Average Medicaid Office Visit Payments in Shawano, WI: $42.96
Avg. Paid
$42.96
Range
$8.02 – $165.34
Total Claims
45,315
Providers
46
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 Shawano, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anna G Gilbertson
100 County Road B |
$44.79 | 12 | 12 |
|
Jennifer May Skibba
1401 E Elizabeth St |
$17.66 | 13 | 12 |
|
Avari Miller
W5675 County Road B |
$19.80 | 17 | 16 |
|
Sheila M Landon
100 County Road B |
$24.96 | 20 | 16 |
|
Kelly M Mackowski
100 County Road B |
$17.88 | 29 | 29 |
|
Hillary Schultz
100 County Road B |
$13.34 | 29 | 25 |
|
Kathleen Marie Elertson
100 County Road B |
$28.38 | 30 | 27 |
|
Ann Renae Thornock
100 County Road B |
$23.96 | 62 | 45 |
|
Sharisa M Ruh
309 N Bartlett St |
$26.26 | 107 | 100 |
|
Yu Chin Fang
1300 E Green Bay St |
$46.46 | 127 | 111 |
|
Amy Stuber
153 S Main St |
$17.77 | 204 | 193 |
|
County Of Shawano
311 N Main St Rm 7 |
$8.02 | 252 | 230 |
|
Joshua C Vollmar
100 County Road B |
$43.29 | 254 | 232 |
|
Richard Dennis Sarnwick
1346 E Green Bay St |
$30.05 | 296 | 251 |
|
Clay A Canaday
100 County Road B |
$40.31 | 364 | 330 |
|
Mary Margaret Mccoy
100 County Road B |
$47.75 | 393 | 382 |
|
Katherine M Farley
100 County Road B |
$10.69 | 397 | 309 |
|
Michaela James
100 County Road B |
$46.21 | 424 | 398 |
|
Cynthia M Bohringer
100 County Road B |
$32.49 | 436 | 406 |
|
Jill M Witte
1346 E Green Bay St |
$46.09 | 455 | 417 |
|
Heidi Marie Bruckert
1300 E Green Bay St |
$33.24 | 562 | 518 |
|
Anthony W Phillips
100 County Road B |
$25.32 | 604 | 455 |
|
Stephanie Magnin
1300 E Green Bay St |
$49.70 | 664 | 548 |
|
Kathleen Qualheim
100 County Road B |
$31.41 | 747 | 687 |
|
Amanda Born Bernath
100 County Road B |
$31.10 | 1,013 | 935 |
|
Tod C Lewis
1346 E Green Bay St |
$24.93 | 1,185 | 1,067 |
|
Kerry L Baird
100 County Road B |
$37.76 | 1,309 | 1,199 |
|
Bentley Jessica Mae Thomason
100 County Road B |
$21.33 | 1,342 | 1,199 |
|
Christy Lingnofski
100 County Road B |
$32.64 | 1,344 | 1,199 |
|
Alisha Mary Erdmann
100 County Road B |
$38.58 | 1,348 | 1,210 |
|
Heather Zimba
100 County Road B |
$47.91 | 1,385 | 1,311 |
|
Kary L Cappaert
100 County Road B |
$43.96 | 1,398 | 1,264 |
|
Nicole Lee Ruske
100 County Road B |
$15.42 | 1,409 | 1,326 |
|
Benjamin D Schlais
100 County Hwy B |
$35.71 | 1,514 | 1,376 |
|
Angela Dawn Divjak
100 County Road B |
$29.64 | 1,546 | 1,420 |
|
Hannah Kerkhof
100 County Road B |
$36.37 | 1,656 | 1,517 |
|
Caitlyn F Krenz- Gueths
100 County Road B |
$41.60 | 1,708 | 1,563 |
|
Cornelius W Hyzer
100 County Road B |
$36.36 | 1,774 | 1,670 |
|
Jasmine Wiley
100 County Road B |
$36.81 | 1,812 | 1,646 |
|
Thedacare Medical Center - Shawano, Inc.
100 County Road B |
$81.04 | 1,857 | 1,631 |
|
Alisha Frances Fahley
100 County Road B |
$30.28 | 1,872 | 1,736 |
|
Janelle Schaal
1346 E Green Bay St |
$36.51 | 2,033 | 1,822 |
|
Sarah Bauer
100 County Road B |
$34.24 | 2,444 | 2,211 |
|
Elizabeth Harbison
100 County Road B |
$10.74 | 2,613 | 2,483 |
|
Thedacare Medical Center - Shawano, Inc.
100 County Road B |
$165.34 | 2,846 | 1,776 |
|
Mindy Maria Frimodig
100 County Road B |
$33.51 | 3,409 | 3,202 |
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 Shawano, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shawano, WI is $42.96 per claim, based on 45,315 claims from 46 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 Shawano, WI?
There are 46 Medicaid providers offering Office Visit related services in Shawano, WI according to public payment data.
What is the price range for Office Visit in Shawano, WI?
Medicaid reimbursement for Office Visit in Shawano, WI ranges from $8.02 to $165.34 per claim, with an average of $42.96. 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 Shawano, WI
Blood Work & Lab Tests
Avg $6.16
169,018 claims
Emergency Room Visit
Avg $160.35
97,808 claims
Behavioral & Mental Health Therapy
Avg $97.76
60,678 claims
Physical Therapy
Avg $21.47
44,275 claims
Personal Care Services
Avg $8.82
42,085 claims
Urinalysis & Urine Tests
Avg $5.58
38,477 claims
Chiropractic Care
Avg $19.84
35,778 claims
Speech Therapy
Avg $15.36
30,832 claims