Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sturgeon Bay, WI: $24.27

Avg. Paid

$24.27

Range

$2.64 – $72.90

Total Claims

59,038

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 Sturgeon Bay, WI

Provider	Avg. Paid	Claims	Patients
Shailaja Munagala 1910 Alabama Street	$2.64	20,177	18,378
Door County Memorial Hospital 323 S 18Th Ave	$50.29	7,308	6,286
Kumar Akashdeep 1910 Alabama St	$30.54	3,119	2,814
Amanda Marie Court 1910 Alabama St	$36.43	2,889	2,607
Lisa M Frisque 1910 Alabama St	$38.39	2,004	1,890
Edward J Wasie 1910 Alabama St	$29.90	1,871	1,635
Amy Catherine Fogarty 323 S 18Th Ave	$37.03	1,745	1,624
Anne Marie Miller 421 Nebraska St.	$13.78	1,735	1,490
Sara Kathryn Aicher 1910 Alabama St	$31.61	1,677	1,562
Holly A Ullman Herlache 323 S 18Th Ave	$29.41	1,581	1,464
Sandra I Martens 323 S 18Th Ave	$29.70	1,480	1,375
Beth Ann Brunette 323 S 18Th Ave	$28.10	1,410	1,316
Michael Aleksandrowicz 1910 Alabama St	$46.86	1,320	1,203
Courtney Prusak 1910 Alabama St	$29.97	1,311	1,224
Levi R. Arnold 331 Kentucky St	$19.26	996	890
Heidi Derbick 323 S 18Th Ave	$34.82	889	829
Cathleen Lee Keltgen 1444 Egg Harbor Rd	$28.51	749	704
Diane Thaler 33 Green Bay Rd	$24.33	702	592
Keith R. Anclam 323 S 18Th Ave	$34.60	687	630
Patti Ann Balestrieri 323 S 18Th Ave	$28.43	650	602
Shane Frank Colvin 323 S 18Th Ave	$37.32	567	532
Loren P Scholl 311 N 3Rd Ave	$25.40	486	376
Kimberly G Thiry 1118 S Neenah Ave	$38.62	460	398
Door County Memorial Hospital 323 S 18Th Ave	$69.59	408	247
Ashley Elizabeth Mijal 311 N 3Rd Ave	$45.65	394	352
Paula L. Hobart 323 S 18Th Ave	$28.39	357	323
Seth Patrick Moore 323 S 18Th Ave	$39.63	320	281
Justin Cody Bohrer 3819 Bay Shore Dr	$23.06	257	165
Jeffrey Allen Maurer 323 S 18Th Ave	$40.23	208	167
Paul N Greenlaw 311 N 3Rd Ave	$21.94	206	152
Susan Marie Werchek 323 S 18Th Ave	$7.95	168	118
Laura A Rockendorf 1910 Alabama St	$46.93	160	150
County Of Door-Door County Library 421 Nebraska St	$10.39	147	143
Tomasz Michalski 323 S 18Th Ave	$40.63	118	108
Kenzie Taylor 1910 Alabama St	$72.90	102	91
Brett D Young 323 S 18Th Ave	$42.11	72	69
Marcia M Osborne 1910 Alabama St	$27.40	69	65
Kimberly Ann Kasten 323 S 18Th Ave	$28.94	63	56
Andrea R Patza 1910 Alabama St	$31.42	59	52
Paul Steven Board 323 S 18Th Ave	$40.95	31	27
Andrzej P Kurek 323 S 18Th Ave	$47.24	27	25
Randal E Arnold 331 Kentucky St	$16.06	18	15
Jason Kenwood Keltgen 1444 Egg Harbor Rd	$49.41	17	17
Shawn W Laibly 323 S 18Th Ave	$27.25	12	12
Maria Chona Segismundo Antonio 323 S 18Th Ave	$44.87	12	12

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 Sturgeon Bay, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sturgeon Bay, WI is $24.27 per claim, based on 59,038 claims from 45 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 Sturgeon Bay, WI?

There are 45 Medicaid providers offering Office Visit related services in Sturgeon Bay, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Sturgeon Bay, WI ranges from $2.64 to $72.90 per claim, with an average of $24.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sturgeon Bay, WI: $24.27

Providers Offering Office Visit in Sturgeon Bay, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Sturgeon Bay, WI

Blood Work & Lab Tests

Behavioral & Mental Health Therapy

Chiropractic Care

Dental Cleaning & Exam

Emergency Room Visit

Speech Therapy

Urinalysis & Urine Tests

Dental Filling