | 3,224 |
|
Donald Henry Ruth
1000 N Oak Ave |
$33.22 | 3,734 | 3,373 |
|
Celeste M Jackson
1000 N Oak Ave |
$36.35 | 3,504 | 3,159 |
|
Shankar S. Bettadahalli
1000 N Oak Ave |
$21.37 | 3,465 | 3,255 |
|
Jaime Alberto Boero
1000 N Oak Ave |
$26.82 | 3,442 | 3,265 |
|
Erica L Larson
1000 N Oak Ave |
$54.81 | 3,238 | 2,928 |
|
Justin W. Schoen
1000 N Oak Ave |
$32.20 | 3,002 | 2,684 |
|
James A Meyer
1000 N Oak Ave |
$39.18 | 2,904 | 2,734 |
|
Alice D. Stewart
1000 N Oak Ave |
$36.55 | 2,902 | 2,697 |
|
Luis H Zamora-Siliezar
1000 N Oak Avenue |
$57.29 | 2,763 | 2,530 |
|
Victoria L Viegut
1000 N Oak Ave |
$46.38 | 2,680 | 2,459 |
|
Trixie M Lipke
1000 N Oak Ave |
$56.84 | 2,663 | 2,410 |
|
Monica A Koehn
1000 N Oak Ave |
$65.07 | 2,516 | 2,348 |
|
Kazumasa Hashimoto
1000 N Oak Ave |
$35.03 | 2,500 | 1,724 |
|
Scott J Paulman
1000 N Oak Ave |
$17.14 | 2,368 | 2,157 |
|
Janet C Gilbert
1000 N Oak Ave |
$35.82 | 2,357 | 2,197 |
|
Paul Fischbuch
1000 North Oak Avenue |
$33.44 | 2,348 | 2,189 |
|
Kevin R. Keller
1000 N Oak Ave |
$41.60 | 2,264 | 2,151 |
|
Rajasekhar Bodicharla
1000 N Oak Ave |
$70.57 | 2,259 | 2,124 |
|
Jason Lewis
1000 N Oak Ave |
$29.01 | 2,200 | 1,960 |
|
Wesley Dale Fox
1000 N Oak Ave |
$31.60 | 2,127 | 1,992 |
|
Katelyn Marie Frankwick
146 N Central Ave |
$33.63 | 1,845 | 1,582 |
|
Joshua Freedman
1000 N Oak Ave |
$59.44 | 1,829 | 1,660 |
|
Celestino P. Balinghasay
1000 N Oak Ave |
$33.26 | 1,775 | 1,276 |
|
Ram D Pathak
1000 N Oak Ave |
$21.41 | 1,744 | 1,667 |
|
John W. Wyllie
1000 N Oak Ave |
$46.81 | 1,740 | 1,494 |
|
Claire E Sanchez
1000 N Oak Ave |
$43.44 | 1,712 | 1,589 |
|
Yan Guo
1000 N Oak Ave |
$54.32 | 1,695 | 1,600 |
|
Kelly B Zopfi
1000 N Oak Ave |
$22.01 | 1,636 | 1,538 |
|
Jacob William Lonsdale
1000 N Oak Ave |
$40.46 | 1,518 | 1,413 |
|
Danyelle Hasz
216 E Upham St |
$29.21 | 1,496 | 960 |
|
Lee B Cody
1000 N Oak Ave |
$30.09 | 1,469 | 1,352 |
|
Mary Margaret Hennessy
1000 N Oak Ave |
$50.09 | 1,460 | 1,352 |
|
Patrick Mccann
1000 N Oak Ave |
$33.95 | 1,427 | 1,302 |
|
Kristin Marie Cutlan
1000 N Oak Ave |
$48.58 | 1,412 | 1,332 |
|
Seth Fagbemi
1000 N Oak Ave |
$21.26 | 1,389 | 1,194 |
|
Taylor Thomas Shuster
1000 N Oak Ave |
$32.25 | 1,380 | 1,011 |
|
Joy Ryskoski
1000 N Oak Ave |
$28.82 | 1,359 | 1,267 |
|
Amy Herbst
1000 N Oak Ave |
$39.15 | 1,209 | 1,147 |
|
Nicole I Francis
1000 N Oak Ave |
$36.03 | 1,172 | 1,078 |
|
Karen Lapp
1000 N Oak Ave |
$13.19 | 1,168 | 1,098 |
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 Marshfield, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marshfield, WI is $54.01 per claim, based on 420,848 claims from 233 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 Marshfield, WI?
There are 233 Medicaid providers offering Office Visit related services in Marshfield, WI according to public payment data.
What is the price range for Office Visit in Marshfield, WI?
Medicaid reimbursement for Office Visit in Marshfield, WI ranges from $0.00 to $117.28 per claim, with an average of $54.01. 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 Marshfield, WI
Blood Work & Lab Tests
Avg $10.11
440,709 claims
X-Ray
Avg $6.61
125,347 claims
Personal Care Services
Avg $8.28
82,710 claims
Emergency Room Visit
Avg $46.05
71,524 claims
Urinalysis & Urine Tests
Avg $8.11
71,505 claims
EKG / ECG (Electrocardiogram)
Avg $4.29
62,835 claims
Psychiatric Evaluation
Avg $59.01
62,251 claims
Pathology & Lab Services
Avg $30.97
53,897 claims