Average Medicaid Office Visit Payments in Menasha, WI: $23.82
Avg. Paid
$23.82
Range
$10.19 – $114.04
Total Claims
55,704
Providers
50
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 Menasha, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Avery Ann Lebowitz
1550 Midway Pl |
$46.48 | 13 | 12 |
|
Tam Nguyen
1550 Midway Pl |
$114.04 | 14 | 14 |
|
City Of Menasha Finance Department
316 Racine St |
$10.19 | 22 | 22 |
|
Maria Lynn Rossi
2005 Midway Rd |
$54.82 | 39 | 33 |
|
Ann M Gierl
1550 Midway Pl |
$27.97 | 44 | 36 |
|
Stephanie Frances Samson
2005 Midway Rd |
$52.24 | 49 | 45 |
|
Taylor Lackey
1095 Midway Rd |
$24.54 | 49 | 47 |
|
Amy S Lahay
878 W Airport Rd |
$23.16 | 58 | 40 |
|
Megan Louise Thistle
878 W Airport Rd |
$25.39 | 94 | 68 |
|
Emma M Polzin
1095 Midway Rd |
$32.59 | 97 | 91 |
|
Douglas B Horan
1550 Midway Pl |
$15.35 | 118 | 96 |
|
Sarah Bertzyk
1550 Midway Pl |
$39.03 | 125 | 119 |
|
Gail Helgeson
2005 Midway Rd |
$34.70 | 138 | 128 |
|
Danielle Renne Morgan
1550 Midway Pl |
$44.06 | 172 | 158 |
|
Gary Mark Heifner
878 Airport Rd |
$24.15 | 198 | 151 |
|
Sandra Groenewold
1095 Midway Rd |
$45.87 | 218 | 127 |
|
Jamilynn Y Blachowski
1095 Midway Rd |
$32.61 | 226 | 195 |
|
Lisa Gunderson
2005 Midway Rd |
$38.91 | 268 | 237 |
|
Carol A Veltus
1550 Midway Pl |
$26.33 | 305 | 245 |
|
Andrea Elizabeth Hruzek-Graber
2005 Midway Rd |
$27.95 | 314 | 291 |
|
Joseph Neilitz
878 W Airport Rd |
$46.07 | 351 | 268 |
|
Katlyn Sue Hansen
1550 Midway Pl |
$29.05 | 363 | 331 |
|
Meghan Keyes
1814 Appleton Rd |
$32.08 | 400 | 319 |
|
Vonda B Dahms
1814 Appleton Rd |
$25.69 | 443 | 340 |
|
Michael A Madden
1814 Appleton Rd |
$33.59 | 464 | 374 |
|
Michele A Holder
1550 Midway Pl |
$20.43 | 498 | 411 |
|
Janine M Buffo
2005 Midway Rd |
$25.54 | 501 | 453 |
|
Cheryl-Lynn M Pitre
878 W Airport Rd |
$18.53 | 525 | 491 |
|
Kristi Ann Skrinska
1095 Midway Rd |
$23.98 | 628 | 568 |
|
Jessica Marie Schnell
1095 Midway Rd |
$23.09 | 761 | 663 |
|
Gunmeet Kaur Kaleka
2005 Midway Rd |
$37.06 | 808 | 713 |
|
Paj Ntaub Vang
2005 Midway Rd |
$26.79 | 833 | 641 |
|
Jeffrey M Bastasic
878 W Airport Rd |
$31.21 | 1,031 | 840 |
|
Kent L Partain
1550 Midway Pl |
$20.95 | 1,033 | 836 |
|
Cheryl M Habeck
1550 Midway Pl |
$27.61 | 1,219 | 1,015 |
|
Felicia Houk
1403 Appleton Rd |
$20.21 | 1,300 | 1,111 |
|
Nathan C Grunwald
2005 Midway Rd |
$36.38 | 1,436 | 1,322 |
|
Suzanne C Bloomhuff
2005 Midway Rd |
$37.01 | 1,477 | 1,369 |
|
John R Spencer
2005 Midway Rd |
$32.40 | 1,545 | 1,417 |
|
Nathaniel Thomas Albrecht
1095 Midway Rd |
$30.43 | 1,574 | 975 |
|
Laura A Andrews
1550 Midway Pl |
$28.34 | 1,660 | 1,440 |
|
Shannon Marie Sullivan
2005 Midway Rd |
$37.74 | 1,710 | 1,545 |
|
Stephanie Lynn Hall
1095 Midway Rd |
$12.19 | 2,179 | 1,828 |
|
Megan E Gebhart
1550 Midway Pl |
$34.11 | 2,243 | 2,026 |
|
Bryan Roberts
2005 Midway Rd |
$37.74 | 2,858 | 2,557 |
|
Andrea L Schneider
1550 Midway Pl |
$33.49 | 3,041 | 2,654 |
|
Matthew A Bayer
1095 Midway Rd |
$14.79 | 4,311 | 3,787 |
|
Yong Li
1095 Midway Rd |
$16.67 | 5,154 | 4,328 |
|
John Joseph
1517 Rue Reynard St |
$12.71 | 5,320 | 4,263 |
|
John Beld
1095 Midway Rd |
$13.08 | 7,477 | 6,556 |
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 Menasha, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Menasha, WI is $23.82 per claim, based on 55,704 claims from 50 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 Menasha, WI?
There are 50 Medicaid providers offering Office Visit related services in Menasha, WI according to public payment data.
What is the price range for Office Visit in Menasha, WI?
Medicaid reimbursement for Office Visit in Menasha, WI ranges from $10.19 to $114.04 per claim, with an average of $23.82. 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 Menasha, WI
Home Health Visit
Avg $55.31
74,800 claims
Speech Therapy
Avg $11.39
57,090 claims
Psychiatric Evaluation
Avg $22.66
42,336 claims
Ambulance Transport
Avg $118.61
41,161 claims
Physical Therapy
Avg $16.73
37,856 claims
Non-Emergency Medical Transportation
Avg $10.73
26,192 claims
Substance Abuse Treatment
Avg $12.27
20,683 claims
Chiropractic Care
Avg $17.56
20,306 claims