Average Medicaid Office Visit Payments in Muskego, WI: $33.90
Avg. Paid
$33.90
Range
$11.93 – $62.22
Total Claims
10,695
Providers
19
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 Muskego, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Monica C Jones
S74W16775 Janesville Rd |
$22.85 | 2,474 | 2,069 |
|
Jodi M Kornak
S68W15500 Janesville Rd |
$39.67 | 2,408 | 2,240 |
|
Christopher Joseph Bermudez
S68W15500 Janesville Rd |
$39.87 | 1,256 | 1,157 |
|
Molly Yurk
S68W15500 Janesville Rd |
$41.97 | 962 | 921 |
|
Carrie L. Lapow
S69 W15636 Janesville Road |
$28.34 | 750 | 690 |
|
Michelle A Hicks
S74W16775 Janesville Rd |
$52.88 | 459 | 433 |
|
Daniel Cheng
S69 W15636 Janesville Road |
$37.54 | 456 | 415 |
|
Lindsey Michele Simpson
W146S7732 Stags Leap Ct |
$25.31 | 394 | 325 |
|
Jeanette A Kalupa
S68W15500 Janesville Rd |
$38.52 | 296 | 260 |
|
Trista Kleppin
S68W15500 Janesville Rd |
$26.08 | 282 | 258 |
|
Stephen L Blonsky
S88W12923 Upland Ln |
$11.93 | 243 | 235 |
|
Laurie Ann Whorley
S69W15636 Janesville Rd |
$40.67 | 200 | 182 |
|
Jonathan R. Berry
S74 W16775 Janesville Rd. |
$21.62 | 197 | 177 |
|
Milka Sagud
S74W16775 Janesville Rd Ste A |
$38.76 | 114 | 92 |
|
Kristin Carolynn Guthrie
W150S7048 Cornell Cir |
$62.22 | 72 | 62 |
|
Daniel J Riordan
S69W15636 Janesville Rd |
$34.45 | 39 | 37 |
|
Joy Berger Zganjar
S69W15636 Janesville Rd |
$21.90 | 38 | 34 |
|
Brian J Dudor
S74 W16775 Janesville Road |
$40.60 | 29 | 24 |
|
Tutu Mekete
S74W16775 Janesville Rd |
$43.95 | 26 | 25 |
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 Muskego, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Muskego, WI is $33.90 per claim, based on 10,695 claims from 19 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 Muskego, WI?
There are 19 Medicaid providers offering Office Visit related services in Muskego, WI according to public payment data.
What is the price range for Office Visit in Muskego, WI?
Medicaid reimbursement for Office Visit in Muskego, WI ranges from $11.93 to $62.22 per claim, with an average of $33.90. 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 Muskego, WI
Personal Care Services
Avg $12.55
51,924 claims
Speech Therapy
Avg $10.34
27,832 claims
Non-Emergency Medical Transportation
Avg $10.21
21,011 claims
Physical Therapy
Avg $17.18
12,408 claims
Eye Exam
Avg $5.33
11,372 claims
Chiropractic Care
Avg $23.21
6,236 claims
Nursing Facility Care
Avg $24.20
5,557 claims
Psychiatric Evaluation
Avg $54.53
3,407 claims