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 |
|---|---|---|---|
|
Martha F Jay
11307 N Port Washington Rd |
$31.79 | 12 | 12 |
|
Laura M Lee
13111 N Port Washington Rd |
$79.27 | 12 | 12 |
|
Ross M Skizycki
13111 N Port Washington Rd |
$10.71 | 12 | 12 |
|
Krista M Dyreson
6425 W Mequon Rd |
$28.11 | 12 | 12 |
|
Douglas E Puffer
13111 N Port Washington Rd |
$21.64 | 13 | 13 |
|
Lilani Priyadarshi Perera
12203 Corporate Pkwy |
$33.28 | 13 | 13 |
|
Sarah Mooney
1655 W Mequon Rd |
$64.40 | 14 | 12 |
|
Robert Joseph Gogan
10945 N Port Washington Rd |
$38.02 | 14 | 13 |
|
Kristin M Schroederus
13133 N Port Washington Rd |
$89.65 | 14 | 12 |
|
Nina Sebastian Bredehorn
10303 N Port Washington Rd |
$40.37 | 15 | 12 |
|
Garrett Alexander Panno
11129 N Wauwatosa Rd |
$15.44 | 15 | 12 |
|
Eugene Kligman
13133 N Port Washington Rd Ste G16 |
$50.03 | 15 | 14 |
|
Jay Shankar Balachandran
13133 N Port Washington Rd |
$17.65 | 17 | 12 |
|
Dennis Lee Kochanik
11431 N Port Washington Rd Ste 101B |
$15.40 | 22 | 13 |
|
Isabela Sardas
11518 N Port Washington Rd Ste 202 |
$0.00 | 23 | 22 |
|
Srihari R Ramanujam
13133 N. Port Washington Road |
$40.43 | 25 | 24 |
|
John J Yang
6425 W Mequon Road |
$19.48 | 25 | 24 |
|
David W Mai
12203 Corporate Pkwy |
$20.82 | 27 | 25 |
|
Shari L. Buske
12203 Corporate Pkwy |
$15.70 | 29 | 27 |
|
Olukemi Ajibola
10600 N Port Washington Rd Ste 200 |
$38.97 | 30 | 28 |
|
Russell Steven Yale
10520 N. Port Washington Rd. |
$34.82 | 31 | 29 |
|
Taylor A Gardner
6425 W Mequon Rd |
$53.43 | 31 | 30 |
|
Kevin Gee
13133 N Port Washington Rd |
$16.36 | 39 | 37 |
|
Mark Linus Leitschuh
13133 N Port Washington Rd |
$12.61 | 42 | 39 |
|
Jane Ramanujam
11430 N Port Washington Rd |
$34.43 | 45 | 41 |
|
Britani R Weidman
6425 W Mequon Rd |
$25.36 | 46 | 39 |
|
Marsha Fleming Davis
1516 W Mequon Rd |
$26.12 | 59 | 51 |
|
Philip W Diperna
13111 N Port Washington Rd |
$24.67 | 75 | 69 |
|
Michael John Knabel
12831 N Port Washington Rd |
$57.30 | 97 | 85 |
|
Richard N Schmidt
10610 N Port Washington Rd |
$27.12 | 114 | 100 |
|
Maria Gracia Gmehlin
13133 N Port Washington Rd Ste G16 |
$19.02 | 127 | 112 |
|
John Scott Broderick
13133 N Port Washington Rd |
$10.71 | 139 | 115 |
|
Debra Greenspan Conley
11430 N Port Washington Rd |
$30.21 | 144 | 121 |
|
Terry Jerome Voelske
6425 W Mequon Rd |
$50.03 | 153 | 141 |
|
Thomas N Thorsen
12203 Corporate Pkwy |
$37.46 | 179 | 172 |
|
Shawn Patel
12203 Corporate Pkwy |
$51.83 | 190 | 185 |
|
Camrin Jade Dressel
13133 N Port Washington Rd Ste G-18 |
$43.83 | 212 | 209 |
|
Diana R Jacobs
13111 N Port Washington Rd |
$26.23 | 212 | 183 |
|
Lisa Bennett
10320 N Port Washington Rd |
$36.36 | 231 | 177 |
|
Christina Englebert
1655 W. Mequon Road |
$31.71 | 234 | 221 |
|
Cali Dudgeon
11430 N Port Washington Rd |
$26.05 | 254 | 224 |
|
Sarah Armstrong Endrizzi
11430 N Port Washington Rd |
$18.62 | 311 | 299 |
|
Domenic J Pulito
3619 W Mulberry Dr |
$24.70 | 312 | 271 |
|
Kevin Goniu
11430 N Port Washington Rd |
$31.66 | 325 | 248 |
|
Kawaljeet Kaur
13133 N Port Washington Rd |
$29.08 | 341 | 323 |
|
Melissa M Grube
12800 N Port Washington Rd |
$33.52 | 354 | 270 |
|
Anthony Bonfiglio
10303 N Port Washington Rd |
$21.50 | 381 | 332 |
|
Lucy Bartlett
1655 W Mequon Rd |
$41.11 | 389 | 365 |
|
Vijay S. Khiani
13133 N Port Washington Rd Ste G16 |
$22.03 | 428 | 386 |
|
Zachary Singer
6425 W Mequon Rd |
$35.99 | 431 | 392 |
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