Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Monroe, WI: $36.04

Avg. Paid

$36.04

Range

$7.24 – $131.04

Total Claims

74,968

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 Monroe, WI

Provider	Avg. Paid	Claims	Patients
Lauren M Palmer 515 22Nd Ave	$45.12	12	12
Joshua P. Schulist 515 22Nd Avenue	$23.00	13	12
Darren J Pipp 515 22Nd Ave	$45.75	13	12
Brooke M Hoesly Monroe Clinic	$32.47	14	14
Stacy Ferris Cohen 515 22Nd Ave	$19.15	14	13
Elisabeth A. Zgraggen 515 22Nd Ave	$27.99	14	12
John A Bazley 515 22Nd Ave	$131.04	17	16
Zachary Allan Coffman 515 22Nd Ave	$33.49	17	14
Jacob Becker 515 22Nd Ave	$20.18	19	16
Michel-Ann Elizabeth Fraser 515 22Nd Ave	$29.27	19	19
Lance E Sathoff 515 22Nd Ave	$21.11	29	25
Danielle Lynn Venhuizen 515 22Nd Ave	$77.07	31	27
Rachel Long 515 22Nd Ave	$25.91	32	26
Michael Falahat 515 22Nd Ave	$68.86	42	40
Nicholas Krueger 2009 5Th St	$29.56	46	42
County Of Green N3152 Highway 81	$7.24	53	51
Barbara J Kepner 515 22Nd Ave	$42.06	54	45
Peter Szachnowski 515 22Nd Ave	$15.18	55	49
Janessa M. Pafford 515 22Nd Ave	$29.06	59	52
Amanda Ruth Gatzke 515 22Nd Ave	$52.62	60	54
Eli M Burks 515 22Nd Avenue	$49.17	60	59
Erik John Onsrud 404 W 10 1/2 St	$14.36	62	62
Michelle S. Faull 515 22Nd Ave	$23.32	63	62
Jeffrey G Dinges 515 22Nd Ave	$86.05	66	53
Deborah A Setterstrom 515 22Nd Ave	$49.41	75	71
Janelle Julienne Jaeggi 515 22Nd Ave	$38.15	79	69
Dorota M. Andraski 515 22Nd Ave	$21.09	86	79
Natalia D Chapman 515 22Nd Ave	$21.06	106	95
James R. Davidson 515 22Nd Ave	$24.29	110	102
Olivia A Stauffacher 515 22Nd Ave	$21.63	112	93
John F Vanwoert 2009 5Th St	$96.18	116	99
Ralph Henry 515 22Nd Ave	$35.08	119	116
Jonathan D. Swindle 515 22Nd Ave	$27.18	120	114
Kristine E. Fosler 515 22Nd Avenue	$27.00	122	119
Daniel Le 515 22Nd Ave	$28.07	123	114
Suzanne Marie Curtiss 515 22Nd Ave	$25.16	127	116
Melyssa Louwagie 515 22Nd Ave	$49.62	136	119
Elisabeth A Anumu 515 22Nd Ave	$72.00	140	111
Laurence William Trueman 515 22Nd Ave	$50.80	149	132
Sarah M. Smith 515 22Nd Ave	$22.87	160	136
Alysse E. Hoover Monroe Clinic	$33.16	173	167
Melissa Anne Anderson 515 22Nd Ave	$24.78	222	206
Christopher James Smith 515 22Nd Ave	$33.38	236	227
Angelica G Thompson 515 22Nd Ave	$23.73	303	265
Arif Ahmad 515 22Nd Ave	$14.73	315	292
Joy E Ryland 515 22Nd Ave	$33.28	327	297
Luke A. Johanson 515 22Nd Avenue	$22.82	399	360
Bruce K Duemler 515 22Nd Ave	$36.65	461	421
Robert B Macnack 515 22Nd Ave	$13.40	465	426
Lindsey Houle 515 22Nd Ave	$83.62	510	443

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 Monroe, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monroe, WI is $36.04 per claim, based on 74,968 claims from 83 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 Monroe, WI?

There are 83 Medicaid providers offering Office Visit related services in Monroe, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Monroe, WI ranges from $7.24 to $131.04 per claim, with an average of $36.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Monroe, WI: $36.04

Providers Offering Office Visit in Monroe, 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 Monroe, WI

Personal Care Services

Blood Work & Lab Tests

Behavioral & Mental Health Therapy

Physical Therapy

Emergency Room Visit

Speech Therapy

Chiropractic Care

Non-Emergency Medical Transportation