Average Medicaid Office Visit Payments in Racine, WI: $39.50
Avg. Paid
$39.50
Range
$0.00 – $65.34
Total Claims
493,194
Providers
103
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 Racine, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ascension All Saints Hospital, Inc
3801 Spring St |
$48.17 | 245,234 | 206,112 |
|
Planned Parenthood Of Wisconsin
834 Main St |
$35.62 | 12,533 | 12,080 |
|
Michelle Monica Misch
5841 Joanne Dr |
$1.13 | 11,433 | 7,880 |
|
Joseph Bergs
3805B Spring St |
$36.40 | 11,261 | 8,755 |
|
Sridevi Manne
8348 Washington Ave |
$35.21 | 10,143 | 9,484 |
|
Reginald Dwayne Adams
1320 Wisconsin Ave |
$30.75 | 9,862 | 8,887 |
|
Mabria Loqman
2621 S Green Bay Rd |
$36.89 | 9,817 | 8,969 |
|
Brittany Olson
4700 21St St |
$49.80 | 9,738 | 9,178 |
|
Leslie M Hertz
3807 Spring St |
$37.33 | 9,445 | 8,863 |
|
Goran Jankovic
3811 Spring St |
$26.02 | 9,235 | 8,126 |
|
Vahag Vartanian
1320 Wisconsin Ave |
$23.86 | 8,838 | 7,824 |
|
George Milonas
3807 Spring St |
$45.90 | 8,288 | 7,637 |
|
Maria Elena Godines
1320 Wisconsin Ave |
$34.53 | 7,540 | 6,662 |
|
Susan J Perez
1244 Wisconsin Ave |
$29.94 | 7,358 | 6,445 |
|
Kristen Wasilowski Cook
3807 Spring St |
$36.56 | 7,185 | 6,648 |
|
William James Bjerregaard
1244 Wisconsin Ave |
$40.41 | 6,110 | 5,105 |
|
Renee Morin
2333 Northwestern Ave |
$28.31 | 6,004 | 5,018 |
|
Manmeet K Bains
3807 Spring Street |
$33.31 | 5,542 | 4,913 |
|
Kristi Moriarity
1717 Taylor Ave |
$18.06 | 4,952 | 4,075 |
|
Margaret M. Hennessy
3807 Spring St |
$40.18 | 4,592 | 4,256 |
|
Renate A Villarreal
3801 Spring St |
$41.49 | 4,520 | 4,054 |
|
Nathalie Anne King
3805B Spring St |
$22.58 | 4,129 | 3,740 |
|
Regina A Capelli-Scheidt
7325 Foley Rd |
$12.55 | 3,719 | 1,382 |
|
Matthew Anthony Hettenbach
1244 Wisconsin Ave |
$30.13 | 3,691 | 3,023 |
|
Jeffrey Naus
3807 Spring St |
$31.96 | 3,650 | 3,438 |
|
Michelle Snyderman
3807 Spring St |
$41.20 | 3,570 | 3,343 |
|
Dawn L Simon
1320 Wisconsin Avenue |
$39.34 | 2,954 | 2,581 |
|
Willard Nettles
3807 Spring St |
$31.14 | 2,761 | 2,638 |
|
Scott W. Meyer
3807 Spring St |
$30.28 | 2,428 | 2,293 |
|
Young M Choi
3809 Spring St |
$27.44 | 2,406 | 2,100 |
|
Kylie S Nordness
3807 Spring St |
$40.14 | 2,366 | 1,946 |
|
Rosamma T John
3807 Spring St |
$28.81 | 2,071 | 1,774 |
|
Roger O Boye
3803 Spring Street |
$25.25 | 2,034 | 1,887 |
|
Derek Turner
3807 Spring St |
$27.35 | 2,009 | 1,785 |
|
Subbanna Jayaprakash
3811 Spring St |
$24.84 | 1,928 | 1,739 |
|
Steven Johnson
3803 Spring St |
$18.60 | 1,895 | 1,721 |
|
Health & Nutrition Service Of Racine, Inc.
2316 Rapids Dr |
$10.25 | 1,775 | 1,726 |
|
Donna R Daufenbach
5333 Douglas Ave |
$22.69 | 1,758 | 1,524 |
|
Dana M Griffin
1151 Warwick Way |
$37.24 | 1,699 | 1,579 |
|
Ramez Hoveydai
2408 Four Mile Rd |
$35.87 | 1,651 | 1,433 |
|
Abha Malhotra
3803 Spring Street |
$18.17 | 1,608 | 1,458 |
|
Robert M Gullberg
3811 Spring Street |
$15.87 | 1,589 | 1,415 |
|
Iftekhar Bader
3803 Spring St |
$25.63 | 1,588 | 1,468 |
|
Desiree Dizadji
3803 Spring St |
$16.74 | 1,512 | 1,413 |
|
Ronald E. Schulgit
3807 Spring St |
$29.85 | 1,502 | 1,388 |
|
Veronica Carver
3821 Spring St |
$22.61 | 1,492 | 1,298 |
|
Thomas P Bormes
3811 Spring Street |
$22.47 | 1,437 | 1,301 |
|
Sally Jean Brown
2609 Rapids Dr |
$16.60 | 1,357 | 1,280 |
|
Tasha R Johnson
3821 Spring Street |
$23.60 | 1,296 | 1,158 |
|
Adel Khdour
5333 Douglas Ave |
$55.02 | 1,269 | 1,120 |
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 Racine, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Racine, WI is $39.50 per claim, based on 493,194 claims from 103 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 Racine, WI?
There are 103 Medicaid providers offering Office Visit related services in Racine, WI according to public payment data.
What is the price range for Office Visit in Racine, WI?
Medicaid reimbursement for Office Visit in Racine, WI ranges from $0.00 to $65.34 per claim, with an average of $39.50. 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 Racine, WI
Blood Work & Lab Tests
Avg $10.30
644,485 claims
Physical Therapy
Avg $24.72
232,185 claims
Emergency Room Visit
Avg $55.72
205,431 claims
Speech Therapy
Avg $12.59
193,369 claims
Urinalysis & Urine Tests
Avg $9.40
164,590 claims
Non-Emergency Medical Transportation
Avg $10.46
163,491 claims
Personal Care Services
Avg $20.59
151,984 claims
Dental Cleaning & Exam
Avg $27.10
140,599 claims