Average Medicaid Office Visit Payments in New London, WI: $40.15
Avg. Paid
$40.15
Range
$1.60 – $100.59
Total Claims
49,980
Providers
37
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 London, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Reginald A Ebirim
1405 Mill St |
$62.55 | 13,059 | 11,360 |
|
Brian L Van Hoozen
1505 Mill St |
$25.98 | 4,190 | 3,285 |
|
Jennifer E Resch
1420 Algoma St |
$30.92 | 3,754 | 3,302 |
|
Joseph Lamb
1405 Mill St |
$32.98 | 3,185 | 2,821 |
|
Jennifer Schaffer
1405 Mill St |
$35.51 | 2,607 | 2,339 |
|
Subha Rajan
1405 Mill St |
$32.92 | 2,598 | 2,349 |
|
Steven A Goedderz
1420 Algoma St |
$35.19 | 1,851 | 1,652 |
|
Brooke Birling
1420 Algoma St |
$33.31 | 1,837 | 1,671 |
|
Paul Thomas Hoell
1405 Mill Street |
$26.59 | 1,773 | 1,657 |
|
Timothy Houlihan
1405 Mill St |
$30.94 | 1,690 | 1,556 |
|
Jeffrey Allen Fillmore
1405 Mill St |
$36.60 | 1,335 | 1,214 |
|
Donn Fuhrmann
1405 Mill St |
$28.36 | 1,277 | 1,176 |
|
Dale L Schlais
1420 Algoma St |
$29.19 | 1,264 | 1,044 |
|
Michael Lynn Fetterolf
1405 Mill St |
$29.99 | 1,185 | 1,046 |
|
Teasha L Kaepernick
1405 Mill St |
$30.97 | 979 | 925 |
|
Ryan Rachael Chadek
1405 Mill St |
$29.64 | 933 | 829 |
|
Warren Adam Witkowski
315 Burton Rd Ste 108 |
$20.38 | 866 | 819 |
|
Mary Joann Spiller
1405 Mill St |
$46.75 | 865 | 812 |
|
Heather A Lutz
1405 Mill St |
$31.97 | 819 | 722 |
|
Breana Leigh Fellinger
1420 Algoma St |
$40.41 | 583 | 507 |
|
Emily Ann Wolfe
1405 Mill St |
$48.77 | 531 | 478 |
|
Kimberly R Brown
1405 Mill St |
$32.15 | 522 | 467 |
|
Becky Aus
1405 Mill St |
$48.67 | 449 | 411 |
|
Suzanne Nadra Havican
1405 Mill St |
$37.97 | 410 | 379 |
|
Cara Benner
1405 Mill St |
$39.25 | 328 | 261 |
|
Jay T Rust
1405 Mill St |
$34.79 | 211 | 195 |
|
Jamie Lauren Bauer Heise
1405 Mill St |
$35.64 | 202 | 169 |
|
Ross Hayland Kading
501 S Pearl St |
$1.60 | 145 | 140 |
|
Thedacare Medical Center - New London, Inc.
1405 Mill St |
$100.59 | 131 | 55 |
|
Renae Schuler
1405 Mill St |
$40.16 | 117 | 109 |
|
Amanda Kay Douma
1405 Mill St |
$27.40 | 92 | 84 |
|
Tori C Beyer
1405 Mill St |
$22.52 | 57 | 49 |
|
Kristin M Roesler
1405 Mill St |
$27.73 | 44 | 39 |
|
Marcella K Teske
1620 N Shawano St Ste C |
$20.06 | 35 | 26 |
|
Carolyn A Hellman
1405 Mill St |
$29.77 | 32 | 25 |
|
Terry J Dietrich
1405 Mill St |
$4.30 | 12 | 12 |
|
Brian Woongki Hong
1405 Mill St |
$24.08 | 12 | 12 |
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 London, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New London, WI is $40.15 per claim, based on 49,980 claims from 37 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 London, WI?
There are 37 Medicaid providers offering Office Visit related services in New London, WI according to public payment data.
What is the price range for Office Visit in New London, WI?
Medicaid reimbursement for Office Visit in New London, WI ranges from $1.60 to $100.59 per claim, with an average of $40.15. 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 London, WI
Blood Work & Lab Tests
Avg $5.74
82,099 claims
Emergency Room Visit
Avg $126.82
45,248 claims
Speech Therapy
Avg $12.06
24,842 claims
Physical Therapy
Avg $17.22
19,555 claims
Personal Care Services
Avg $25.79
16,612 claims
Urinalysis & Urine Tests
Avg $4.85
12,719 claims
Eye Exam
Avg $19.68
6,541 claims
Psychiatric Evaluation
Avg $24.91
6,303 claims