Average Medicaid Office Visit Payments in Portage, WI: $37.21
Avg. Paid
$37.21
Range
$9.45 – $80.98
Total Claims
67,254
Providers
58
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 Portage, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Divine Savior Healthcare, Inc.
2817 New Pinery Rd |
$62.69 | 7,751 | 6,669 |
|
Divine Savior Healthcare, Inc.
2817 New Pinery Rd |
$50.65 | 5,359 | 4,833 |
|
Vasilisa Mironovich
2817 New Pinery Rd |
$35.50 | 4,331 | 3,659 |
|
Paul B Young
2825 Hunters Trl |
$40.96 | 3,780 | 3,396 |
|
James M Swan
2817 New Pinery Road |
$32.59 | 3,630 | 2,873 |
|
Susan H Kreckman
2817 New Pinery Rd. |
$20.59 | 3,302 | 2,945 |
|
Brie K Strook
2977 Cty Hwy Cx |
$30.92 | 2,845 | 2,594 |
|
Timothy A Mical Deering
2977 County Road Cx |
$42.29 | 2,274 | 2,051 |
|
Lorenzo Perez Romano
2817 New Pinery Rd |
$31.25 | 2,243 | 1,964 |
|
Cynthia Jean Henry
2817 New Pinery Rd |
$34.29 | 1,996 | 1,803 |
|
Stephen C. Murphy
2817 New Pinery Rd |
$12.80 | 1,904 | 1,504 |
|
Joe J Wangerin
2977 County Hwy Cx |
$24.91 | 1,876 | 1,682 |
|
Andrea J Langan
2825 Hunters Trl |
$33.46 | 1,670 | 1,443 |
|
Gerald L Krumpos
2825 Hunters Trl |
$26.23 | 1,531 | 1,264 |
|
Sarah M Haroldson
2825 Hunters Trl |
$29.99 | 1,528 | 1,316 |
|
Michael E Brouette
2825 Hunters Trl |
$40.69 | 1,343 | 1,120 |
|
Jill Elizabeth Pogorelec
2817 New Pinery Rd |
$31.54 | 1,301 | 1,169 |
|
Hema Maurkumar Patel
2977 County Hwy Cx |
$31.65 | 1,176 | 1,035 |
|
Thaddeus C Whiting
2825 Hunters Trl |
$39.76 | 1,133 | 975 |
|
Kym A Pharo
2901 Hunters Trl |
$36.54 | 1,113 | 986 |
|
Dillon Via
2817 New Pinery Rd |
$36.81 | 1,073 | 1,013 |
|
Darcy L Steinhorst
2825 Hunters Trl |
$37.17 | 1,033 | 915 |
|
Stephanie Jo Holt
2817 New Pinery Rd |
$32.13 | 1,031 | 951 |
|
Antonio Escobedo-Morse
2825 Hunters Trl |
$33.14 | 955 | 796 |
|
Planned Parenthood Of Wi, Inc
132 W. Cook St. |
$30.19 | 900 | 817 |
|
Brenda A Blohm
2817 New Pinery Rd |
$36.51 | 880 | 780 |
|
Amy Lynn Doherty
2817 New Pinery Rd |
$29.07 | 880 | 697 |
|
Jamie John Kling
2977 County Hwy Cx |
$32.51 | 844 | 757 |
|
Kevin A. Blau
641 Latton Ln |
$15.28 | 772 | 684 |
|
Kathleen L Ludwikowski
317 Dewitt St |
$17.67 | 624 | 504 |
|
Robert A. Henry
2817 New Pinery Road |
$34.75 | 563 | 463 |
|
Todd James Cason
2825 Hunters Trl |
$32.53 | 536 | 467 |
|
Joseph Daniel Mueller
2817 New Pinery Rd |
$33.40 | 492 | 451 |
|
Cody Cameron Brunet
2817 New Pinery Rd |
$36.88 | 483 | 415 |
|
Rene L Buenzow
2901 Hunters Trl |
$42.28 | 410 | 345 |
|
Leah Bernadette Doughty
2817 New Pinery Rd |
$33.73 | 388 | 354 |
|
Diana L Charlebois
2817 New Pinery Road |
$32.64 | 353 | 322 |
|
Dirk M Nuenninghoff
2977 County Hwy Cx |
$29.24 | 312 | 288 |
|
Payton Liegel
2817 New Pinery Rd |
$47.79 | 269 | 243 |
|
Elizabeth Wood
2817 New Pinery Rd |
$36.09 | 268 | 242 |
|
Bradley K Schnee
2825 Hunters Trl |
$29.13 | 265 | 233 |
|
Andrew Taylor Putney
2901 Hunters Trl |
$80.98 | 250 | 243 |
|
Laura L Noonan
2817 New Pinery Rd |
$23.81 | 242 | 210 |
|
Christi-Jo Barden
2817 New Pinery Rd |
$29.00 | 226 | 163 |
|
Kari Joyce Alexander
2825 Hunters Trl |
$35.47 | 194 | 168 |
|
Brenda K Jenkin
2817 New Pinery Rd |
$30.16 | 113 | 99 |
|
Brian T. Stubitsch
2817 New Pinery Rd |
$42.75 | 110 | 109 |
|
Katrina M Anderson Schaller
2825 Hunters Trl Lowr Level |
$19.02 | 109 | 92 |
|
James J Foskett
2817 New Pinery Rd. |
$29.02 | 94 | 79 |
|
Frank C Bonebrake
2817 New Pinery Rd |
$9.45 | 90 | 58 |
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 Portage, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Portage, WI is $37.21 per claim, based on 67,254 claims from 58 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 Portage, WI?
There are 58 Medicaid providers offering Office Visit related services in Portage, WI according to public payment data.
What is the price range for Office Visit in Portage, WI?
Medicaid reimbursement for Office Visit in Portage, WI ranges from $9.45 to $80.98 per claim, with an average of $37.21. 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 Portage, WI
Behavioral & Mental Health Therapy
Avg $89.74
184,137 claims
Blood Work & Lab Tests
Avg $11.14
83,585 claims
Personal Care Services
Avg $7.00
70,656 claims
Emergency Room Visit
Avg $56.54
38,451 claims
Physical Therapy
Avg $19.10
36,918 claims
Speech Therapy
Avg $13.21
25,752 claims
Psychiatric Evaluation
Avg $71.74
21,364 claims
Urinalysis & Urine Tests
Avg $8.91
19,536 claims