Average Medicaid Office Visit Payments in Medford, WI: $46.68
Avg. Paid
$46.68
Range
$9.27 – $155.48
Total Claims
30,383
Providers
32
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 Medford, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aspirus Medford Hospital & Clinics, Inc.
143 S Gibson St |
$50.22 | 7,600 | 6,519 |
|
Kerry A Lingen
135 S Gibson St |
$35.82 | 2,269 | 1,846 |
|
Aspirus Medford Hospital & Clinics, Inc.
135 S Gibson St |
$155.48 | 2,201 | 1,751 |
|
Caroline T Nowak
135 S Gibson St |
$40.62 | 1,873 | 1,721 |
|
Lori Wernham
135 S Gibson St |
$42.23 | 1,720 | 1,618 |
|
Lindsey Lucero
143 S Gibson St |
$33.96 | 1,639 | 1,359 |
|
Dean P. Brost
1377 N 8Th St |
$15.84 | 1,612 | 1,386 |
|
Katelyn Voss
540 College St |
$24.35 | 1,605 | 1,523 |
|
Kelsey J Brost
724 S 8Th St |
$26.94 | 1,079 | 918 |
|
Ashley Kleutsch
135 S Gibson St |
$34.11 | 1,079 | 958 |
|
Mark G Reuter
143 S Gibson St |
$35.52 | 917 | 826 |
|
Susan O Messerly
143 S Gibson St |
$42.70 | 771 | 600 |
|
Laura M Sova
143 S Gibson St |
$39.85 | 757 | 677 |
|
Amy Jo Schmidt
Aspirus Medford Clinic |
$40.25 | 703 | 650 |
|
Sheala Rae Pinter
135 S Gibson St |
$36.85 | 686 | 607 |
|
Nicole Marie Paul
143 S Gibson St |
$42.25 | 641 | 595 |
|
Samuel Robert Klinner
115 E Perkins St |
$17.80 | 449 | 431 |
|
Glenda Kay Way
143 S Gibson St |
$30.06 | 404 | 344 |
|
Taylor County
224 S 2Nd St |
$9.27 | 373 | 351 |
|
Rachel Dixon
143 South Gibson Street |
$26.62 | 315 | 271 |
|
Makayla Lisa Meyer-Moser
143 S Gibson St |
$37.63 | 258 | 234 |
|
Larry R Brunzlick
135 South Gibson Street |
$33.29 | 250 | 229 |
|
Madeline Jean Oestreich
143 S Gibson St |
$54.16 | 215 | 204 |
|
Rachel L Rindt
135 S Gibson St |
$49.97 | 209 | 192 |
|
Ngozi J Ekwueme
143 S Gibson St |
$32.24 | 185 | 159 |
|
Gregory Lee Werner
143 S Gibson St |
$40.32 | 168 | 141 |
|
Taylor Jean Ewert
143 S Gibson St |
$43.17 | 121 | 109 |
|
Kimberly Hatch
135 S Gibson St |
$37.86 | 117 | 114 |
|
Joel Ryan Oney
135 S Gibson St |
$57.94 | 82 | 79 |
|
Brad N Veal
1260 S 8Th St |
$24.32 | 57 | 51 |
|
Sandra K Hoogland
143 South Gibson Street |
$52.89 | 15 | 12 |
|
Jacob Arnold Rhyner
123 W State St |
$34.57 | 13 | 13 |
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 Medford, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Medford, WI is $46.68 per claim, based on 30,383 claims from 32 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 Medford, WI?
There are 32 Medicaid providers offering Office Visit related services in Medford, WI according to public payment data.
What is the price range for Office Visit in Medford, WI?
Medicaid reimbursement for Office Visit in Medford, WI ranges from $9.27 to $155.48 per claim, with an average of $46.68. 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 Medford, WI
Blood Work & Lab Tests
Avg $6.99
61,081 claims
Personal Care Services
Avg $11.76
58,854 claims
Chiropractic Care
Avg $20.51
34,734 claims
Emergency Room Visit
Avg $190.86
33,126 claims
Speech Therapy
Avg $16.62
27,701 claims
Behavioral & Mental Health Therapy
Avg $88.92
25,118 claims
Dental Cleaning & Exam
Avg $16.15
22,849 claims
Non-Emergency Medical Transportation
Avg $10.39
19,836 claims