Average Medicaid Office Visit Payments in Prairie Du Chien, WI: $84.33
Avg. Paid
$84.33
Range
$16.02 – $181.56
Total Claims
43,872
Providers
29
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 Prairie Du Chien, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prairie Du Chien Memorial Hospital Association Inc
37868 Us Highway 18 |
$181.56 | 13,775 | 11,901 |
|
Christopher J Mees
610 E Taylor St |
$77.57 | 4,324 | 4,098 |
|
David B Dehart
800 E Blackhawk Ave |
$28.65 | 2,690 | 2,327 |
|
Tammy L Plondke
610 E Taylor St |
$38.08 | 2,604 | 2,442 |
|
Michael J Rogge
800 E Blackhawk Ave |
$30.04 | 2,536 | 2,182 |
|
Holly Jo Hershberger
37868 Us Highway 18 |
$28.63 | 2,063 | 1,828 |
|
Charlene Sauer
37822 Us Highway 18 |
$33.11 | 1,699 | 1,449 |
|
Robert T Key
800 E Blackhawk Ave |
$30.33 | 1,560 | 1,401 |
|
Walter R Boisvert
610 E Taylor St |
$32.15 | 1,307 | 1,179 |
|
Rochelle L Neisius
610 E Taylor St |
$34.46 | 1,221 | 1,141 |
|
Sarah Suzanne Arnold
610 E Taylor St |
$39.55 | 1,221 | 1,074 |
|
Matthew Snitker
37822 Us Highway 18 |
$32.67 | 1,127 | 983 |
|
Jasmin Rochell Morrison
610 E Taylor St |
$34.66 | 1,048 | 980 |
|
Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
800 E Blackhawk Ave |
$77.90 | 925 | 778 |
|
Stacy L. Blackburn
800 Blackhawk Avenue |
$32.74 | 796 | 718 |
|
Michelle Mertens-Dodgen
37822 Us Highway 18 |
$29.92 | 763 | 653 |
|
Christine Marion Dressler
705 S Buchanan St |
$19.39 | 727 | 583 |
|
Maranda Record
37822 Us Highway 18 |
$32.29 | 720 | 660 |
|
Paul C. Mariskanish
37868 Us Highway 18 |
$26.55 | 617 | 500 |
|
Thomas J Whetston
610 E Taylor St |
$35.15 | 457 | 405 |
|
Arin Deering
37868 Us Highway 18 |
$32.58 | 438 | 396 |
|
Patricia J Olijnyk
610 E Taylor St |
$34.00 | 399 | 334 |
|
Terri L Payne
37822 Us Highway 18 |
$27.06 | 379 | 334 |
|
Bridget Marie Schultz
37868 Us Highway 18 |
$31.07 | 275 | 212 |
|
James C Jordan
37868 Us Highway 18 |
$38.74 | 78 | 75 |
|
Alan John Weber
601 E Blackhawk Ave |
$18.01 | 62 | 60 |
|
Kevin Andrew Klean
37868 Us Highway 18 |
$16.02 | 31 | 24 |
|
Daniel S Crawley
610 E Taylor St |
$18.35 | 18 | 17 |
|
Jennifer Drew
227 E Blackhawk Ave |
$19.55 | 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 Prairie Du Chien, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Prairie Du Chien, WI is $84.33 per claim, based on 43,872 claims from 29 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 Prairie Du Chien, WI?
There are 29 Medicaid providers offering Office Visit related services in Prairie Du Chien, WI according to public payment data.
What is the price range for Office Visit in Prairie Du Chien, WI?
Medicaid reimbursement for Office Visit in Prairie Du Chien, WI ranges from $16.02 to $181.56 per claim, with an average of $84.33. 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 Prairie Du Chien, WI
Blood Work & Lab Tests
Avg $3.46
26,023 claims
Personal Care Services
Avg $20.19
19,170 claims
Chiropractic Care
Avg $20.09
16,337 claims
Speech Therapy
Avg $13.37
15,031 claims
Emergency Room Visit
Avg $135.40
13,816 claims
Behavioral & Mental Health Therapy
Avg $129.75
12,156 claims
Physical Therapy
Avg $17.72
11,463 claims
Case Management Services
Avg $63.63
8,758 claims