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 |
|---|---|---|---|
|
Elizabeth Gastineau
12901 W National Ave |
$67.86 | 13 | 12 |
|
Laura S Duncan
14555 W National Ave |
$25.78 | 13 | 12 |
|
Amy Rebecca Romashko
4855 S Moorland Rd |
$66.42 | 13 | 12 |
|
Sadia T Ansari
4855 S Moorland Rd |
$67.16 | 13 | 13 |
|
Dana Marie Perry
4855 S Moorland Rd |
$35.42 | 13 | 12 |
|
Kathleen Trier Mcwey
3610 Michelle Witmer Memorial Dr |
$25.72 | 14 | 12 |
|
Krystyna L Abdulla
14555 W National Ave |
$24.54 | 14 | 13 |
|
Clifford Syner
14555 W National Ave |
$23.71 | 15 | 12 |
|
Kathryn Rae Cohen
4855 S Moorland Rd |
$46.61 | 15 | 14 |
|
Meaghan Reaney
4855 S Moorland Rd |
$50.14 | 16 | 13 |
|
Alyssa Lynn Josephson
4855 S Moorland Rd |
$49.51 | 16 | 14 |
|
Steven M Waldman
3610 Michelle Witmer Memorial Dr Ste 110 |
$30.09 | 19 | 17 |
|
Dennis J Garvin
12901 W National Ave |
$23.72 | 20 | 19 |
|
Meghan Caballero
4805 S Moorland Rd |
$8.38 | 21 | 15 |
|
Jessica M Zuerner
14555 W National Ave |
$26.06 | 28 | 27 |
|
Renee M. Knapp
13900 W National Avenue |
$29.26 | 29 | 25 |
|
Shane G Martin
3800 S Moorland Rd |
$16.30 | 30 | 28 |
|
Bryan Beaumont
4805 S Moorland Rd |
$36.86 | 32 | 25 |
|
Stephanie Taylor Simms
4805 S Moorland Rd |
$43.25 | 33 | 28 |
|
Michael Kosnik
4805 S Moorland Rd |
$52.62 | 34 | 32 |
|
Laurie Grunske
4855 S Moorland Rd |
$30.99 | 35 | 33 |
|
Anna Karst
14555 W National Ave |
$43.32 | 40 | 39 |
|
Jean Marie Heinen
4855 S Moorland Rd |
$45.63 | 42 | 38 |
|
Laura E Marusinec
4855 S Moorland Rd |
$54.11 | 48 | 47 |
|
Audrey Brooke Fawcett
4805 S Moorland Rd |
$51.52 | 59 | 54 |
|
Naveet S Bal
4805 S Moorland Rd |
$13.26 | 63 | 54 |
|
Leah Probst
14555 W National Ave |
$45.86 | 77 | 75 |
|
Gregory J Kuhr
14555 W National Ave |
$29.60 | 78 | 69 |
|
Joseph Paul Bonneville
4805 S Moorland Rd |
$17.48 | 83 | 69 |
|
Anne E Walz Calvey
14555 W National Ave |
$25.30 | 84 | 74 |
|
Lisa K Muchard
12901 W National Ave |
$32.87 | 85 | 80 |
|
Devin Jamie Grosklaus
4855 S Moorland Rd |
$62.32 | 100 | 90 |
|
Scott William Stauder
13900 W National Ave |
$34.79 | 104 | 85 |
|
Bradley Julga
4855 S Moorland Rd Ste 250 |
$65.77 | 121 | 117 |
|
Rebecca Gayle Martinie
4855 S Moorland Rd Fl 3 |
$48.06 | 134 | 128 |
|
Margaret R Salinas
14555 W National Ave |
$34.64 | 135 | 122 |
|
Nezih Z Hasanoglu
13700 W National Ave |
$34.61 | 135 | 74 |
|
Lauren Kristy Arne
4855 S Moorland Rd |
$50.56 | 136 | 122 |
|
Ghudran A Abdulal
14555 W National Ave |
$32.17 | 137 | 129 |
|
Thomas J Mankiewicz
3610 Michelle Witmer Memorial Drive |
$29.03 | 138 | 125 |
|
Jasmine Rocha
14555 W National Ave |
$63.57 | 154 | 148 |
|
Carissa Aboubakare
4805 S Moorland Rd |
$17.25 | 174 | 161 |
|
Melanie L Goeckerman
14555 W National Ave |
$43.98 | 183 | 170 |
|
Kyla Phu
14555 W National Ave |
$53.13 | 189 | 180 |
|
Megan L Bucaro
4855 S Moorland Rd |
$33.68 | 199 | 180 |
|
Jacqueline K Edwards
16505 W National Ave |
$25.56 | 202 | 196 |
|
Cynthia L Donley
4855 S Moorland Rd |
$56.30 | 204 | 193 |
|
Rachel Crea Lucas
4855 N. Moorland Road |
$49.82 | 225 | 202 |
|
Mary Alice Muth
13750 W National Ave |
$27.84 | 230 | 208 |
|
Hamilton John Dowden
3504 S Moorland Rd |
$18.85 | 234 | 207 |
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