Average Medicaid Office Visit Payments in Stevens Point, WI: $40.10
Avg. Paid
$40.10
Range
$1.16 – $148.35
Total Claims
155,372
Providers
124
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 Stevens Point, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chirasakdi Ratanawong
824 Illinois Ave |
$15.83 | 12 | 12 |
|
Hannah Sorensen
5409 Vern Holmes Dr |
$41.59 | 12 | 12 |
|
Carol D Rave
824 Illinois Avenue |
$24.99 | 12 | 12 |
|
Shannon R. Stroik
824 Illinois Avenus |
$27.04 | 13 | 12 |
|
Jerry Allen Twit
3125 Main St |
$15.77 | 15 | 12 |
|
Christopher Willard Swiecki
824 Illinois Ave |
$25.62 | 15 | 12 |
|
Lindsay Anne Kearney
3500 Hoover Rd |
$57.39 | 16 | 12 |
|
Todd M Williams
500 Vincent St |
$11.22 | 17 | 13 |
|
Bradley F Johnson
824 Illinois Ave |
$19.41 | 17 | 17 |
|
Todd A Rave
824 Illinois Ave |
$42.43 | 17 | 13 |
|
Benjamin J Phelan
500 Vincent St |
$17.19 | 25 | 24 |
|
Sara L Gregorich
3225 Business Park Dr |
$34.82 | 26 | 25 |
|
Randal F Wojciehoski
4100 State Highway 66 |
$21.71 | 26 | 24 |
|
Bonnie Soik
5409 Vern Holmes Dr |
$28.50 | 26 | 25 |
|
Kevin Richard Whitney
4100 State Highway 66 |
$53.64 | 26 | 26 |
|
Katherine Ann Sapp
122 Wilshire Blvd N |
$65.96 | 27 | 25 |
|
Katharina L Hahn
5409 Vern Holmes Dr |
$27.87 | 28 | 27 |
|
Michele M Klasinski
500 Vincent St |
$22.01 | 28 | 24 |
|
Joel P Becker
1225 Main St |
$17.48 | 29 | 24 |
|
Erik W. Gunderson
824 Illinois Ave |
$24.34 | 30 | 26 |
|
Jodi M. Glodowski
5412 Hwy 10 East |
$33.35 | 30 | 24 |
|
Ethan M Ross
4100 State Highway 66 |
$30.22 | 31 | 24 |
|
Dean R Hagness
3301 Stanley Street |
$15.35 | 40 | 38 |
|
William Brian Quinn
140 N Wilshire Dr |
$4.67 | 41 | 29 |
|
Arshad Khan
824 Illinois Ave |
$26.58 | 45 | 44 |
|
Jolyne J Check-Ostrowski
5409 Vern Holmes Dr |
$42.84 | 45 | 42 |
|
Terri A Hahn
824 Illinois Ave |
$24.30 | 45 | 41 |
|
Daniel R Kraeger
824 Illinois Avenue |
$26.32 | 49 | 43 |
|
Jacqueline K Buttke
824 Illinois Ave |
$23.07 | 52 | 46 |
|
Jeanne T Groos
824 Illinois Ave |
$29.11 | 55 | 49 |
|
Kurt Walter Grelck
5501A Vern Holmes Dr |
$34.44 | 61 | 52 |
|
Ashley Rae Wenninger
5412 Us Highway 10 E |
$27.78 | 62 | 49 |
|
Barbara J Torgerson
900 Illinois Avenue |
$40.61 | 62 | 55 |
|
James T Ford
3108 Church St |
$19.50 | 67 | 65 |
|
Michelle Whitehouse
824 Illinois Ave |
$43.73 | 71 | 64 |
|
Joshua D Troyer
500 Vincent St |
$20.85 | 78 | 63 |
|
Christopher Bender
4100 State Highway 66 |
$26.74 | 84 | 78 |
|
Chad Joseph Giles
4100 State Highway 66 |
$44.25 | 89 | 80 |
|
David Brian Balderson
2001 River View Ave Trlr 88 |
$148.35 | 91 | 47 |
|
Marcus J Haemmerle
500 Vincent St |
$20.60 | 111 | 104 |
|
Oscar G Padilla
5409 Vern Holmes Dr |
$43.57 | 114 | 104 |
|
Christopher Bibbo
824 Illinois Ave |
$68.42 | 121 | 106 |
|
Nancy K Swisher
824 Illinois Ave |
$28.60 | 129 | 118 |
|
Mariam M Ibdaiwi
4100 State Highway 66 |
$42.12 | 150 | 133 |
|
Marie Beranek
824 Illinois Ave |
$47.25 | 151 | 141 |
|
Chad E Gregory
500 Vincent St |
$30.29 | 167 | 150 |
|
Lynne M Derezinski
5412 Us Highway 10 E |
$43.10 | 175 | 155 |
|
David C Onan
900 Illinois Avenue |
$33.84 | 193 | 180 |
|
Lori L Kisting
824 Illinois Ave |
$45.24 | 196 | 158 |
|
Dustin Alan Pagoria
824 Illinois Ave |
$19.29 | 198 | 182 |
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 Stevens Point, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Stevens Point, WI is $40.10 per claim, based on 155,372 claims from 124 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 Stevens Point, WI?
There are 124 Medicaid providers offering Office Visit related services in Stevens Point, WI according to public payment data.
What is the price range for Office Visit in Stevens Point, WI?
Medicaid reimbursement for Office Visit in Stevens Point, WI ranges from $1.16 to $148.35 per claim, with an average of $40.10. 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 Stevens Point, WI
Blood Work & Lab Tests
Avg $9.43
217,270 claims
Behavioral & Mental Health Therapy
Avg $106.11
160,260 claims
Personal Care Services
Avg $10.14
146,430 claims
Emergency Room Visit
Avg $50.53
88,359 claims
Speech Therapy
Avg $10.51
82,272 claims
Physical Therapy
Avg $7.77
73,121 claims
Non-Emergency Medical Transportation
Avg $30.16
63,076 claims
Psychiatric Evaluation
Avg $55.43
50,190 claims