Average Medicaid Office Visit Payments in Monona, WI: $49.50
Avg. Paid
$49.50
Range
$12.70 – $192.93
Total Claims
14,858
Providers
32
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 Monona, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Duane Williams
1050 E Broadway |
$33.65 | 2,005 | 1,870 |
|
Shannon Clara Anderson
1050 E Broadway |
$23.39 | 1,977 | 1,778 |
|
Jie Wang
5001 Monona Dr |
$192.93 | 1,623 | 1,590 |
|
Kathleen R Green
6408 Copps Ave |
$28.65 | 1,424 | 1,269 |
|
Emily Louise Exten
6408 Copps Ave |
$35.50 | 1,266 | 1,130 |
|
Seton M Christenson-Houg
1050 E Broadway |
$31.39 | 1,047 | 909 |
|
Eboselumhen Iseghohi
6408 Copps Ave |
$53.37 | 857 | 773 |
|
David P Rakel
1050 E Broadway |
$35.32 | 778 | 753 |
|
Sara Marshall
6408 Copps Ave |
$28.41 | 464 | 419 |
|
Diane L Wendland
6408 Copps Ave |
$26.38 | 378 | 355 |
|
Tiffany Buchholz
5726 Tecumseh Ave |
$12.70 | 279 | 266 |
|
Caitlin Mary Gunderson
1050 E Broadway |
$17.99 | 272 | 247 |
|
Sara Suing
1050 E Broadway |
$22.22 | 267 | 242 |
|
Kelsey A Hand
1050 E Broadway |
$25.04 | 263 | 237 |
|
Jonathan D Housman
1050 E Broadway |
$61.93 | 208 | 181 |
|
Jeffrey Todd Vassalli
1050 E Broadway |
$18.94 | 192 | 172 |
|
Jeremiah J Shaw
1050 E Broadway |
$51.46 | 190 | 185 |
|
Michael John Sermon
606 River Pl |
$43.46 | 183 | 153 |
|
Paul Pankratz
1050 E Broadway |
$14.64 | 156 | 140 |
|
Linda Lenz
1050 E Broadway |
$17.75 | 153 | 138 |
|
Michael Healy Mcdonald
6408 Copps Ave |
$29.23 | 120 | 104 |
|
Eleanor Meisner
1050 E Broadway |
$51.61 | 118 | 103 |
|
Joseph Robert Miller
6004 Sylvan Ln |
$45.13 | 113 | 108 |
|
Matthew Nudelman
6408 Bridge Rd Apt 374 |
$46.65 | 100 | 100 |
|
Melissa S Grimm
6408 Copps Ave |
$30.73 | 77 | 66 |
|
Karina Liliette Viloria Rodriguez
1050 E Broadway |
$31.24 | 67 | 60 |
|
Mark Christopher Anderson
1050 E Broadway |
$21.78 | 58 | 50 |
|
Vincent J Minichiello
1050 E Broadway |
$34.23 | 55 | 49 |
|
Katherine Ann Gonzaga
6408 Copps Ave |
$38.90 | 55 | 50 |
|
Danielle E Hartwig
1050 E Broadway |
$56.71 | 52 | 49 |
|
Kimberly A Mcgriff
109 River Pl |
$16.38 | 42 | 39 |
|
Gina Bryan
300 Femrite Dr |
$38.43 | 19 | 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 Monona, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monona, WI is $49.50 per claim, based on 14,858 claims from 32 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 Monona, WI?
There are 32 Medicaid providers offering Office Visit related services in Monona, WI according to public payment data.
What is the price range for Office Visit in Monona, WI?
Medicaid reimbursement for Office Visit in Monona, WI ranges from $12.70 to $192.93 per claim, with an average of $49.50. 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 Monona, WI
Dental Cleaning & Exam
Avg $24.97
16,487 claims
Durable Medical Equipment (DME)
Avg $18.50
13,951 claims
Psychiatric Evaluation
Avg $61.67
11,437 claims
Chiropractic Care
Avg $20.36
6,900 claims
Eye Exam
Avg $33.29
3,711 claims
Speech Therapy
Avg $21.21
3,157 claims
Physical Therapy
Avg $16.93
2,457 claims
Tooth Extraction
Avg $64.86
1,800 claims