Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sheboygan, WI: $31.92

Avg. Paid

$31.92

Range

$0.14 – $228.45

Total Claims

196,151

Providers

231

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 Sheboygan, WI

Provider	Avg. Paid	Claims	Patients
Larry L Duenk 1703 N Taylor Dr	$41.33	7,518	6,941
Jeffrey W Britton 2414 Kohler Memorial Dr	$34.95	7,288	6,744
John C Coates 3425 Superior Ave	$36.66	5,267	4,712
Pamela A Mentink 3400 Union Ave	$32.04	5,063	3,077
Stephen J Krummel 2414 Kohler Memorial Dr	$14.06	4,402	3,901
Krisen Rampersad 2414 Kohler Memorial Dr	$37.34	4,265	4,023
Donna Buechner 510 S 8Th St	$28.18	4,263	3,642
Prashan Gunasekera 2414 Kohler Memorial Dr	$36.31	3,922	3,687
Laura Ann Ernster 2707 S Business Dr	$52.04	3,730	1,796
William L Trager 2920 Superior Avenue	$36.39	3,707	3,277
Frank M Baur 2414 Kohler Memorial Dr	$41.80	3,379	3,134
Hani Alboushi 2414 Kohler Memorial Dr	$39.07	3,370	3,112
Herbert J Fellerer 2414 Kohler Memorial Dr	$22.60	3,266	2,843
Aurora Health Care Central, Inc. 3400 Union Ave	$41.28	3,177	2,550
Julie A Roehrborn 2920 Superior Avenue	$38.45	3,097	2,838
Christina L Sarchet 2414 Kohler Memorial Dr	$32.12	3,066	2,879
Michael A Baird 1414 N Taylor Dr Ste 144	$57.53	3,057	2,746
Bryan T Schmitt 2414 Kohler Memorial Dr	$29.85	2,900	2,491
James Stockton 3425 Superior Ave	$16.53	2,839	2,521
Monica Vasudev 2414 Kohler Memorial Dr	$54.94	2,672	2,514
Planned Parenthood Of Wisconsin 2108 Kohler Memorial Dr	$34.85	2,626	2,526
Niharika Kunapuli 2414 Kohler Memorial Dr	$26.90	2,506	2,237
Alyssa Pfeifer-Rentmeester 2920 Superior Ave	$33.24	2,501	2,283
Amy J. Harms 2920 Superior Ave	$39.22	2,483	2,274
Jenny K Brault 2920 Superior Ave	$37.37	2,440	2,124
Steven J Pizer 2414 Kohler Memorial Dr	$28.82	2,401	2,234
John Hernandez 2414 Kohler Memorial Dr	$27.47	2,367	1,995
Daniel W. Knoedler 424 Clifton Ave	$12.00	2,319	2,023
Eiman Qureshi 2414 Kohler Memorial Dr	$24.64	2,207	1,878
Sanjay Bhikhalal Suthar 2414 Kohler Memorial Dr	$36.43	2,151	1,944
Kristin Marie Balthazor 2124 Kohler Memorial Dr	$16.25	2,127	1,736
Atit Shah 2124 Kohler Memorial Dr Ste 110	$17.50	2,110	1,574
Sharesea Busser 1221 N 26Th St	$38.68	2,074	1,475
Mary Fitzgerald Lovelien 1703 N Taylor Dr	$30.17	2,062	1,839
Ekaterina V Soforo 1414 N Taylor Dr Ste 110	$27.34	2,049	1,798
Jerome Timothy Miller 2414 Kohler Memorial Dr	$23.15	1,932	1,828
Walter T Howard 2414 Kohler Memorial Dr	$28.86	1,921	1,746
Elise H Azuma Opel 2414 Kohler Memorial Dr	$29.11	1,893	1,782
Shehla Baig 2414 Kohler Memorial Dr	$35.57	1,800	1,676
Srilatha Atluri Lazzaro 2414 Kohler Memorial Dr	$30.45	1,748	1,539
Steven Mark Bettag 1621 N Taylor Dr	$18.25	1,724	1,273
Daniel R Opel 2414 Kohler Memorial Dr	$36.21	1,668	1,575
Stephanie L Holschbach 2414 Kohler Memorial Dr	$28.29	1,614	1,373
Brandon Phelps 1813 Ashland Ave	$35.63	1,592	1,487
Charles Mensah Korankye 1411 N Taylor Dr	$43.33	1,550	1,296
John William Carpenter 2414 Kohler Memorial Dr	$14.87	1,533	1,385
Edward Lawrence Smith 1411 N Taylor Dr	$36.13	1,490	1,248
Khalyne Theryse Johnson 1813 Ashland Ave	$35.17	1,455	1,376
Sonya R Hollingsworth 1703 N Taylor Dr	$23.86	1,442	1,128
Jeremy Ashton Scarlett 2124 Kohler Memorial Dr Ste 110	$18.06	1,433	1,026

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 Sheboygan, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sheboygan, WI is $31.92 per claim, based on 196,151 claims from 231 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 Sheboygan, WI?

There are 231 Medicaid providers offering Office Visit related services in Sheboygan, WI according to public payment data.

What is the price range for Office Visit in Sheboygan, WI?

Medicaid reimbursement for Office Visit in Sheboygan, WI ranges from $0.14 to $228.45 per claim, with an average of $31.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sheboygan, WI: $31.92

Providers Offering Office Visit in Sheboygan, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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