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
Jennifer Leigh Zastrow 3113 Saemann Ave	$16.14	12	12
Matthew Reed Willsey 3400 Union Ave	$34.03	12	12
Lindsey Kay Rozewicz 3400 Union Ave	$13.86	12	12
David M Eischen 2414 Kohler Memorial Dr	$6.67	13	13
Sarah Jeane Smith 1411 N Taylor Dr	$34.58	14	12
Joseph C Mccormick 1411 N Taylor Dr	$13.93	14	12
Jenna K Provance 2414 Kohler Memorial Dr	$20.63	14	14
John Demi Peters 3113 Saemann Ave	$61.01	15	12
Catherine Jane Ahern 2414 Kohler Memorial Dr	$56.33	15	15
Jesika M Weigel 2414 Kohler Memorial Dr	$12.66	16	14
Renee A Stauffacher 3144 Wilgus Ave	$24.50	16	16
Mai Kou Yang 1721 Saemann Ave	$34.15	16	13
Jodi B Rabas 1320 N Taylor Dr	$17.32	16	15
Abigail Rose Demaster 3400 Union Ave	$49.52	18	18
Megan Lindsay Hetzner 1411 N Taylor Dr	$7.63	24	13
Harpreet Kaur 3400 Union Ave	$16.05	25	24
Paul V Tuttle 2414 Kohler Memorial Dr	$22.44	26	26
Mitchell James Thompson 3113 Saemann Ave	$45.14	27	25
Anushka Baruah 2414 Kohler Memorial Dr	$64.13	27	26
Jennifer Lynn Mills 909 S Taylor Dr	$15.76	27	24
Charles Joseph Green 3400 Union Ave	$35.26	28	26
Jeffrey M Tomasini 2414 Kohler Memorial Dr	$12.95	28	25
Jeffrey M Welsch 2414 Kohler Memorial Dr	$18.81	28	28
Ajay K Gupta 3113 Saemann Ave	$36.19	28	13
Devon Van Beek 2414 Kohler Memorial Dr	$33.23	29	26
Mariah Lau 1411 N Taylor Dr	$15.85	29	18
Luke Elliot Stanczyk 3400 Union Ave	$15.41	29	24
Michael Eaton 3400 Union Ave	$43.95	29	26
Evan James Cretney 2414 Kohler Memorial Drive	$46.82	29	24
Jonathan D Pond 2414 Kohler Memorial Dr	$20.43	30	25
Amy Germain 1411 N Taylor Dr	$27.08	30	30
Courtney Johnson 1902 Mead Ave	$29.83	30	24
Glen R Kohlhagen 2414 Kohler Memorial Dr	$15.91	30	30
Mary J Kao 3400 Union Ave	$26.78	32	29
Adebisi O Alimi 3113 Saemann Ave	$22.36	34	25
Jennifer Schmitz 1411 N Taylor Dr	$28.03	35	33
Mary Lou Roethel 1621 N Taylor Dr	$4.14	37	24
Amy Jo Clark 1621 N Taylor Dr Ste 100	$27.75	39	31
Donna Mayer 3400 Union Ave	$36.48	39	39
Amir Corrales Patel 2414 Kohler Memorial Dr	$27.10	39	36
Jon D Niewolny 3400 Union Ave	$25.42	40	38
Danelle M Plennes 1902 Mead Ave	$16.71	41	39
Matthew Hemsing 2920 Superior Ave	$29.58	42	40
Holly Ann Bartlein 1411 North Taylor Dr.	$49.08	44	39
Charles F Schleevogt 2920 Superior Ave	$27.64	45	41
Todd Robert Larson 1442 N 31St St	$16.32	46	37
Sahil Gupta 1411 N Taylor Dr	$66.79	50	42
Steven B Lambert 2414 Kohler Memorial Dr	$24.24	53	52
Jeanne Marie Valicenti 2414 Kohler Memorial Dr	$12.58	54	49
Mark S Lang 3400 Union Ave	$23.75	55	51

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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