Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sparta, WI: $40.51

Avg. Paid

$40.51

Range

$7.07 – $73.24

Total Claims

26,290

Providers

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 Sparta, WI

Provider	Avg. Paid	Claims	Patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. 310 West Main Street	$73.24	3,721	3,157
Carmen Alyssa Adams 1111 W Wisconsin St	$35.12	2,647	2,464
Brooke Amber Huettner 415 W Wisconsin St	$15.03	2,361	1,836
Amber R Oshan 315 W Oak St	$42.87	2,274	2,127
Christopher J Tookey 1111 W Wisconsin St	$42.43	2,161	1,937
Heidi Marie Stenerson 310 W Main St	$25.24	2,048	1,891
Zachary C April 1111 W Wisconsin St	$43.49	1,569	1,427
Melissa Rose Revels 315 W Oak St	$38.11	1,412	1,263
Daniel Landdeck 315 W Oak St	$43.89	1,310	1,202
Rose A Wolbrink 315 W Oak St	$36.98	1,094	1,007
Christina R Deboer-Collins 1111 W Wisconsin St	$51.07	955	828
Joseph C Lehner 111 W Wisconsin St	$40.97	858	787
John Joseph Coffey 315 W Oak St	$31.13	821	755
Erin M Pokorny 310 W Main St	$43.82	771	714
Laura Kathryn Mitchell 310 W Main St	$33.17	563	521
Teresa Ann Studer 310 W Main St	$35.60	367	333
Mitchell A Anderson 415 W Wisconsin St	$14.49	285	210
County Of Monroe 315 W Oak St Ste B	$7.07	192	167
Jessica Robin Stefanski-Williams 315 W Oak St	$25.68	142	134
Tracy A. Warsing 310 W. Main Street	$37.28	138	129
Marc D Tumerman 310 West Main St	$24.64	120	111
Derrick L Woodward 310 W Main St	$25.17	83	74
Lance Albert Wulf 215 N Black River St	$14.53	83	65
Valeria Mae Howe 415 W Wisconsin St	$14.26	79	71
Jessica L. Sosso 310 W. Main Street	$33.35	70	64
Kelly Janell Seib 1111 W Wisconsin St	$26.74	58	51
Planned Parenthood Of Wisconsin 919 Hoeschler Dr Ste 100	$37.94	53	52
County Of Monroe 210 West Oak St.	$9.65	38	24
Misty Marie Watters 310 W Main St	$17.68	17	15

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 Sparta, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sparta, WI is $40.51 per claim, based on 26,290 claims from 29 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 Sparta, WI?

There are 29 Medicaid providers offering Office Visit related services in Sparta, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Sparta, WI ranges from $7.07 to $73.24 per claim, with an average of $40.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sparta, WI: $40.51

Providers Offering Office Visit in Sparta, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Sparta, WI

Behavioral & Mental Health Therapy

Chiropractic Care

Personal Care Services

Non-Emergency Medical Transportation

Blood Work & Lab Tests

Emergency Room Visit

Speech Therapy

Eye Exam