Based on public Medicaid payment data.

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
James Tierney 3803 Spring St	$13.23	16	13
Byung H. Park 3805B Spring St	$24.20	16	12
Gary L Shepherdson Mcw & All Saints Health Care System	$38.72	16	13
Hailey Jean Kaye 5312 Willowview Rd	$32.87	17	15
Chiropractic Care Center - Racine Sc 6218 Washington Ave Ste A	$0.00	17	17
Christina Louise Lovely 3813 Haven Ave	$33.32	20	18
Saundra Mcglaston 1717 Taylor Ave	$38.99	29	25
Jennifer Eppinger 930 Dr Martin Luther King Dr # 3	$33.53	31	26
Michael Sweet 3811 Spring St	$65.34	36	36
Robert W Brown 8348 Washington Ave	$29.45	40	37
James P. Gierahn 1 Main St	$20.24	42	39
Stuart A. Fox 3821 Spring St	$19.97	59	53
Joseph P. Mathew 2408 4 Mile Rd	$31.65	69	64
Dean Alan Rosenberg 217 6Th St	$4.09	74	56
Michael Dean Clark 3805B Spring St	$22.00	82	72
Ilona Agata Pryomski 9201 Washington Ave	$37.80	82	77
Ross Oldenburg 414 6Th St	$26.72	83	78
Jennifer L Boerger 8348 Washington Ave	$25.22	86	78
Alexandra Buhler 414 6Th St	$14.95	94	74
Tia Derflinger 3803 Spring Street	$58.62	99	87
Inder Paul Singh 3805B Spring St	$20.13	106	90
Timothy Paul Schneider 5401 Douglas Ave	$16.06	107	94
Kristi Lee Gwidt 2621 S Green Bay Rd	$48.01	124	119
Stephen J Pruett 3805B Spring St	$17.13	169	152
Stephen T. Flox 3807 Spring St	$35.76	173	162
Richard Stoltenberg 3811 Spring St	$17.00	185	162
Matthew T Czerniak 3801 Spring St	$56.17	221	195
David Galbis-Reig 3801 Spring St	$37.83	242	200
Paul C. Durbin 3807 Spring St	$19.94	254	234
Shalini Ravi 5333 Douglas Ave	$31.87	302	278
Arlene M. Mcentegart 3811 Spring St	$25.23	305	296
Richard A. Pierce-Ruhland 3807 Spring St	$25.28	317	267
Katelyn Curtis 3803 Spring St	$63.03	436	388
Daniel J Schnadt 2621 S Green Bay Rd	$33.44	445	375
Phenu V Zachariah 1151 Warwick Way	$37.76	477	447
Amanda Rose Schmidt 3807 Spring St	$53.08	499	441
Nicholas Reinhart Pope 414 6Th St	$21.50	563	527
Janet E. Kieslich 3805A Spring St Ste 330	$29.20	595	536
Daniel D Medlock 1320 Wisconsin Ave	$19.88	619	452
Ryan Beine 3801 Spring St	$23.91	629	595
Andrew C. Alexander 3821 Spring St	$32.54	647	591
Gregory Pae 3821 Spring St	$23.56	669	589
Nathan D Sockrider 3500 Meachem Rd	$30.42	746	694
John F. Brennan 3803 Spring Street	$14.34	870	804
Karen Murillo 3803 Spring St Ste 410	$22.16	886	783
Joshua P Pessin 3811 Spring Street	$31.30	887	796
John A. Patterson 3821 Spring St	$25.49	949	878
Michael L. Papp 3803 Spring St	$21.59	1,071	990
Thomas G. Matkov 3811 Spring St	$22.51	1,155	1,083
Andrew M Asbury 2408 Four Mile Rd	$26.81	1,177	1,048

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.

Average Medicaid Office Visit Payments in Racine, WI: $39.50

Providers Offering Office Visit in Racine, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Racine, WI

Blood Work & Lab Tests

Physical Therapy

Emergency Room Visit

Speech Therapy

Urinalysis & Urine Tests

Non-Emergency Medical Transportation

Personal Care Services

Dental Cleaning & Exam