Average Medicaid Office Visit Payments in River Falls, WI: $30.41
Avg. Paid
$30.41
Range
$10.88 – $160.22
Total Claims
29,428
Providers
31
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 River Falls, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amber Morgan
319 S Main St |
$29.75 | 2,940 | 2,458 |
|
Amaris Moore
1687 E Division St |
$34.39 | 2,879 | 2,510 |
|
Kerith W Lijewski
1687 E Division St |
$22.84 | 2,173 | 1,807 |
|
Carrie J Torgersen
1687 E Division St |
$33.76 | 2,135 | 1,750 |
|
Monica J Pesavento
319 S Main St |
$31.07 | 1,765 | 1,362 |
|
Brittney A Matheson
1687 E Division St |
$35.29 | 1,757 | 1,592 |
|
Kurt A Helmrick
319 S Main St |
$22.03 | 1,578 | 1,341 |
|
Hillary Raye Meyer
319 S Main St |
$25.24 | 1,566 | 1,325 |
|
Gregory T Goblirsch
1687 E Division St |
$23.16 | 1,518 | 1,216 |
|
Katherine J Delong-Hecker
1617 E Division St |
$40.02 | 1,234 | 1,105 |
|
Michelle Diann Johnson
1617 E Division St |
$28.63 | 996 | 877 |
|
Emily Sue Raven
1617 E Division St |
$59.52 | 961 | 851 |
|
Rita M Raverty
1687 E Division St |
$35.16 | 907 | 782 |
|
Greg J Miller
1687 E Division St |
$20.15 | 854 | 611 |
|
David W Gregg
1687 E Division St |
$20.38 | 752 | 638 |
|
Jennifer Lynn Brakke
1617 E Division St |
$31.87 | 645 | 569 |
|
Jacob Alan Wessels
1617 E Division St |
$39.95 | 630 | 522 |
|
Pierce County Reproductive Health
210 Lewis St |
$28.99 | 582 | 504 |
|
Timothy F. Steinmetz
319 S Main St |
$26.33 | 572 | 496 |
|
Kelle O Anderson
1687 E Division St |
$39.16 | 540 | 486 |
|
David M Wilhelm
1687 E Division St |
$24.24 | 493 | 415 |
|
Joshua Ryan Cleveland
112 E Walnut St |
$19.67 | 480 | 411 |
|
Christopher H Tashjian
319 S Main St |
$22.67 | 459 | 376 |
|
Rachel Claire Sixberry
319 S Main St |
$34.33 | 357 | 312 |
|
Benjamin Reid Morgan
319 S Main St |
$19.30 | 298 | 236 |
|
Laurie Hensel
1617 E Division St |
$23.61 | 199 | 168 |
|
Gopakumar S Nambudiri
1629 E Division St |
$52.00 | 56 | 52 |
|
Jeffrey D Larsen
319 S Main St |
$10.88 | 40 | 30 |
|
Eric Hanson
1777 Paulson Rd |
$48.00 | 37 | 37 |
|
Allina Health System
1629 E Division St |
$160.22 | 13 | 12 |
|
Christina Atkinson
319 S Main St |
$39.93 | 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 River Falls, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in River Falls, WI is $30.41 per claim, based on 29,428 claims from 31 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 River Falls, WI?
There are 31 Medicaid providers offering Office Visit related services in River Falls, WI according to public payment data.
What is the price range for Office Visit in River Falls, WI?
Medicaid reimbursement for Office Visit in River Falls, WI ranges from $10.88 to $160.22 per claim, with an average of $30.41. 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 River Falls, WI
Blood Work & Lab Tests
Avg $5.50
22,867 claims
Chiropractic Care
Avg $18.19
21,573 claims
Personal Care Services
Avg $11.24
21,284 claims
Speech Therapy
Avg $11.23
16,786 claims
Emergency Room Visit
Avg $250.84
12,453 claims
Non-Emergency Medical Transportation
Avg $10.57
11,632 claims
Physical Therapy
Avg $16.31
8,266 claims
Ambulance Transport
Avg $76.57
4,841 claims