Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Oshkosh, WI: $34.26

Avg. Paid

$34.26

Range

$0.69 – $271.75

Total Claims

251,844

Providers

226

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 Oshkosh, WI

Provider	Avg. Paid	Claims	Patients
Eric A Smiltneek 414 Doctors Ct	$32.77	9,331	7,053
Brooke Vanevenhoven 220 Washington Ave	$9.05	9,239	6,774
Zeal Shah 351 S Washburn St	$0.69	7,335	5,034
Michael R. Vicente 220 Washington Ave	$14.57	6,968	6,067
Jon K Carlson 855 N Westhaven Dr	$46.25	6,891	6,480
Aurora Medical Center Of Oshkosh, Inc 855 N Westhaven Dr	$53.35	5,662	3,674
David Zerrien 220 Washington Ave	$14.65	5,345	4,737
Planned Parenthood Of Wisconsin 378 S Koeller St	$33.11	4,807	4,542
Vera V Martonito 855 N Westhaven Dr	$40.74	4,682	4,367
Susan Sample 700 N Westhaven Dr	$16.80	4,393	3,911
Jayzon P Martonito 855 N Westhaven Dr	$34.82	4,177	3,869
Jelena Kravic Shadick 2700 W 9Th Ave	$38.27	4,122	3,575
Susan Laux 220 Washington Ave	$23.19	3,943	3,167
Ruth Staszak 855 N Westhaven Dr	$29.12	3,859	3,457
Jennifer E Frank 855 N Westhaven Dr	$25.52	3,787	3,547
Patricia Morales Valdes Brost 414 Doctors Ct	$35.85	3,505	3,166
Susan M Szabo 1855 S Koeller St	$40.56	3,208	2,834
Jennifer M Halbach-Giese 855 N Westhaven Dr	$33.97	3,145	2,932
Daniel J Kaiser 600 N Westhaven Dr	$32.05	3,090	2,799
Paul S Schleitwiler 855 N Westhaven Dr	$35.75	3,082	2,890
Dianna L Malkowski 2700 W 9Th Ave Ste 203	$34.47	3,049	2,433
Christopher J Laufer 1855 S Koeller St	$41.76	2,995	2,687
Vee Ly 855 N Westhaven Dr	$47.33	2,986	2,673
Sheryl L Thomsen 700 N Westhaven Dr	$40.14	2,931	2,507
Yia Lor 3750 Summerset Way Apt 1	$12.48	2,910	2,328
Tracy Rank 1855 S Koeller St	$34.45	2,776	2,220
Lindsay W Davel 700 N Westhaven Dr	$18.77	2,751	2,418
Paul Stephen Strait 855 N Westhaven Dr	$271.75	2,691	2,532
Matthew Paige Downs 855 N Westhaven Dr	$40.71	2,600	2,449
Ascension Ne Wisconsin, Inc 500 S Oakwood Rd	$65.49	2,593	2,294
Camille J Zizzo 855 N Westhaven Dr	$28.86	2,488	2,283
Daniel Hafner 855 N Westhaven Dr	$31.79	2,416	2,257
David Eugene Coleman 1855 S Koeller St	$40.15	2,369	2,093
Kirtida N Ringwala 10 E Irving Ave	$38.31	2,366	1,923
Lars V Swanson 2700 W 9Th Ave Ste 203	$25.04	2,343	1,816
Mark R Evans 855 N Westhaven Dr	$36.68	2,317	2,169
Angela Marie Beach 1855 S Koeller St	$41.45	2,237	1,905
Yazmin Fuentes Miranda 855 N Westhaven Dr	$25.96	2,236	1,992
John N Korger 855 N Westhaven Dr	$14.31	2,217	1,791
Anita I Gheller-Rigoni 855 N Westhaven Dr	$38.52	2,198	2,088
Allyson K Ford 414 Doctors Ct	$39.18	2,167	1,658
Rimas V Janusonis 600 N Westhaven Dr	$33.38	2,064	1,892
Ruthann M Peck 855 N Westhaven Dr	$36.18	2,026	1,883
Cynthia Marie Fisher 600 N Westhaven Dr	$37.88	1,983	1,779
Andrew J Collins 600 N Westhaven Dr	$31.20	1,959	1,785
Scott B Johnson 855 N Westhaven Dr	$45.75	1,914	1,785
Jeremy S Wells 855 N Westhaven Dr	$43.25	1,849	1,723
Weston William Radford 1855 S Koeller St	$26.52	1,765	1,468
Stephen L Shopbell 500 S Oakwood Rd	$17.40	1,735	1,531
James Douglas Davenport 855 N Westhaven Dr	$9.76	1,729	757

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 Oshkosh, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oshkosh, WI is $34.26 per claim, based on 251,844 claims from 226 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 Oshkosh, WI?

There are 226 Medicaid providers offering Office Visit related services in Oshkosh, WI according to public payment data.

What is the price range for Office Visit in Oshkosh, WI?

Medicaid reimbursement for Office Visit in Oshkosh, WI ranges from $0.69 to $271.75 per claim, with an average of $34.26. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Oshkosh, WI: $34.26

Providers Offering Office Visit in Oshkosh, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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