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
Asma Sabih 855 N Westhaven Dr	$34.77	12	12
Marcia M Meagher 855 N Westhaven Dr	$18.24	12	12
Brittany Bartel 440 N Koeller St	$19.30	12	12
Michael A Duffy 855 N Westhaven Dr	$7.77	12	12
Matthew P Fischer 855 N Westhaven Dr	$32.06	12	12
Yihenew Alem Negatu 855 N Westhaven Dr	$41.42	12	12
Douglas J Henke 855 N Westhaven Dr	$20.94	13	12
Kimberly Conn Fletcher 440 N Koeller St	$16.68	13	12
Julie A Marx 855 N Westhaven Dr	$27.36	13	12
Kristen Kuratnick Sandoe 855 N Westhaven Dr	$20.34	14	12
Jeffrey J Jones 855 N Westhaven Dr	$22.07	14	13
Elisa L Lambie 855 N Westhaven Dr	$49.38	15	12
Maria Wolf 777 Algoma Blvd	$41.44	16	14
Christopher J Magiera 855 N Westhaven Dr	$22.46	16	14
Donald J Brescia 2700 W 9Th Ave	$14.91	16	12
David M Bingham 2700 W 9Th Ave Ste 125	$14.41	18	13
Paula D Seeley 855 N Westhaven Dr	$17.83	19	13
David Donald Joseph Augustine 1210 S Koeller St	$37.18	20	20
Bennett John Pastika 855 N Westhaven Dr	$18.44	27	24
Matthew N Kraemer 1855 S Koeller St	$20.13	27	24
Mercy Medical Center Of Oshkosh, Inc. 500 S Oakwood Rd	$46.34	27	18
Kent Lydell Belville 440 N. Koeller St.	$16.19	36	31
Evelyn Lauren Andersen 1259 West 20Th Ave	$40.04	38	38
Kingston Okrah 2700 W 9Th Ave	$33.73	41	39
Edward Lake 855 N Westhaven Dr	$13.99	42	39
Benjamin Scott Johnson 515 S Washburn St Ste 200	$71.64	42	36
Kenneth Charles Casimir 220 Washington Ave	$48.08	43	38
Santosh Gowda 855 N Westhaven Dr	$19.78	44	39
Jaclyn Rose Robinson 1855 S Koeller St	$50.64	45	43
Bryan Royce 2700 W 9Th Ave Ste 125	$33.61	51	51
Karl C Larson 2725 Jackson St	$41.19	51	40
Diane J Haberman 950 S Koeller St	$23.81	52	50
Nicholas Morris Belville 440 N Koeller St	$18.09	55	55
Christopher Doyel Chancey 855 N Westhaven Dr	$28.31	55	53
Suzanne M Kiefer 855 N Westhaven Dr	$22.20	57	54
Christie L Smiskey 855 N Westhaven Dr	$26.70	60	56
Daniel Gale 855 N Westhaven Dr	$30.20	61	54
Katherine Hartstern 1855 S Koeller St	$60.64	62	51
Alan Moreno 855 N Westhaven Dr	$22.09	62	59
Kristin L Kress 855 N Westhaven Dr	$21.83	67	64
Allison M Stephenson 600 N Westhaven Dr	$28.61	77	68
Pamela A Netzer 855 N Westhaven Dr	$34.22	78	75
Jessica L Nokovic 855 N Westhaven Dr	$30.82	79	74
Gregory Reiser 855 N Westhaven Dr	$39.98	82	79
Zechariah David Spychalla 855 N Westhaven Dr	$31.24	82	78
Michael Menard 855 N Westhaven Dr	$70.17	83	78
Davis C. Tsai 2700 W 9Th Ave	$36.28	85	79
Tiffany Lynn Mennen 1855 S Koeller St	$64.56	87	79
Meghan Boll 2700 W 9Th Ave Ste 213	$19.59	91	80
Albert Fisher 400 Ceape Ave	$33.87	94	79

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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