Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Mount Pleasant, WI: $34.63

Avg. Paid

$34.63

Range

$10.35 – $88.70

Total Claims

182,605

Providers

121

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 Mount Pleasant, WI

Provider	Avg. Paid	Claims	Patients
Viet Vignieri 12001 Braun Rd	$24.47	10,878	5,385
Mathew Pothen 8348 Washington Ave	$38.37	10,715	9,957
James Samuel 8400 Washington Ave	$39.35	8,126	7,535
Eva K Alessia 3807 Spring St	$48.77	6,051	5,572
Jason R Friedlander 3805B Spring St Ste 130	$39.77	5,515	4,864
Maureen Goines 3807 Spring St	$40.24	5,445	4,580
Emily Kastenson 6611 Spring St	$44.00	4,953	4,624
Sachin H. Panchal 3807 Spring St	$26.16	4,924	4,444
Jacob Steven Clearfield 3811 Spring St	$24.85	4,772	4,330
Joshua Chrisopulos 8400 Washington Ave	$27.35	4,663	4,298
Matthew T Larsen 8400 Washington Ave	$22.76	3,794	3,267
Stephanie L Ruskell 3805 Spring St Ste 240	$50.84	3,752	3,247
Lesley Delgado 3807 Spring St	$36.37	3,697	3,363
Thomas Paulick 8400 Washington Ave	$20.88	3,410	3,020
Naweed Chowdhury 8348 Washington Ave	$31.22	3,345	2,985
Kimberly A Woyach 6611 Spring St	$31.68	3,338	3,080
Irina Ciubotaru 3807 Spring St Ste 310	$32.32	3,185	2,836
Kirsten J Antonneau 1300 S Green Bay Rd Ste 100	$25.12	2,899	2,514
William Paul Bake 3805B Spring St	$28.87	2,881	2,668
Dajun Wang 13250 Washington Ave	$23.42	2,854	2,651
Randall S Nemerovski 8400 Washington Ave	$28.04	2,650	2,541
Theresa Kathryn Umhoefer 3807 Spring St	$47.67	2,597	2,393
Suzana Zamecnik 6611 Spring St	$29.65	2,529	2,202
Angela K Gleisner 8400 Washington Ave	$31.90	2,520	2,358
Niraj Shah 8400 Washington Ave	$30.93	2,454	2,220
Michael G Manske 8400 Washington Ave	$25.81	2,349	2,196
Amy Joy Hirt Fisco 3805A Spring St	$33.56	2,305	2,073
Laurel L Evans 5439 Durand Ave Ste 103	$58.01	2,296	1,499
James V Lynott 1300 S Green Bay Rd Ste 100	$24.72	2,249	2,030
Michael James Mitchell 13250 Washington Ave	$34.62	2,234	2,030
Amy P Kelly 8400 Washington Ave	$30.24	2,232	2,029
Anne P Stroze 8400 Washington Ave	$26.59	2,105	1,865
Brian J Hettrick 8400 Washington Ave	$41.99	2,078	1,851
Samad B Farooqi 8400 Washington Ave	$32.84	2,074	1,889
Tanvi Adusumilli 8400 Washington Ave	$88.70	1,962	1,802
Brady T Welsh 8400 Washington Ave	$23.00	1,911	1,797
Mohammad Maaz Razi 3807 Spring St Fl 3	$44.35	1,794	1,550
Amy Ruth Crowder 8400 Washington Ave	$51.19	1,786	1,662
Mustafa Syed Azimuddin 4328 Old Green Bay Rd	$39.33	1,735	1,533
Jill Koch Wanggaard 8400 Washington Ave	$31.14	1,734	1,600
Radha Krishna Sanka 3805B Spring St	$30.10	1,710	1,503
Susan H Ward 8400 Washington Ave	$30.79	1,708	1,527
Pla Xoua Xiong-Hang 3821 Spring St	$26.53	1,652	1,453
Gregory E Crovetti 7300 Washington Ave Ste B	$28.45	1,483	1,304
Megan Laake 3807 Spring St	$71.02	1,390	1,018
Lauren E Hanline 13250 Washington Ave	$59.74	1,377	885
Joy A Rynda 8800 Washington Ave	$39.65	1,338	1,236
Ubaid Nawaz 8400 Washington Ave Ste 203	$35.67	1,297	1,075
Pradeep Gopi Kumar 8400 Washington Ave	$37.20	1,255	1,140
Caleb R Lippman 3805B Spring St	$25.57	1,186	1,095

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 Mount Pleasant, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Pleasant, WI is $34.63 per claim, based on 182,605 claims from 121 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 Mount Pleasant, WI?

There are 121 Medicaid providers offering Office Visit related services in Mount Pleasant, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Mount Pleasant, WI ranges from $10.35 to $88.70 per claim, with an average of $34.63. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Mount Pleasant, WI: $34.63

Providers Offering Office Visit in Mount Pleasant, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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