Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Middleton, WI: $27.14

Avg. Paid

$27.14

Range

$0.16 – $124.64

Total Claims

15,597

Providers

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 Middleton, WI

Provider	Avg. Paid	Claims	Patients
Neal P Barney 1509 Grosse Point Dr	$10.35	12	12
Andrea H. Hewitt 2275 Deming Way	$11.50	13	12
Terri A Lefeber 2275 Deming Way	$33.18	14	14
Kristin Elisabeth Caldera 6630 University Ave	$25.77	14	14
Dana Beth Gruenenfelder 2275 Deming Way	$43.58	15	13
Elizabeth J Plovanich 6255 University Ave	$19.34	16	12
Winston Harris Ii 8383 Greenway Blvd Ste 210	$52.03	23	23
John E Temprano 2349 Deming Way	$6.57	27	24
John Alexander Finnell 6255 University Ave	$6.83	34	26
Jonathan S Chang 2349 Deming Way	$12.49	41	26
Allan Royal Mottram 6746 Erdman Blvd	$31.01	54	50
Jill Migon 6255 University Ave	$24.31	55	43
Sydney M Schmus 6704 University Ave	$14.62	57	45
Kathleen Clerkin 1032 N Pleasant View Rd	$49.18	77	76
Michael Jay Suer 6630 University Ave	$14.53	85	78
Kari A. Weier 2275 Deming Way Ste 200	$61.82	87	63
University Of Wisconsin Medical Foundation, Inc 7974 Uw Health Court	$0.16	91	87
Julia Danz 3205 Glacier Ridge Rd	$32.82	106	99
Ioana Huibregtse 7780 Elmwood Ave	$19.79	106	100
Megan Marion Lyght 2365 Deming Way	$23.70	207	168
Kelly Lynn Hutchinson 7111 University Ave	$124.64	216	196
Aaron Hoekstra 3030 Laura Ln	$27.07	218	202
Gerhard Karl Kraske 7780 Elmwood Ave.	$17.60	236	210
David J Ringdahl 4402 Fox Bluff Rd	$21.16	267	237
Rhianon Michele Groom 8333 Greenway Blvd	$25.05	304	150
Sara A. Christensen Holz 6630 University Ave	$15.03	331	308
James W Leonard 6630 University Ave	$14.80	341	322
Sara E Dawkins 7974 Uw Health Ct	$26.07	449	408
Gina Marie Forte 8540 Greenway Blvd Apt 205	$37.20	597	572
Katherine Hass 2275 Deming Way Ste 180	$22.22	648	590
Kiley Dehaven 2365 Deming Way	$28.61	802	720
Mark Isaacson 6947 Harmony Way	$14.11	936	887
Claire F Johnson 2275 Deming Way Ste 180	$26.63	1,026	835
Bronwyn L Dilley 8215 Greenway Blvd Ste 160	$26.67	1,620	1,314
Christopher S Bermant 8215 Greenway Blvd Ste 160	$25.15	1,961	1,790
Nickolas F Hanna 3207 Laura Ln Ste 105	$28.78	4,511	3,345

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 Middleton, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Middleton, WI is $27.14 per claim, based on 15,597 claims from 36 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 Middleton, WI?

There are 36 Medicaid providers offering Office Visit related services in Middleton, WI according to public payment data.

What is the price range for Office Visit in Middleton, WI?

Medicaid reimbursement for Office Visit in Middleton, WI ranges from $0.16 to $124.64 per claim, with an average of $27.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Middleton, WI: $27.14

Providers Offering Office Visit in Middleton, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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