Average Medicaid Office Visit Payments in Mequon, WI: $37.82
Avg. Paid
$37.82
Range
$0.00 – $89.65
Total Claims
82,716
Providers
90
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 Mequon, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pamela D. Powell
6425 W Mequon Rd |
$37.67 | 6,660 | 5,554 |
|
Aaron Rosenberg
1516 W Mequon Rd Ste 103 |
$38.93 | 5,843 | 3,795 |
|
Laura K Lofye
6425 W Mequon Rd |
$55.48 | 5,155 | 4,558 |
|
Michael Gerard
11430 N Port Washington Rd |
$32.85 | 4,799 | 4,396 |
|
Steven J Staehling
11430 N Port Washington Rd |
$34.19 | 4,760 | 3,860 |
|
Sonia P Salazar
6425 W Mequon Rd |
$52.57 | 3,783 | 3,396 |
|
Columbia St Mary'S Hospital Ozaukee, Inc.
13111 N Port Washington Rd |
$25.59 | 3,445 | 2,532 |
|
Lukas Wesley Steffan
6425 W Mequon Rd |
$57.46 | 2,809 | 2,636 |
|
Marina L. Kropp
13111 N Port Washington Rd |
$30.86 | 2,506 | 2,298 |
|
Nicola M. Charlton
11221 N Parkview Dr |
$29.07 | 2,498 | 2,353 |
|
Tracie M Dunek
12800 N Port Washington Rd |
$39.72 | 2,358 | 2,072 |
|
Dmitriy B Chester
1340 W Towne Square Rd Stop 5 |
$56.43 | 2,156 | 1,881 |
|
Madhumathi Kosaraju
7020 W Creekside Ct |
$29.21 | 1,875 | 1,583 |
|
Eduard Tsyrulnykov
11649 N Port Washington Rd Ste 201&221 |
$40.81 | 1,865 | 1,342 |
|
Maria Beg
11430 N Port Washington Rd |
$36.76 | 1,862 | 1,449 |
|
Joseph P Regan
13133 N. Port Washington Road |
$27.70 | 1,859 | 1,777 |
|
Bridgett R Moss
11430 N Port Washington Rd |
$40.29 | 1,723 | 1,597 |
|
Enid A Trotman
14195 N Twin Oaks Ln |
$23.23 | 1,715 | 1,474 |
|
Xia Vang
11430 N Port Washington Rd |
$34.94 | 1,515 | 1,256 |
|
Louis Steve Seno
12203 Corporate Pkwy |
$38.12 | 1,483 | 1,377 |
|
Gwen Joyce Gettelman
10303 N Port Washington Rd |
$27.86 | 1,451 | 1,274 |
|
Howard J Croft
10556 N Port Washington Rd # 204 |
$34.01 | 1,294 | 648 |
|
Joshua David Liberman
11725 N Port Washington Rd Ste 250 |
$22.13 | 1,055 | 934 |
|
Julia Bachmaga
6425 W Mequon Rd |
$70.65 | 873 | 807 |
|
Catherine Powers Zellmer
13133 N Port Washington Rd |
$31.30 | 839 | 775 |
|
Amy Degueme
13133 N Port Washington Rd Ste 104 |
$32.46 | 839 | 757 |
|
Ellen Pauline Shen
10532 N Port Washington Rd |
$38.56 | 813 | 741 |
|
Meredith L Drvaric
6425 W Mequon Rd |
$14.24 | 749 | 668 |
|
Ruchira Varshney
10335 North Port Washington Rd. |
$30.93 | 727 | 670 |
|
Angela M Lancaster
12203 Corporate Pkwy |
$30.58 | 722 | 669 |
|
Merle R Orr
13111 N Port Washington Rd |
$18.34 | 709 | 690 |
|
Tajana Jovicic
11430 N Port Washington Rd |
$32.87 | 702 | 556 |
|
Cynthia Marie Running
10532 N Port Washington Rd |
$34.59 | 693 | 648 |
|
Mikhail Eiseler
12203 Corporate Pkwy |
$36.01 | 687 | 633 |
|
Guy R Lord
1035 W Glen Oaks Ln |
$40.42 | 668 | 634 |
|
Katelyn Steger
10556 N. Port Washington Rd |
$31.33 | 625 | 579 |
|
Victoria E Rizk
13111 N Port Washington Rd |
$50.14 | 613 | 554 |
|
Gabriela Madeleine Morris
12203 Corporate Pkwy |
$63.78 | 607 | 542 |
|
Beth J Adams
13111 N Port Washington Rd |
$58.05 | 598 | 553 |
|
Dana M Waters
11430 N Port Washington Rd |
$42.96 | 498 | 444 |
|
Zachary Singer
6425 W Mequon Rd |
$35.99 | 431 | 392 |
|
Vijay S. Khiani
13133 N Port Washington Rd Ste G16 |
$22.03 | 428 | 386 |
|
Lucy Bartlett
1655 W Mequon Rd |
$41.11 | 389 | 365 |
|
Anthony Bonfiglio
10303 N Port Washington Rd |
$21.50 | 381 | 332 |
|
Melissa M Grube
12800 N Port Washington Rd |
$33.52 | 354 | 270 |
|
Kawaljeet Kaur
13133 N Port Washington Rd |
$29.08 | 341 | 323 |
|
Kevin Goniu
11430 N Port Washington Rd |
$31.66 | 325 | 248 |
|
Domenic J Pulito
3619 W Mulberry Dr |
$24.70 | 312 | 271 |
|
Sarah Armstrong Endrizzi
11430 N Port Washington Rd |
$18.62 | 311 | 299 |
|
Cali Dudgeon
11430 N Port Washington Rd |
$26.05 | 254 | 224 |
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 Mequon, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mequon, WI is $37.82 per claim, based on 82,716 claims from 90 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 Mequon, WI?
There are 90 Medicaid providers offering Office Visit related services in Mequon, WI according to public payment data.
What is the price range for Office Visit in Mequon, WI?
Medicaid reimbursement for Office Visit in Mequon, WI ranges from $0.00 to $89.65 per claim, with an average of $37.82. 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 Mequon, WI
X-Ray
Avg $5.30
171,858 claims
Emergency Room Visit
Avg $45.05
65,881 claims
CT Scan (Computed Tomography)
Avg $39.38
64,944 claims
Substance Abuse Treatment
Avg $12.05
62,271 claims
Blood Work & Lab Tests
Avg $12.02
46,707 claims
Physical Therapy
Avg $21.08
35,729 claims
Psychiatric Evaluation
Avg $54.35
29,114 claims
EKG / ECG (Electrocardiogram)
Avg $4.77
26,060 claims