Average Medicaid Office Visit Payments in New Richmond, WI: $54.43
Avg. Paid
$54.43
Range
$5.33 – $64.36
Total Claims
72,420
Providers
35
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 Richmond, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Westfields Hospital, Inc.
535 Hospital Road |
$64.36 | 46,704 | 30,611 |
|
Allen M Medini
551 Hospital Rd |
$42.31 | 3,552 | 2,417 |
|
Betsy Lynne Manor
535 Hospital Rd |
$40.57 | 3,451 | 3,011 |
|
Joseph A Dietzler
525 N Knowles Ave |
$33.83 | 2,173 | 1,767 |
|
Krista Lee Sikorski
551 Hospital Road |
$31.85 | 2,125 | 1,566 |
|
David O. Degear
551 Hospital Rd |
$31.19 | 1,692 | 1,239 |
|
Clifford C Tenner
551 Hospital Rd |
$31.69 | 1,547 | 1,192 |
|
Robin M Reichert
535 Hospital Rd |
$33.83 | 1,491 | 1,167 |
|
Stephen J Harrold
525 N Knowles Ave |
$29.38 | 1,377 | 1,163 |
|
Dane Bruce Jensen
535 Hospital Rd |
$54.15 | 968 | 850 |
|
Donna Lynn Johnson
535 Hospital Rd |
$33.48 | 954 | 817 |
|
Cynthia L Blader
535 Hospital Rd |
$31.21 | 921 | 681 |
|
Alpana Tiwari
525 N Knowles Ave |
$42.61 | 767 | 699 |
|
Nicole Beverly Feser
535 Hospital Rd |
$38.27 | 758 | 503 |
|
Kevyn Alexis Janicek Wollenberg
535 Hospital Rd |
$36.28 | 724 | 527 |
|
Angela C Brandes
525 N. Knowles Ave |
$41.33 | 593 | 534 |
|
Sarah Michelle Anderson
535 Hospital Rd |
$33.33 | 517 | 471 |
|
Acacia Schlosser
535 Hospital Rd |
$27.63 | 369 | 287 |
|
Benjamin Ward Dummer
535 Hospital Rd |
$40.12 | 304 | 233 |
|
Olaoluwa Taoheed Lediju
535 Hospital Rd |
$37.33 | 298 | 267 |
|
Emily L. Nunes
250 Richmond Way |
$23.31 | 284 | 261 |
|
Tanya Lynn Weideman
1752 Dorset Ln |
$21.17 | 187 | 152 |
|
Joseph Stephen Renier
535 Hospital Rd |
$52.80 | 130 | 95 |
|
Mark David Bostrom
535 Hospital Rd |
$40.81 | 110 | 75 |
|
Christine Rukamp
535 Hospital Rd |
$38.06 | 107 | 99 |
|
St Croix County
1752 Dorset Ln |
$34.51 | 77 | 74 |
|
Mary Agnes Dahl
535 Hospital Rd |
$37.16 | 48 | 29 |
|
David D Lee
133 S Knowles Ave |
$43.65 | 37 | 37 |
|
Dwijesh S Sheth
535 Hospital Rd |
$22.57 | 37 | 33 |
|
Peter W Vrieze
706 W 4Th St |
$15.92 | 35 | 29 |
|
Andrew Dahl
535 Hospital Rd |
$36.64 | 22 | 13 |
|
Amanda Margaret Gibbs
535 Hospital Rd |
$28.86 | 20 | 13 |
|
St Croix County
1752 Dorset Ln |
$5.33 | 15 | 14 |
|
Jacob Allen Benrud
535 Hospital Rd |
$32.31 | 14 | 12 |
|
Brooke E Johnson
535 Hospital Rd |
$41.71 | 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 Richmond, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Richmond, WI is $54.43 per claim, based on 72,420 claims from 35 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 Richmond, WI?
There are 35 Medicaid providers offering Office Visit related services in New Richmond, WI according to public payment data.
What is the price range for Office Visit in New Richmond, WI?
Medicaid reimbursement for Office Visit in New Richmond, WI ranges from $5.33 to $64.36 per claim, with an average of $54.43. 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 Richmond, WI
Behavioral & Mental Health Therapy
Avg $118.18
130,358 claims
Blood Work & Lab Tests
Avg $5.27
52,157 claims
Speech Therapy
Avg $8.98
36,453 claims
Psychiatric Evaluation
Avg $65.14
23,177 claims
Emergency Room Visit
Avg $127.08
23,048 claims
Personal Care Services
Avg $17.45
17,859 claims
Physical Therapy
Avg $19.10
14,543 claims
Non-Emergency Medical Transportation
Avg $10.53
13,761 claims