Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Stoughton, WI: $106.37

Avg. Paid

$106.37

Range

$9.29 – $152.75

Total Claims

43,676

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 Stoughton, WI

Provider	Avg. Paid	Claims	Patients
Stoughton Hospital Association 900 Ridge St	$152.75	26,503	21,295
Thomas J Murwin 225 Church St	$45.46	6,635	5,951
Chris Alan Thomas 900 Ridge St	$19.24	1,995	1,689
Jennifer Birdsey 225 Church St	$27.45	1,385	1,274
Karrie R Burns 1001 Nygaard St	$35.46	1,132	958
Edward Koutnik 2300 Us Highway 51 And 138 Ste E	$27.71	982	894
Casey Eugene Freymiller 1001 Nygaard St	$48.09	658	599
Kathryn Less 1001 Nygaard Street	$21.13	586	567
Jamie Glee Mowry 1001 Nygaard St	$39.32	466	412
Katelyn Lothary 1111 Veterans Road	$14.41	440	424
Sheri Lynne Pierce 225 Church St	$33.24	411	358
Robert E. Terbrack 225 Church St	$31.12	320	271
Morgan Lively 225 Church St	$36.32	295	251
Robin M Wright 2166 Colladay Point Dr	$10.83	253	239
Christina A Quale 225 Church St	$39.49	233	199
Prasanna Raman 1001 Nygaard St	$11.74	224	208
Kristin Leigh Docter 225 Church St	$25.14	167	150
Mark Belligan 900 Ridge St	$31.18	164	153
Daniel J Staddler 225 Church St	$32.67	143	122
Richard G Rilling 225 Church St	$25.57	120	109
Meghan Johnson 100 Silverado Dr	$51.40	96	88
Annmarie Kathleen Ransom 225 Church St	$35.38	85	78
Karen H Pletta 1001 Nygaard St	$9.29	83	77
Ahsan Khalid 1001 Nygaard St	$18.74	78	71
Dean G Kresge 225 Church St	$25.46	49	41
Laura D Stolcpart 225 Church St	$30.32	37	37
Abby Lee Geissbuhler 225 Church St	$35.53	34	30
Nicole M Chicker 225 Church St	$54.93	33	27
Karen Sorenson-Lavalley 225 Church St	$27.31	29	27
Melissa A Schwab 225 Church St	$43.29	14	13
Guirish A Agni 225 Church St	$29.50	13	12
Kristina J Bartelt 950 Yuma Cir	$13.68	13	13

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 Stoughton, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Stoughton, WI is $106.37 per claim, based on 43,676 claims from 32 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 Stoughton, WI?

There are 32 Medicaid providers offering Office Visit related services in Stoughton, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Stoughton, WI ranges from $9.29 to $152.75 per claim, with an average of $106.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Stoughton, WI: $106.37

Providers Offering Office Visit in Stoughton, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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