Average Medicaid Office Visit Payments in Pewaukee, WI: $21.80
Avg. Paid
$21.80
Range
$0.00 – $47.81
Total Claims
22,160
Providers
29
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 Pewaukee, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bobbi Jo Durst
2351 Silvernail Rd |
$15.70 | 6,539 | 4,422 |
|
Chelsea Schwartz
1001 Cecelia Dr Ste 200 |
$11.31 | 3,857 | 2,162 |
|
Peter A Roloff
1215 George Towne Dr |
$34.01 | 2,640 | 2,432 |
|
Robert L Zoeller
N15W28300 Golf Rd |
$17.57 | 1,443 | 1,318 |
|
James E Shander
1215 George Towne Dr |
$33.22 | 1,084 | 964 |
|
Andrew N Vo
N15W28300 Golf Rd |
$31.01 | 996 | 869 |
|
Anjali Jain Sharma
1215 George Towne Drive |
$31.69 | 862 | 782 |
|
Jon Michael Englund
N15W28300 Golf Rd |
$21.56 | 837 | 715 |
|
Stacey Anne Roebken
N51W24953 Lisbon Rd |
$16.54 | 717 | 592 |
|
Bethany Ann Weinert
1215 George Towne Drive |
$47.81 | 578 | 524 |
|
Xuan Thy Tran
1292 Capitol Dr |
$37.17 | 453 | 400 |
|
Stephanie L Whitt
1215 George Towne Drive |
$30.31 | 321 | 279 |
|
Anton John Sella
2835 N Grandview Blvd Ste 300 |
$22.78 | 255 | 230 |
|
Jeffrey Miles Coppage
N15W28300 Golf Rd |
$20.71 | 198 | 180 |
|
Hongsheng Zhu
N15W28300 Golf Rd |
$25.23 | 196 | 181 |
|
Laith Mutasem Al-Shihabi
N15W28300 Golf Rd |
$22.92 | 185 | 170 |
|
James A Foley
N15W28300 Golf Rd |
$22.43 | 173 | 159 |
|
Sean A. Jochims
2347 Silvernail Rd |
$18.99 | 165 | 156 |
|
Mary K. Yellick
285 Forest Grove Dr |
$17.82 | 131 | 122 |
|
Melissa Shera
W243N2344 Saddle Brook Dr |
$26.23 | 116 | 106 |
|
Karen A Swanson
1215 George Towne Dr |
$40.94 | 95 | 89 |
|
Ljiljana Bogunovic
N15W28300 Golf Rd |
$29.47 | 83 | 75 |
|
Kirsten Cull
N21W28337 Beach Rd |
$21.92 | 69 | 55 |
|
Derek Scott Damrow
N15W28300 Golf Rd |
$26.12 | 63 | 55 |
|
Thomas Blake Viehe
N15W28300 Golf Rd |
$19.47 | 33 | 27 |
|
Jennafer D Hamel
N15W28300 Golf Rd |
$34.43 | 27 | 25 |
|
Samuel Rh Steiner
N15W28300 Golf Rd |
$23.90 | 17 | 15 |
|
Steve Christopher Wilsens
2343 Silvernail Rd |
$0.00 | 14 | 12 |
|
Bobbiejo Paul
2835 N Grandview Blvd |
$29.69 | 13 | 13 |
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 Pewaukee, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pewaukee, WI is $21.80 per claim, based on 22,160 claims from 29 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 Pewaukee, WI?
There are 29 Medicaid providers offering Office Visit related services in Pewaukee, WI according to public payment data.
What is the price range for Office Visit in Pewaukee, WI?
Medicaid reimbursement for Office Visit in Pewaukee, WI ranges from $0.00 to $47.81 per claim, with an average of $21.80. 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 Pewaukee, WI
Substance Abuse Treatment
Avg $6.68
36,067 claims
Chiropractic Care
Avg $20.29
25,679 claims
Psychiatric Evaluation
Avg $27.21
18,979 claims
Personal Care Services
Avg $10.99
18,628 claims
Speech Therapy
Avg $11.71
13,539 claims
Dental Cleaning & Exam
Avg $23.93
13,125 claims
Non-Emergency Medical Transportation
Avg $10.75
7,408 claims
Physical Therapy
Avg $16.36
6,077 claims