Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Milwaukee, WI: $50.47

Avg. Paid

$50.47

Range

$0.00 – $300.00

Total Claims

5,280,772

Providers

2,369

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 Milwaukee, WI

Provider	Avg. Paid	Claims	Patients
Children'S Hospital Of Wisconsin, Inc. 9000 W Wisconsin Ave	$108.00	676,272	599,329
Froedtert Memorial Lutheran Hospital, Inc. 9200 W Wisconsin Ave	$69.86	410,023	336,505
Aurora Health Care Metro, Inc. 2900 W Oklahoma Ave	$61.61	162,507	135,337
Ascension Se Wisconsin Hospital, Inc 5000 W Chambers St	$57.89	158,015	129,671
Columbia St. Mary'S Hospital Milwaukee, Inc. 2323 N Lake Dr	$42.23	152,635	119,396
Planned Parenthood Of Wisconsin 2207 W Wisconsin Ave	$42.77	44,201	42,013
Planned Parenthood Of Wisconsin 5380 W Fond Du Lac Ave	$44.66	39,603	37,763
Lileta Wint 3727 W Wisconsin Ave	$45.72	34,753	28,640
Abdullattief Abdulaziz Sulieman 1672 S 9Th St	$42.16	31,356	24,250
Devang V Gandhi 6030 W Capitol Dr	$51.08	31,345	29,078
Kelley Ann Beltran 3727 W Wisconsin Ave	$46.49	31,097	26,224
Annika Katherine Collins 3727 W Wisconsin Ave	$43.43	27,478	23,072
Samir Mullick 4267 W Fond Du Lac Ave	$46.56	26,217	23,102
Planned Parenthood Of Wisconsin 1710 S 7Th St	$42.95	26,214	25,044
Shakaib Mohammad Razzaq 3727 W Wisconsin Ave	$42.48	25,777	21,306
Cindy Koplitz 3727 W Wisconsin Ave	$49.43	25,484	20,335
Jenta Alexander 7021 N 98Th St	$41.87	24,329	19,530
Joselito Alvarez Baylon 756 N 35Th St	$42.16	23,162	20,274
Fernando T. Itable 2745 W Layton Ave	$42.27	22,205	17,979
Natalie R Kerber 3727 W Wisconsin Ave	$44.54	22,068	19,221
Tahir A Khan 6001 W Center St Ste 108	$24.59	21,513	17,646
Matthew Reid Malczewski 7878 N 76Th St	$43.97	21,252	19,033
Jaime G Ruvalcaba 1032 S Cesar E Chavez Dr	$20.79	20,789	18,089
Anthony L Hale 8532 W Capitol Dr Ste 201	$29.80	20,550	16,999
Mohammad Ziad Nwilati 3727 W Wisconsin Ave	$32.60	20,491	16,355
Ascension St Francis Hospital, Inc 3237 S 16Th St	$65.72	20,046	17,889
Remedios Senora Alcera-Poe 2727 W Cleveland Ave	$44.50	19,413	17,105
Amy Schuldt 3727 W. Wisconsin Aveune	$52.15	19,199	17,457
Vicki Milroy 2778 S 35Th St Ste 102	$37.50	19,102	15,982
Planned Parenthood Of Wi, Inc 801 E Capitol Dr	$41.85	18,448	17,678
Victoria Anne Mcginley 1225 W Mitchell St # 223	$23.57	17,945	15,615
Mary Jane De Jesus 3727 W Wisconsin Ave	$44.76	16,810	13,154
Pamela Yvette Thomas-King 8901 N 76Th St	$20.69	16,680	13,433
Daniel A. Keller 3003 W Good Hope Rd	$41.73	16,152	15,094
Maqsood Ahmad 5434 W Capitol Dr	$22.66	16,033	13,561
Anatoliy Velikodanov 5300 W Villard Ave	$36.99	15,921	11,201
Edward James Muellerleile 4267 W Fond Du Lac Ave	$38.72	15,683	13,883
Anjum Mohammad Razzaq 3727 W Wisconsin Ave	$34.62	15,520	13,019
Rita Gnyawali 4267 W Fond Du Lac Ave	$45.80	14,469	13,278
Sandra M Arce-Garzon 4220 S 27Th St Ste 200	$57.86	14,157	11,966
Mark P Hastings 3431 N 51St Blvd	$39.31	13,930	13,463
Naveen Kumar Vukka 2900 W Oklahoma Ave	$6.74	13,827	7,458
Minuteclinic Diagnostic Of Wisconsin, Llc 1650 N Farwell Ave	$0.06	13,798	9,438
Violeta A. Singson 535 N 27Th St	$39.67	13,256	12,133
Thulasiraman P Ravichandran 2025 W Oklahoma Ave	$36.01	13,145	11,237
Selahattin S. Kurter 1661 N Water St	$35.39	12,937	8,341
Rizwanullah Arain 6026 W Lisbon Ave	$28.10	12,751	10,672
Kalid N Adab 2900 W Oklahoma Ave	$44.94	12,638	8,946
Ibrahim A Khaja 1525 N 12Th St	$75.35	12,578	9,812
16Th Street Community Health Center Inc. 1032 S Cesar E Chavez Dr	$3.59	12,038	10,334

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 Milwaukee, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Milwaukee, WI is $50.47 per claim, based on 5,280,772 claims from 2369 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 Milwaukee, WI?

There are 2369 Medicaid providers offering Office Visit related services in Milwaukee, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Milwaukee, WI ranges from $0.00 to $300.00 per claim, with an average of $50.47. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Milwaukee, WI: $50.47

Providers Offering Office Visit in Milwaukee, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Milwaukee, WI

Blood Work & Lab Tests

Emergency Room Visit

Behavioral & Mental Health Therapy

Case Management Services

X-Ray

Physical Therapy

Urinalysis & Urine Tests

Substance Abuse Treatment