Average Medicaid Office Visit Payments in Oconto Falls, WI: $52.12
Avg. Paid
$52.12
Range
$12.49 – $280.49
Total Claims
7,514
Providers
20
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 Oconto Falls, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lucy R Canaday
107 E Highland Dr |
$32.72 | 1,151 | 1,029 |
|
Erin Bancroft
855 S Main St |
$51.31 | 1,120 | 1,009 |
|
Iris Theodora Cinco Perez-Marquardt
107 E Highland Dr |
$43.76 | 561 | 496 |
|
Lisa May Fonder
835 S Main St Ste 1 |
$35.97 | 546 | 487 |
|
Matthew James Andreoli
107 E Highland Dr |
$40.44 | 527 | 470 |
|
Mengxia Zhang
835 S Main St |
$44.45 | 502 | 479 |
|
Luz L Balmadrid
107 E Highland Dr |
$43.14 | 386 | 343 |
|
Oconto Hospital & Medical Center, Inc.
107 E Highland Dr |
$66.57 | 383 | 355 |
|
St Clare Memorial Hospital, Inc
855 S Main St |
$46.95 | 379 | 157 |
|
Gavin Paul Peters
107 E Highland Dr |
$40.84 | 318 | 285 |
|
Holly Kathleen Condie
107 E Highland Dr |
$27.43 | 302 | 215 |
|
St Clare Memorial Hospital, Inc
835 S Main St |
$55.39 | 298 | 268 |
|
Dawn Lovisa
835 S Main St |
$280.49 | 288 | 185 |
|
Bellin Memorial Hospital Inc
107 E Highland Dr |
$58.00 | 277 | 251 |
|
Krista Michele Radish
835 S Main St |
$30.10 | 271 | 145 |
|
William James Wittman
107 E Highland Dr |
$28.26 | 112 | 100 |
|
Katie Ann Nebel
107 E Highland Dr |
$24.49 | 34 | 30 |
|
Wyatt Isaac Wiedenfeld
853 S Main St |
$40.28 | 29 | 27 |
|
James R Spears
833 S Main St |
$12.49 | 18 | 14 |
|
John Kellner
855 S Main St |
$50.24 | 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 Oconto Falls, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oconto Falls, WI is $52.12 per claim, based on 7,514 claims from 20 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 Oconto Falls, WI?
There are 20 Medicaid providers offering Office Visit related services in Oconto Falls, WI according to public payment data.
What is the price range for Office Visit in Oconto Falls, WI?
Medicaid reimbursement for Office Visit in Oconto Falls, WI ranges from $12.49 to $280.49 per claim, with an average of $52.12. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Avg $54.47
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Other Procedures in Oconto Falls, WI
Blood Work & Lab Tests
Avg $12.16
32,708 claims
Emergency Room Visit
Avg $168.05
18,899 claims
Speech Therapy
Avg $12.54
16,301 claims
Physical Therapy
Avg $15.57
10,730 claims
Personal Care Services
Avg $34.26
9,498 claims
Urinalysis & Urine Tests
Avg $3.85
9,034 claims
Psychiatric Evaluation
Avg $32.52
8,356 claims
EKG / ECG (Electrocardiogram)
Avg $0.93
3,941 claims