Average Medicaid Office Visit Payments in Plover, WI: $36.66
Avg. Paid
$36.66
Range
$12.08 – $318.75
Total Claims
18,026
Providers
14
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 Plover, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher James Russell
2401 Plover Rd |
$34.50 | 5,559 | 5,152 |
|
Anna K Nummelin
2401 Plover Rd |
$36.13 | 3,011 | 2,728 |
|
Kristine M. Metz
2401 Plover Rd |
$40.34 | 2,105 | 1,826 |
|
Anneliese Bessette
2401 Plover Rd |
$34.98 | 2,083 | 1,866 |
|
Channing C Wiersema
2401 Plover Rd |
$37.58 | 2,062 | 1,853 |
|
Clare A Cullen
2401 Plover Road |
$33.34 | 1,214 | 1,053 |
|
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
2401 Plover Rd |
$53.39 | 929 | 816 |
|
Leah Krueger
2401 Plover Rd |
$26.30 | 789 | 669 |
|
Stephen William Lewellis
3750 Corporate Ave |
$61.22 | 106 | 102 |
|
Timothy J Wirtz
2401 Plover Road |
$12.08 | 62 | 56 |
|
Deborah L Kosobucki
2401 Plover Road |
$34.93 | 45 | 36 |
|
Leo Orval Powers
2585 Post Road |
$13.73 | 31 | 28 |
|
Christopher Thomas Deroche
2020 Country Rd Hh |
$31.11 | 16 | 13 |
|
Youa Thao
132 Devonshire Ct Apt 2 |
$318.75 | 14 | 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 Plover, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plover, WI is $36.66 per claim, based on 18,026 claims from 14 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 Plover, WI?
There are 14 Medicaid providers offering Office Visit related services in Plover, WI according to public payment data.
What is the price range for Office Visit in Plover, WI?
Medicaid reimbursement for Office Visit in Plover, WI ranges from $12.08 to $318.75 per claim, with an average of $36.66. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Plover, WI
Psychiatric Evaluation
Avg $51.53
15,296 claims
Chiropractic Care
Avg $22.44
11,537 claims
Eye Exam
Avg $20.89
7,566 claims
Podiatry (Foot Care)
Avg $6.52
2,022 claims
Prescription Medications
Avg $0.00
1,809 claims
Blood Work & Lab Tests
Avg $3.07
456 claims
Speech Therapy
Avg $60.83
447 claims
Vaccines & Immunizations
Avg $16.95
257 claims