Average Medicaid Office Visit Payments in Monroe, WI: $36.04
Avg. Paid
$36.04
Range
$7.24 – $131.04
Total Claims
74,968
Providers
83
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 |
|---|---|---|---|
|
Christopher Bussan
515 22Nd Ave |
$42.70 | 7,662 | 7,172 |
|
Amy L Johnson
515 22Nd Ave |
$51.52 | 5,873 | 5,262 |
|
The Monroe Clinic, Inc.
515 22Nd Ave |
$25.49 | 5,018 | 4,017 |
|
Stephanie Ann Nesemeyer
515 22Nd Ave |
$41.17 | 4,911 | 4,656 |
|
Charles F Kind
2009 5Th St |
$13.56 | 4,414 | 3,222 |
|
Suhail Ahmed Shaikh
515 22Nd Ave. |
$34.04 | 3,084 | 2,779 |
|
Julan M. Crane
515 22Nd Ave |
$30.14 | 3,084 | 2,783 |
|
Taylor M Watkins
515 22Nd Ave |
$30.39 | 2,563 | 2,404 |
|
Diane R. Graybill Kehoe
100 W 8Th St |
$57.55 | 2,546 | 2,249 |
|
Janis L King
515 22Nd Ave |
$31.93 | 2,486 | 2,309 |
|
David L Rebedew
515 22Nd Ave |
$38.48 | 2,227 | 2,075 |
|
Denver M. Cook
515 22Nd Ave |
$42.32 | 2,137 | 1,749 |
|
Angela C Miller
515 22Nd Ave |
$39.42 | 1,998 | 1,877 |
|
Heather Reichert
515 22Nd Ave |
$38.18 | 1,643 | 1,464 |
|
Natalie L. Seibert
515 22Nd Ave |
$22.08 | 1,625 | 1,417 |
|
Jane C Smith
515 22Nd Ave |
$38.14 | 1,536 | 1,328 |
|
John P. Frey
515 22Nd Ave |
$27.20 | 1,502 | 1,366 |
|
Sarah C. Endsley
515 22Nd Avenue |
$34.31 | 1,452 | 1,114 |
|
Lyle M Weintraub
515 22Nd Ave |
$26.79 | 1,401 | 1,261 |
|
Joshua L. Morrison
2009 5Th St |
$28.75 | 1,365 | 1,252 |
|
Chau Minh Tran
515 22Nd Ave |
$60.93 | 1,230 | 1,050 |
|
Paul R Lentz
2009 5Th St |
$52.65 | 1,081 | 953 |
|
Anthony R. Rogerson
515 22Nd Ave |
$27.11 | 965 | 898 |
|
Kathryn Jeanne Rebedew
515 22Nd Ave |
$32.96 | 938 | 859 |
|
Angela M. Rosc
515 22Nd Ave |
$22.37 | 803 | 676 |
|
Sunil Penesetti
515 22Nd Ave |
$32.58 | 792 | 695 |
|
Ashley Gabioud
2009 5Th St |
$31.46 | 734 | 667 |
|
Omololu Daniel Omowanile
515 22Nd Ave |
$29.32 | 733 | 676 |
|
Michael A Netzel
515 22Nd Ave |
$22.18 | 661 | 608 |
|
Yewande A. Omowanile
515 22Nd Ave |
$27.87 | 654 | 596 |
|
Brian J Knutson
515 22Nd Ave |
$57.92 | 605 | 585 |
|
Kelly M. Hesseling
515 22Nd Ave |
$21.56 | 560 | 446 |
|
Lindsay M Geier
515 22Nd Ave |
$38.76 | 530 | 473 |
|
Lindsey Houle
515 22Nd Ave |
$83.62 | 510 | 443 |
|
Robert B Macnack
515 22Nd Ave |
$13.40 | 465 | 426 |
|
Bruce K Duemler
515 22Nd Ave |
$36.65 | 461 | 421 |
|
Luke A. Johanson
515 22Nd Avenue |
$22.82 | 399 | 360 |
|
Joy E Ryland
515 22Nd Ave |
$33.28 | 327 | 297 |
|
Arif Ahmad
515 22Nd Ave |
$14.73 | 315 | 292 |
|
Angelica G Thompson
515 22Nd Ave |
$23.73 | 303 | 265 |
|
Christopher James Smith
515 22Nd Ave |
$33.38 | 236 | 227 |
|
Melissa Anne Anderson
515 22Nd Ave |
$24.78 | 222 | 206 |
|
Alysse E. Hoover
Monroe Clinic |
$33.16 | 173 | 167 |
|
Sarah M. Smith
515 22Nd Ave |
$22.87 | 160 | 136 |
|
Laurence William Trueman
515 22Nd Ave |
$50.80 | 149 | 132 |
|
Elisabeth A Anumu
515 22Nd Ave |
$72.00 | 140 | 111 |
|
Melyssa Louwagie
515 22Nd Ave |
$49.62 | 136 | 119 |
|
Suzanne Marie Curtiss
515 22Nd Ave |
$25.16 | 127 | 116 |
|
Daniel Le
515 22Nd Ave |
$28.07 | 123 | 114 |
|
Kristine E. Fosler
515 22Nd Avenue |
$27.00 | 122 | 119 |
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.
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 Monroe, WI
Personal Care Services
Avg $7.36
68,695 claims
Blood Work & Lab Tests
Avg $6.35
66,503 claims
Behavioral & Mental Health Therapy
Avg $86.16
43,416 claims
Physical Therapy
Avg $21.58
40,384 claims
Emergency Room Visit
Avg $50.82
28,482 claims
Speech Therapy
Avg $12.17
21,758 claims
Chiropractic Care
Avg $14.18
19,129 claims
Non-Emergency Medical Transportation
Avg $10.14
15,332 claims