Average Medicaid Office Visit Payments in Merrill, WI: $83.38
Avg. Paid
$83.38
Range
$11.53 – $174.48
Total Claims
43,650
Providers
25
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 Merrill, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Donald L Evans
1205 O Day St |
$22.87 | 15 | 12 |
|
Daniel W Hampton
601 S Center Ave |
$35.51 | 16 | 14 |
|
Natalie Weeks
3333 E Main St |
$53.97 | 42 | 40 |
|
Paul C Samundsen
1205 O'Day Street |
$40.95 | 43 | 32 |
|
Jennifer Black
601 S Center Ave |
$32.82 | 53 | 51 |
|
Steven J Silverman
1501 E Main St |
$16.67 | 64 | 55 |
|
Dionna Marie Pendleton
601 S Center Ave |
$28.75 | 66 | 66 |
|
Carri Lynn Kennedy
109A S Center Ave |
$24.12 | 86 | 85 |
|
Matthew K Marine
109A S Center Ave |
$18.37 | 171 | 160 |
|
John M Wheat
3333 E Main St |
$25.68 | 199 | 185 |
|
Christian E Lee
3333 E Main St |
$30.50 | 286 | 269 |
|
Paul A Thompson
1205 O'Day Street |
$29.37 | 400 | 362 |
|
County Of Lincoln
607 N Sales St |
$11.53 | 703 | 580 |
|
Kathleen Weix-Klippel
1205 O Day Street |
$28.63 | 726 | 666 |
|
Jason Servi
1205 O'Day Street |
$36.62 | 832 | 745 |
|
Brenda J. Banaszynski
1205 O'Day St |
$30.96 | 838 | 783 |
|
Rajender Reddy Polireddy
1205 O Day St |
$31.58 | 1,055 | 945 |
|
Craig Steven Zastrow
3430 E Main St |
$34.37 | 1,945 | 1,657 |
|
Kristin L Mocadlo
1205 O Day St |
$29.97 | 2,665 | 2,412 |
|
Melissa Koengeter
3430 E Main St |
$35.03 | 2,682 | 2,135 |
|
Amy E. Nikolai
1205 O Day St |
$32.68 | 3,206 | 2,688 |
|
Michele Mcnalley Wilson
601 S Center Ave |
$35.08 | 3,328 | 2,999 |
|
Steve Peter Daigle
601 S Center Ave |
$34.31 | 3,659 | 3,268 |
|
Andrea J. Heller
1205 O Day St |
$31.96 | 4,885 | 4,204 |
|
Aspirus Merrill Hospital & Clinics, Inc
601 S Center Ave |
$174.48 | 15,685 | 13,347 |
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 Merrill, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Merrill, WI is $83.38 per claim, based on 43,650 claims from 25 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 Merrill, WI?
There are 25 Medicaid providers offering Office Visit related services in Merrill, WI according to public payment data.
What is the price range for Office Visit in Merrill, WI?
Medicaid reimbursement for Office Visit in Merrill, WI ranges from $11.53 to $174.48 per claim, with an average of $83.38. 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 Merrill, WI
Blood Work & Lab Tests
Avg $4.59
47,153 claims
Speech Therapy
Avg $10.17
39,099 claims
Emergency Room Visit
Avg $115.06
38,044 claims
Chiropractic Care
Avg $20.22
36,141 claims
Personal Care Services
Avg $24.82
25,491 claims
Non-Emergency Medical Transportation
Avg $13.79
20,597 claims
Urinalysis & Urine Tests
Avg $3.33
12,513 claims
X-Ray
Avg $4.09
11,763 claims