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
Diane L. Billmyer 13250 Washington Ave	$10.35	13	12
Jason Henry Przybylo 3805B Spring St Ste 320	$47.38	14	14
Grace Faulls 3807 Spring St	$58.47	15	13
Eric Habbe 5802 Washington Ave	$86.41	16	16
Jonathan Rathod 3803 Spring St	$44.70	28	25
Nandita Batchra 8400 Washington Ave	$58.77	28	26
Matthew John Clark 3801 Spring St	$24.76	29	26
Matthew Adam Pilecki 8400 Washington Ave	$45.67	31	30
Abigail Jean Brindusa Stewart 4328 Old Green Bay Rd	$44.23	33	32
Elizabeth Trudy Camenga 3811 Spring St Ste 102	$35.44	39	37
Bojana Carevic 3807 Spring St	$55.62	43	43
Kelly Konesko 8400 Washington Ave	$36.75	44	37
Ye Eun Kwak 8400 Washington Ave	$57.01	46	46
Megan Dowd 3801 Spring St	$56.71	48	41
Hailey Burmeister 3811 Spring St	$36.18	49	43
Daryl L Kruse 5802 Washington Ave	$29.67	56	52
Amanda M Hill 3807 Spring St	$18.41	59	54
Kathryn Jelacic 10180 Washington Ave	$53.98	59	52
Angela K Pease 13250 Washington Ave	$15.06	60	51
Briana Nicole Cantore 3807 Spring St	$43.35	71	63
Michael Mullane 8400 Washington Ave	$23.39	85	79
Caitlin N Carlson 3801 Spring St	$62.77	85	74
Joseph Thomas Humphrey 3801 Spring St	$18.90	87	85
Trista Ann Patten 3811 Spring St # 301	$47.80	93	85
Muhammad Shahreyar Sarki 3801 Spring St	$26.73	115	101
Katarina Nicole Elyea 6611 Spring St	$47.85	126	107
Abby Zimmerman 3811 Spring St Ste 301	$51.77	130	110
Julianne M Sauer 13250 Washington Ave	$40.80	132	128
Jennifer Minessale 3809 Spring St	$20.44	148	137
Rachael Kozinski 3801 Spring St	$50.50	174	159
Boby G Theckedath 8400 Washington Ave	$43.95	206	200
Michael Brent Dreifke 1300 S Green Bay Rd Ste 100	$20.88	222	201
Michelle Bregenzer 3809 Spring St	$51.82	249	218
Jeff Banas 3805B Spring St Ste 140	$24.28	251	196
Margaret Ann Rynkiewicz 13250 Washington Ave	$58.84	267	234
Michael John Wanner 3811 Spring St # 102	$18.99	275	229
Melissa Milne 3803 Spring St	$26.67	296	230
Melissa Jean Mork 4328 Old Green Bay Road	$31.68	297	238
Rachel R Rogatzki 8400 Washington Ave	$12.76	326	309
Lanette Lynn Davis 1516 S Green Bay Rd	$62.79	357	306
David R Ross 3811 Spring St	$19.96	373	343
Juna Abazi Lee 5802 Washington Ave	$19.03	389	335
Billie A Lawler 3803 Spring St	$31.55	402	330
Chelsea Faye Filter 3801 Spring St	$51.35	423	378
Tina M L Botsford 3811 Spring St	$44.13	424	390
Rachel R Gage 8400 Washington Ave	$29.37	442	388
Carlynn H Crevier 4328 Old Green Bay Rd	$23.97	444	399
Christopher Vincent Cataldi 8348 Washington Ave	$27.48	448	407
Walter J Kim 13250 Washington Ave	$35.24	458	421
Patricia Rivera 3821 Spring St	$26.90	459	416

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

Office Visit in Other Cities

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Other Procedures in Mount Pleasant, WI

Physical Therapy

Substance Abuse Treatment

Dental Cleaning & Exam

Speech Therapy

Emergency Room Visit

Dental Filling

Psychiatric Evaluation

Vaccines & Immunizations