Average Medicaid Office Visit Payments in New Berlin, WI: $46.05
Avg. Paid
$46.05
Range
$8.38 – $77.75
Total Claims
169,515
Providers
155
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 New Berlin, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kim Marie Wolf
13800 W Maria Dr |
$46.61 | 9,381 | 7,835 |
|
Pushpa Veeranna Pallagatti
4855 S Moorland Rd |
$45.37 | 7,405 | 6,821 |
|
Jonathan Gabriel Bonchak
12901 W National Ave |
$40.26 | 5,329 | 4,984 |
|
Peter Barbian
4855 S Moorland Rd |
$56.16 | 5,098 | 4,700 |
|
Alisa A Nehls
4855 S Moorland Rd |
$30.54 | 4,292 | 3,710 |
|
Alexandra Lorraine Berge
4855 S Moorland Rd |
$53.63 | 4,261 | 4,000 |
|
Jill M Czajkowski
4855 S Moorland Rd Fl 3 |
$77.75 | 4,132 | 3,910 |
|
Magdalena M Rutkowski
13900 W National Ave |
$65.24 | 4,087 | 3,484 |
|
David L. Crosby
12901 W National Ave |
$29.02 | 3,868 | 3,636 |
|
Jessica Pflieger
4855 S Moorland Rd Fl 3 |
$46.28 | 3,844 | 3,635 |
|
Lauren Nicole Wren
4855 S Moorland Rd |
$75.07 | 3,539 | 3,375 |
|
Callie Elizabeth Hansen
4855 S Moorland Rd |
$71.49 | 3,526 | 3,337 |
|
Hannah Osborne
4855 S Moorland Rd |
$71.72 | 3,411 | 3,179 |
|
Brooke Anne Fula
4805 S Moorland Rd |
$25.12 | 3,365 | 2,980 |
|
Audra Hermanson
4855 S Moorland Rd |
$53.41 | 3,320 | 2,993 |
|
Kathryn Rae Farwell
4855 S Moorland Rd |
$56.72 | 3,130 | 2,932 |
|
Kelsey Koenig
13900 W National Ave |
$31.65 | 3,047 | 2,719 |
|
Alina Huang
4855 S Moorland Rd |
$59.75 | 3,007 | 2,788 |
|
Thomas Michael Naughton
13035 W Weather Creek Ct |
$21.45 | 2,980 | 2,813 |
|
Teresa Marie Uy
4855 S Moorland Rd Fl 3 |
$75.58 | 2,655 | 2,466 |
|
Ali H Siddiqui
4805 S Moorland Rd |
$36.49 | 2,627 | 2,282 |
|
Gina Duke
4855 S Moorland Rd |
$49.16 | 2,579 | 2,419 |
|
Alexander M Maley
12901 W National Ave |
$40.73 | 2,571 | 2,456 |
|
Simran Brar
4855 S Moorland Rd |
$59.84 | 2,461 | 2,135 |
|
Amanda M Kotowski
4855 S Moorland Rd |
$41.10 | 2,442 | 2,262 |
|
Soo Ah Kim
14555 W National Ave |
$38.97 | 2,365 | 2,179 |
|
Olubunmi Abiola Olorundami
4855 S Moorland Rd |
$52.86 | 2,162 | 1,995 |
|
Jerrica Brianne Vaughan
4855 S Moorland Rd Ste 250 |
$40.78 | 2,146 | 1,950 |
|
Sarah Arvelo
14555 W National Ave |
$19.25 | 2,113 | 1,757 |
|
Patti Marie Young
4855 S Moorland Rd Ste 250 |
$34.29 | 2,106 | 1,925 |
|
Aaron Hanson
4855 S Moorland Rd Ste 250 |
$36.64 | 2,001 | 1,870 |
|
Shannon K Carmona Moses
4855 S Moorland Rd Fl 3 |
$56.34 | 1,954 | 1,848 |
|
Hannah Kara Johnson
4855 S Moorland Rd |
$49.84 | 1,952 | 1,835 |
|
Kayla Ann Jens
4805 S Moorland Rd |
$39.97 | 1,903 | 1,559 |
|
Alicia K. Plummer
4855 S Moorland Rd Fl 3 |
$39.62 | 1,751 | 1,595 |
|
Brian R Hirsch
4855 S Moorland Rd Ste 150 |
$52.12 | 1,748 | 1,580 |
|
Lorena Tran
14555 W National Ave |
$43.21 | 1,611 | 1,514 |
|
Julie Buntrock
4855 S Moorland Rd |
$34.18 | 1,603 | 1,481 |
|
Laura Diane Gray
4855 S Moorland Rd Ste 250 |
$40.04 | 1,425 | 1,296 |
|
John Schimek
4855 S Moorland Rd Ste 150 |
$44.89 | 1,408 | 1,314 |
|
Harry Ford Laws
4855 S Moorland Rd |
$41.45 | 1,292 | 1,168 |
|
Nicole Katherine Rosinski
4855 S Moorland Rd |
$61.68 | 1,274 | 1,200 |
|
Bruce Davison
4855 S Moorland Rd |
$45.07 | 1,254 | 1,109 |
|
Rachel Kriz
4805 S Moorland Rd |
$35.64 | 1,216 | 1,088 |
|
Roger William Beaumont
4805 S Moorland Rd |
$31.46 | 1,206 | 882 |
|
Connie L Richter
4855 S Moorland Rd Ste 250 |
$37.22 | 1,177 | 1,097 |
|
Neal James Campbell
3610 Michelle Witmer Memorial Dr |
$40.77 | 1,132 | 997 |
|
Taylor Elizabeth Marlowe
4855 S Moorland Rd |
$43.31 | 1,118 | 1,045 |
|
Luis-Alejandro Roldan Cubides
14555 W National Ave |
$32.75 | 1,025 | 932 |
|
Paul J Veldhouse
4855 S Moorland Rd |
$28.71 | 1,007 | 868 |
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 New Berlin, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Berlin, WI is $46.05 per claim, based on 169,515 claims from 155 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 New Berlin, WI?
There are 155 Medicaid providers offering Office Visit related services in New Berlin, WI according to public payment data.
What is the price range for Office Visit in New Berlin, WI?
Medicaid reimbursement for Office Visit in New Berlin, WI ranges from $8.38 to $77.75 per claim, with an average of $46.05. 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 New Berlin, WI
Durable Medical Equipment (DME)
Avg $40.28
225,154 claims
Blood Work & Lab Tests
Avg $30.75
54,376 claims
X-Ray
Avg $6.67
31,895 claims
Emergency Room Visit
Avg $96.82
30,495 claims
Physical Therapy
Avg $22.89
29,813 claims
Personal Care Services
Avg $14.29
28,008 claims
Vaccines & Immunizations
Avg $4.92
24,513 claims
Speech Therapy
Avg $16.73
20,276 claims