Average Medicaid Office Visit Payments in Port Washington, WI: $32.41
Avg. Paid
$32.41
Range
$9.50 – $50.93
Total Claims
34,718
Providers
30
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 Port Washington, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christine Ann Brzakala
1475 W Grand Ave |
$50.93 | 6,012 | 4,895 |
|
Michael A Martella
115 Sweetwater Blvd |
$25.46 | 4,621 | 3,470 |
|
Samantha Gregory Dagenhardt
121 W Main St |
$20.12 | 3,404 | 2,570 |
|
Kip Tyler Mentzer
115 N Sweetwater Blvd |
$36.02 | 2,900 | 2,588 |
|
Catherine L Turner
1475 W Grand Ave |
$21.09 | 2,595 | 2,271 |
|
Legenda Gooding
1475 W Grand Ave |
$34.98 | 2,055 | 1,855 |
|
Sara Bodenhamer
115 N Sweetwater Blvd |
$43.68 | 1,993 | 1,828 |
|
Leandrea Lamberton
121 W Main St |
$15.27 | 1,324 | 1,058 |
|
Elizabeth Dzwonczyk
1475 W Grand Ave |
$36.68 | 1,271 | 1,138 |
|
Cameron Blegen
1475 W Grand Ave |
$36.53 | 1,023 | 922 |
|
Maureen Therese Greene
1136 Noridge Trl |
$30.81 | 994 | 787 |
|
Donald C Fischer
121 W Main St |
$23.68 | 953 | 669 |
|
John N Goetz
1777 W Grand Ave |
$28.08 | 874 | 775 |
|
Kaitlyn Voss
1475 W Grand Ave |
$37.85 | 765 | 708 |
|
Octavia N Manuel-Wright
1317 W Grand Ave Ste 6 |
$16.35 | 587 | 390 |
|
Mark R Fitzsimmons
1475 W Grand Ave |
$31.23 | 510 | 455 |
|
Mark S Bostwick
1777 W Grand Avenue |
$26.47 | 503 | 457 |
|
Ozaukee County Public Health Department
121 W Main Street |
$9.50 | 432 | 390 |
|
Adam E. Blackwell
115 Sweetwater Blvd |
$31.19 | 427 | 362 |
|
Christopher M Eernisse
1475 W Grand Ave |
$37.06 | 271 | 253 |
|
Scot A Wilfong
1475 W Grand Ave |
$27.00 | 265 | 233 |
|
Stephanie M Maves
1777 W Grand Ave |
$39.07 | 225 | 198 |
|
Anna V Kleyman
1475 W Grand Ave |
$29.92 | 189 | 170 |
|
Alesha J Ewig
1475 W Grand Ave |
$25.55 | 186 | 169 |
|
Erik Riley Jeanes
1475 W Grand Ave |
$35.37 | 161 | 152 |
|
John P Bonavia
1317 W Grand Ave |
$36.50 | 114 | 95 |
|
Holly Marie Kempers
115 N Sweetwater Blvd |
$21.91 | 26 | 20 |
|
Jacob J Chapman
1032 S Spring St |
$19.49 | 13 | 13 |
|
William L Hall
115 Sweetwater Blvd |
$39.55 | 13 | 13 |
|
Jeffrey Joseph Bongiorno
1317 W Grand Ave |
$10.38 | 12 | 12 |
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 Port Washington, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Port Washington, WI is $32.41 per claim, based on 34,718 claims from 30 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 Port Washington, WI?
There are 30 Medicaid providers offering Office Visit related services in Port Washington, WI according to public payment data.
What is the price range for Office Visit in Port Washington, WI?
Medicaid reimbursement for Office Visit in Port Washington, WI ranges from $9.50 to $50.93 per claim, with an average of $32.41. 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 Port Washington, WI
Behavioral & Mental Health Therapy
Avg $129.40
47,917 claims
Speech Therapy
Avg $12.95
37,032 claims
Psychiatric Evaluation
Avg $35.10
16,305 claims
Dental Cleaning & Exam
Avg $27.27
12,364 claims
Chiropractic Care
Avg $21.10
11,338 claims
Podiatry (Foot Care)
Avg $4.78
9,630 claims
Personal Care Services
Avg $7.96
9,383 claims
Non-Emergency Medical Transportation
Avg $10.08
8,512 claims