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 |
|---|---|---|---|
|
Sarah Lundeen
9200 W Wisconsin Ave |
$21.15 | 12 | 12 |
|
David Del Toro
9200 W Wisconsin Ave |
$22.76 | 12 | 12 |
|
Sara J French
9200 W Wisconsin Ave |
$53.82 | 12 | 12 |
|
Mary J Derse-Hayes
2350 N Lake Dr |
$0.00 | 12 | 12 |
|
Steven J. Lipscomb
2801 W Kinnickinnic River Pkwy Ste 1080 |
$13.25 | 12 | 12 |
|
Graham Samuel Adsit
9200 W Wisconsin Ave |
$28.17 | 12 | 12 |
|
Areyl Dream Goff
9200 W Wisconsin Ave |
$7.39 | 12 | 12 |
|
Varun R Garg
2350 N Lake Dr Ste 206 |
$23.91 | 12 | 12 |
|
Jeffrey M. Weber
2901 W. Kk River Pkwy. |
$52.08 | 12 | 12 |
|
James Kenneth Murtha
9200 W Wisconsin Ave |
$18.37 | 12 | 12 |
|
Kaylan Moran Fenton
9200 W Wisconsin Ave |
$9.73 | 12 | 12 |
|
Gokulakrishnan Balasubramanian
9200 W Wisconsin Avenue |
$49.29 | 12 | 12 |
|
Ali Imran Musani
9200 W Wisconsin Ave |
$90.92 | 12 | 12 |
|
Deepak Kilari
9200 W Wisconsin Ave |
$10.19 | 12 | 12 |
|
David J Leannais
945 N 12Th St Ste 1200 |
$18.22 | 12 | 12 |
|
Kirk Ludwig
9200 W Wisconsin Ave |
$12.07 | 12 | 12 |
|
Daniel William Odell
5000 W Chambers St |
$51.20 | 12 | 12 |
|
Ravi Dhingra
9200 W Wisconsin Ave |
$26.73 | 12 | 12 |
|
Thomas M. Ciecierega
9000 W Wisconsin Ave |
$120.33 | 12 | 12 |
|
Jennifer Ann Cahill
9200 W Wisconsin Ave |
$45.55 | 12 | 12 |
|
Shayne D Fehr
3365 S 103Rd St |
$50.61 | 12 | 12 |
|
Tracy Binius
1525 N 12Th St |
$108.73 | 12 | 12 |
|
Andrew E. Petroll
9200 W Wisconsin Ave |
$25.25 | 12 | 12 |
|
Kirk I O'Hanison
11333 W National Ave |
$33.63 | 12 | 12 |
|
Benjamin Knight
2900 W Oklahoma Ave |
$45.27 | 12 | 12 |
|
John T Teijido
10625 W North Ave Ste 102 |
$25.18 | 12 | 12 |
|
Melissa Louise Leib
1110 E Ogden Ave |
$23.91 | 12 | 12 |
|
Lindsay Barden
9000 W Wisconsin Ave |
$10.53 | 12 | 12 |
|
Boyd M Peterson
1155 N Mayfair Rd |
$17.90 | 12 | 12 |
|
Karen M. Sherry
2014 N 124Th St |
$39.41 | 12 | 12 |
|
Argyro Sylvia Hatseras
945 N 12Th St |
$18.57 | 12 | 12 |
|
Ira Howard Blau
9200 W Wisconsin Ave |
$21.74 | 12 | 12 |
|
David Glaubke
1032 S Cesar E Chavez Dr |
$61.69 | 12 | 12 |
|
Lyndon V Hernandez
2801 W Kinnickinnic River Pkwy Ste 1080 |
$12.50 | 12 | 12 |
|
Elisabeth Pordes
9000 W Wisconsin Ave |
$50.13 | 12 | 12 |
|
Kira Connolly-Nelson
1433 N Water St Ste 400 |
$9.93 | 12 | 12 |
|
Wade Mueller
9200 W Wisconsin Ave |
$12.19 | 12 | 12 |
|
Patrick Walsh
9000 W Wisconsin Ave |
$30.71 | 12 | 12 |
|
Jerri Solik
9200 W Wisconsin Ave |
$74.09 | 12 | 12 |
|
Patrick Julian Zelinski
2332 N Farwell Ave |
$17.90 | 12 | 12 |
|
Alexandria T Phan
9200 W Wisconsin Ave |
$64.06 | 12 | 12 |
|
Katherine D Bartz
9200 W Wisconsin Ave |
$32.15 | 12 | 12 |
|
Joseph R Cava
9000 W Wisconsin Ave |
$58.19 | 13 | 13 |
|
Cary Wilkins Flanders Duchniak
9200 W Wisconsin Ave |
$30.30 | 13 | 13 |
|
Lindsay Biddick
2801 W Kinnickinnic River Pkwy |
$41.50 | 13 | 12 |
|
Jeanne Thohan
4800 W Green Brook Dr |
$300.00 | 13 | 13 |
|
Irene Margaret Lewnard
9200 W Wisconsin Ave |
$49.55 | 13 | 12 |
|
Carley Nicole Sauter
1155 N Mayfair Rd |
$18.03 | 13 | 13 |
|
Apryl Weed
9000 W Wisconsin Ave |
$72.27 | 13 | 12 |
|
Meredith Ordonez Cruz
9200 W Wisconsin Ave |
$19.70 | 13 | 13 |
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.
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 Milwaukee, WI
Blood Work & Lab Tests
Avg $12.08
6,063,751 claims
Emergency Room Visit
Avg $64.11
3,433,334 claims
Behavioral & Mental Health Therapy
Avg $97.09
2,167,359 claims
Case Management Services
Avg $88.79
1,899,271 claims
X-Ray
Avg $5.82
1,618,246 claims
Physical Therapy
Avg $31.00
1,562,867 claims
Urinalysis & Urine Tests
Avg $7.57
1,368,239 claims
Substance Abuse Treatment
Avg $16.12
1,287,629 claims