Average Medicaid Office Visit Payments in Pleasant Prairie, WI: $36.75
Avg. Paid
$36.75
Range
$14.48 – $110.66
Total Claims
74,233
Providers
59
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 Pleasant Prairie, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David A. Knight
9555 76Th St Ste 1200 |
$36.67 | 5,257 | 3,863 |
|
George T Poullette
10256 Old Green Bay Road |
$28.35 | 5,252 | 4,715 |
|
Daisy Andaleon
10256 Old Green Bay Rd |
$40.31 | 4,964 | 4,468 |
|
Sarah Ramadani
10256 Old Green Bay Rd |
$40.86 | 4,463 | 3,841 |
|
Michelle Louise Gauthier
9697 Saint Catherines Dr |
$31.02 | 3,576 | 3,230 |
|
Lauren Michelle Snower
10256 Old Green Bay Rd Fl 3 |
$55.03 | 3,388 | 2,806 |
|
Nandini Shah
9555 76Th Street |
$39.40 | 3,356 | 2,949 |
|
Tomasz M Jarzembowski
9555 76Th St |
$31.93 | 3,127 | 2,703 |
|
Robina Naz Chowdhery
9697 Saint Catherines Dr # 400 |
$33.92 | 2,983 | 2,736 |
|
Jacqueline A Stark
12500 Aurora Dr |
$34.58 | 2,386 | 2,171 |
|
Pamela S Cava
9555 76Th St |
$51.81 | 2,303 | 2,031 |
|
Antonio Ippolito Montemurro
9697 Saint Catherines Dr Ste 300 |
$22.15 | 2,279 | 2,004 |
|
Shelley L Johnson
9697 Saint Catherines Dr # 300 |
$38.67 | 2,266 | 1,990 |
|
Syed Haider
9555 76Th St Ste 1200 |
$25.54 | 2,203 | 1,937 |
|
Majed Jandali
9555 76Th St Ste 4880 |
$31.00 | 2,148 | 1,819 |
|
Aimee F Ledesma
9555 76Th Street |
$32.41 | 2,080 | 1,802 |
|
Teraya Renai Franklin
9697 Saint Catherines Dr Ste 300 |
$31.98 | 1,815 | 1,582 |
|
Janet Tan Chua
9555 76Th Street |
$32.71 | 1,783 | 1,539 |
|
Alan P. Gegenheimer
9697 Saint Catherines Dr |
$27.19 | 1,654 | 1,441 |
|
William J Jeranek
9555 76Th Street |
$30.63 | 1,558 | 1,342 |
|
Srikanth Davuluri
9555 76Th St |
$34.94 | 1,552 | 1,425 |
|
Scott C Simmons
12500 Aurora Dr |
$22.26 | 1,340 | 1,210 |
|
Laronda James
9697 Saint Catherines Dr |
$26.19 | 1,312 | 1,189 |
|
Froedtert South, Inc.
9555 76Th St |
$66.50 | 1,245 | 473 |
|
Lindsey Kaufman
12500 Aurora Dr |
$37.14 | 1,201 | 1,072 |
|
Soniya G Shah
12500 Aurora Dr |
$44.84 | 1,144 | 1,056 |
|
Anika Alam
9697 Saint Catherines Dr Ste 300 |
$110.66 | 793 | 475 |
|
Sheri Silva Rocco
12500 Aurora Dr |
$51.87 | 787 | 700 |
|
Brian G Sapp
12500 Aurora Dr |
$37.25 | 696 | 638 |
|
Kunal Patel
9555 76Th St |
$38.45 | 621 | 561 |
|
Shannon L Yow
9555 76Th St |
$44.36 | 606 | 544 |
|
Mhd Anas Alsawaf
9697 Saint Catherines Dr |
$26.03 | 505 | 452 |
|
Tricia Lauren Griffiths
9555 76Th St |
$30.35 | 401 | 367 |
|
Brian Christopher Hill
9697 Saint Catherines Dr |
$31.14 | 326 | 291 |
|
Shazia Kamran
955 76Th Street,2Bd Floor |
$56.97 | 320 | 244 |
|
Rachel Elizabeth Cui Antony
9555 76Th St |
$27.25 | 314 | 271 |
|
Marjorie Frances Yang
9020 76Th St Ste E |
$25.47 | 311 | 283 |
|
Jeremy Nathan Reese
12500 Aurora Dr |
$29.31 | 292 | 269 |
|
Elizabeth M Martin
9555 76Th St |
$47.86 | 250 | 225 |
|
Jennifer Erich
10256 Old Green Bay Rd Fl 2 |
$39.55 | 229 | 219 |
|
Jeffrey Allen Greene
12500 Aurora Dr |
$14.48 | 226 | 203 |
|
Brian Tillis
9555 76Th St Ste 4105 |
$33.70 | 171 | 156 |
|
Platina Coy Gershtenson
9020 76Th St Ste E |
$29.00 | 119 | 112 |
|
Jeffrey T Malone
12500 Aurora Dr |
$16.07 | 87 | 81 |
|
Rade Milosevic
9555 76Th Street |
$16.29 | 80 | 70 |
|
Dennis M Orellana Bonilla
12500 Aurora Dr |
$18.66 | 69 | 61 |
|
John Paul Budi
9555 76Th St |
$43.54 | 59 | 51 |
|
Aaron Boyd Galbraith
10256 Old Green Bay Rd Fl 3 |
$40.68 | 53 | 53 |
|
Michael H. Jacker
9697 Saint Catherines Dr Ste 200 |
$19.27 | 49 | 37 |
|
Shaun Thomas O'Leary
12500 Aurora Dr |
$55.93 | 49 | 45 |
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 Pleasant Prairie, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pleasant Prairie, WI is $36.75 per claim, based on 74,233 claims from 59 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 Pleasant Prairie, WI?
There are 59 Medicaid providers offering Office Visit related services in Pleasant Prairie, WI according to public payment data.
What is the price range for Office Visit in Pleasant Prairie, WI?
Medicaid reimbursement for Office Visit in Pleasant Prairie, WI ranges from $14.48 to $110.66 per claim, with an average of $36.75. 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 Pleasant Prairie, WI
Blood Work & Lab Tests
Avg $12.87
327,246 claims
Emergency Room Visit
Avg $60.11
160,653 claims
Urinalysis & Urine Tests
Avg $5.84
94,184 claims
Physical Therapy
Avg $30.36
85,076 claims
X-Ray
Avg $4.66
74,783 claims
CT Scan (Computed Tomography)
Avg $52.39
33,371 claims
Prescription Medications
Avg $0.16
32,097 claims
EKG / ECG (Electrocardiogram)
Avg $3.32
29,487 claims