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Based on public Medicaid payment data.

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
Alan J Licup

12500 Aurora Dr

$45.76 12 12
Buckley Fechter

9555 76Th St Ste 2601

$38.39 14 12
Abdul Sami Khan

9697 Saint Catherines Dr

$73.81 15 14
Jennifer Lynn Murray

10256 Old Green Bay Rd

$27.12 15 13
Clark Delona Page

9697 Saint Catherines Dr # 300

$27.16 17 16
John A Martini

9555 76Th St

$45.11 26 26
Kevin Roy Poole

12500 Aurora Dr

$30.59 27 25
Caroline Eleonora Bednarski

9555 76Th St # 4105

$43.06 29 26
Alyssa S Deppong

12500 Aurora Dr

$33.66 30 24
Michael H. Jacker

9697 Saint Catherines Dr Ste 200

$19.27 49 37
Shaun Thomas O'Leary

12500 Aurora Dr

$55.93 49 45
Aaron Boyd Galbraith

10256 Old Green Bay Rd Fl 3

$40.68 53 53
John Paul Budi

9555 76Th St

$43.54 59 51
Dennis M Orellana Bonilla

12500 Aurora Dr

$18.66 69 61
Rade Milosevic

9555 76Th Street

$16.29 80 70
Jeffrey T Malone

12500 Aurora Dr

$16.07 87 81
Platina Coy Gershtenson

9020 76Th St Ste E

$29.00 119 112
Brian Tillis

9555 76Th St Ste 4105

$33.70 171 156
Jeffrey Allen Greene

12500 Aurora Dr

$14.48 226 203
Jennifer Erich

10256 Old Green Bay Rd Fl 2

$39.55 229 219
Elizabeth M Martin

9555 76Th St

$47.86 250 225
Jeremy Nathan Reese

12500 Aurora Dr

$29.31 292 269
Marjorie Frances Yang

9020 76Th St Ste E

$25.47 311 283
Rachel Elizabeth Cui Antony

9555 76Th St

$27.25 314 271
Shazia Kamran

955 76Th Street,2Bd Floor

$56.97 320 244
Brian Christopher Hill

9697 Saint Catherines Dr

$31.14 326 291
Tricia Lauren Griffiths

9555 76Th St

$30.35 401 367
Mhd Anas Alsawaf

9697 Saint Catherines Dr

$26.03 505 452
Shannon L Yow

9555 76Th St

$44.36 606 544
Kunal Patel

9555 76Th St

$38.45 621 561
Brian G Sapp

12500 Aurora Dr

$37.25 696 638
Sheri Silva Rocco

12500 Aurora Dr

$51.87 787 700
Anika Alam

9697 Saint Catherines Dr Ste 300

$110.66 793 475
Soniya G Shah

12500 Aurora Dr

$44.84 1,144 1,056
Lindsey Kaufman

12500 Aurora Dr

$37.14 1,201 1,072
Froedtert South, Inc.

9555 76Th St

$66.50 1,245 473
Laronda James

9697 Saint Catherines Dr

$26.19 1,312 1,189
Scott C Simmons

12500 Aurora Dr

$22.26 1,340 1,210
Srikanth Davuluri

9555 76Th St

$34.94 1,552 1,425
William J Jeranek

9555 76Th Street

$30.63 1,558 1,342
Alan P. Gegenheimer

9697 Saint Catherines Dr

$27.19 1,654 1,441
Janet Tan Chua

9555 76Th Street

$32.71 1,783 1,539
Teraya Renai Franklin

9697 Saint Catherines Dr Ste 300

$31.98 1,815 1,582
Aimee F Ledesma

9555 76Th Street

$32.41 2,080 1,802
Majed Jandali

9555 76Th St Ste 4880

$31.00 2,148 1,819
Syed Haider

9555 76Th St Ste 1200

$25.54 2,203 1,937
Shelley L Johnson

9697 Saint Catherines Dr # 300

$38.67 2,266 1,990
Antonio Ippolito Montemurro

9697 Saint Catherines Dr Ste 300

$22.15 2,279 2,004
Pamela S Cava

9555 76Th St

$51.81 2,303 2,031
Jacqueline A Stark

12500 Aurora Dr

$34.58 2,386 2,171

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

Other Procedures in Pleasant Prairie, WI