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 |
|---|---|---|---|
|
Aspirus Stevens Point Hospital & Clinics, Inc.
900 Illinois Ave |
$60.94 | 29,169 | 26,058 |
|
Bababo O Opaneye
3398 E Maria Dr |
$29.75 | 15,187 | 10,553 |
|
Mchs Hospitals Inc
4100 State Highway 66 |
$62.42 | 8,249 | 7,137 |
|
David A Holz
4100 State Highway 66 |
$32.69 | 6,119 | 5,549 |
|
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc
824 Illinois Ave |
$71.86 | 4,880 | 4,370 |
|
Alfred L Neuhoff
5409 Vern Holmes Dr |
$30.63 | 4,870 | 4,443 |
|
Joselin Fabiola Joma De Herrera
900 Illinois Ave |
$39.83 | 3,922 | 3,375 |
|
Michelle Christiana Jockin
900 Illinois Ave |
$31.86 | 3,607 | 3,274 |
|
Gavin J Schaberg
900 Illinois Ave |
$28.62 | 3,576 | 3,268 |
|
Rebecca Jorgensen
5409 Vern Holmes Dr |
$24.81 | 3,569 | 3,150 |
|
Staci Marie Sova
3125 Main St |
$37.31 | 3,458 | 3,205 |
|
Steve Xiong
900 Illinois Ave |
$29.04 | 3,358 | 3,072 |
|
Akram Nicki Bembenek
900 Illinois Ave |
$30.64 | 2,885 | 2,688 |
|
Elise Rachelle Holzberger
900 Illinois Ave |
$28.11 | 2,780 | 2,574 |
|
Diane L Reetz
900 Illinois Ave |
$38.36 | 2,767 | 2,576 |
|
Patrick Safo
824 Illinois Ave |
$41.83 | 2,736 | 2,532 |
|
Kristin Renee Erickson
5409 Vern Holmes Dr |
$26.58 | 2,520 | 2,284 |
|
Tara A. Patridge
5409 Vern Holmes Dr |
$34.75 | 2,244 | 2,012 |
|
Jodi L Strong
824 Illinois Ave |
$23.66 | 2,097 | 1,840 |
|
Gina Schmidt
3500 Hoover Rd |
$42.28 | 1,948 | 1,761 |
|
Amber E Kitzman
900 Illinois Ave |
$29.64 | 1,885 | 1,696 |
|
Cheryl L Mabry
3500 Hoover Rd |
$35.32 | 1,831 | 1,548 |
|
Angela M Rhode
824 Illinois Ave |
$7.69 | 1,787 | 1,042 |
|
Robyn Alice Gilbertson
5409 Vern Holmes Dr |
$39.51 | 1,753 | 1,456 |
|
Kaila D Meyer
824 Illinois Ave |
$27.80 | 1,640 | 1,531 |
|
La Clinica De Los Campesinos, Inc
2501 Main St |
$7.93 | 1,629 | 1,048 |
|
Emily M Gunn
900 Illinois Ave |
$24.99 | 1,601 | 1,523 |
|
Leah Meidl
3301 Stanley St |
$38.89 | 1,475 | 1,333 |
|
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
5409 Vern Holmes Dr |
$44.26 | 1,454 | 1,327 |
|
Julie A Hennes
3301 Stanley St |
$40.54 | 1,339 | 1,158 |
|
Kessa Ann Erickson
900 Illinois Ave |
$35.36 | 1,316 | 1,097 |
|
Lisa Barry
5409 Vern Holmes Dr |
$35.13 | 1,209 | 1,078 |
|
Michael J Thielman
824 Illinois Avenue |
$34.75 | 1,199 | 1,088 |
|
Megan Breu
900 Illinois Ave |
$42.00 | 1,072 | 992 |
|
Crystal A Harn
900 Illinois Avenue |
$38.70 | 968 | 861 |
|
Kevin K Thao
3500 Hoover Rd |
$31.66 | 958 | 892 |
|
Carolyn Marie Hedrington
5412 Us Highway 10 E |
$27.89 | 934 | 786 |
|
Kali Southworth
824 Illinois Ave |
$18.48 | 891 | 825 |
|
Carol A. Lauer
824 Illinois Ave |
$23.85 | 885 | 786 |
|
Sumeet Kumar Goel
2501 Main St |
$35.61 | 803 | 748 |
|
Maria Noel Ehmann
3500 Hoover Rd |
$35.73 | 797 | 724 |
|
Ralph M Locher
824 Illinois Ave |
$33.96 | 720 | 678 |
|
Kay Lynn Czerwinski
824 Illinois Ave |
$21.60 | 654 | 574 |
|
Caitlin Marie Shannon Yenter
4100 State Highway 66 |
$37.34 | 645 | 599 |
|
Michelle Marie Lipke
900 Illinois Ave |
$40.36 | 642 | 594 |
|
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
3500 Hoover Rd |
$64.58 | 634 | 570 |
|
Jude E Stenovitch
2417 Post Rd |
$42.02 | 633 | 485 |
|
Kristin T Peterson
500 Vincent St |
$30.07 | 596 | 566 |
|
Richard P Jennings
824 Illinois Ave |
$31.12 | 594 | 529 |
|
Ernestine A Wagner
2417 Post Road |
$1.16 | 593 | 498 |
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