Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Summit, WI: $32.41

Avg. Paid

$32.41

Range

$0.00 – $52.37

Total Claims

35,949

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 Summit, WI

Provider	Avg. Paid	Claims	Patients
Shirley M Potsch 36500 Aurora Dr	$36.72	4,531	4,139
Todd Koch 36500 Aurora Dr	$29.51	2,853	2,656
Paul H Zuzick 36500 Aurora Dr	$36.45	2,157	1,952
James J Gatto 36500 Aurora Dr	$33.67	1,957	1,794
Travis M Hecker 36500 Aurora Dr	$31.52	1,897	1,203
Amanda N Stelzel 36500 Aurora Dr	$17.95	1,871	1,578
David Tylicki 36500 Aurora Dr	$29.95	1,497	1,407
Inna Alexandrovna Allen 36500 Aurora Dr	$34.47	1,421	1,328
Mark H Hermanoff 36500 Aurora Dr	$41.95	1,386	1,288
Makensie Rae Quinn 36500 Aurora Dr	$51.55	1,229	1,147
Shubhi Sehgal 36500 Aurora Dr	$27.54	1,156	1,091
Brandon Michael Rucker 36500 Aurora Dr	$37.49	1,144	1,043
Carrie A Petersen 36500 Aurora Dr	$35.92	1,061	951
Shelley K Watters 36500 Aurora Dr	$42.80	1,056	992
Anthony J Wampole 36500 Aurora Dr	$33.47	1,053	909
Christina T Meyer 36500 Aurora Dr	$31.95	1,011	903
Lindsey A Sisco 36500 Aurora Dr	$15.27	893	731
Rebecca M Striet 36500 Aurora Dr	$11.12	877	563
Sophos Georgio Geroulis 36500 Aurora Dr	$30.74	670	580
Timothy Vellinga 36500 Aurora Dr	$27.85	555	529
Diego Cole Villacis 36500 Aurora Dr	$22.40	503	460
Erica M Dziatkiewicz 36500 Aurora Dr	$27.91	498	466
Amy R Ford 36500 Aurora Dr	$28.92	467	428
Mhd Kher Heder 36500 Aurora Dr	$34.28	408	397
Adam P Siegel 36500 Aurora Dr	$25.09	348	309
Omar Sinno 36500 Aurora Dr	$43.18	332	262
Suzanne Major 36500 Aurora Dr	$26.26	290	262
Karina Mae Arkush 36500 Aurora Dr	$41.63	284	228
Amanda Jo Shear 36500 Aurora Dr	$38.57	263	238
Paul A Lambert 36500 Aurora Dr	$30.97	259	235
Erika Breeser 36500 Aurora Dr	$24.85	203	193
Hailee I. Holt 36500 Aurora Dr	$42.36	180	161
Holly A Wallace 36500 Aurora Dr	$35.37	136	111
Angela Marie Ellenberger 36500 Aurora Dr	$0.00	136	96
Shawn E Schoch 36500 Aurora Dr	$23.51	134	125
Nicholas P Vaughn 36500 Aurora Dr	$36.04	127	115
Junwei Liu 36500 Aurora Dr	$33.69	126	116
Peter Anthony Garza 36500 Aurora Dr	$29.95	113	109
Rafath Ullah 36500 Aurora Dr	$52.16	95	88
Ashley Blair Skosey 36500 Aurora Dr	$27.61	86	81
Amy M Scott-Egerbrecht 36500 Aurora Dr	$38.10	82	80
Elana Marie Rose Contorno 36500 Aurora Dr	$23.51	77	75
Elizabeth K Yun 36500 Aurora Dr	$33.12	73	65
Tatyana Taranukha 36500 Aurora Dr	$46.64	68	57
Aurora Health Care Southern Lakes, Inc. 36500 Aurora Dr	$40.05	56	37
Jacqueline Moore Akert 36500 Aurora Drive	$37.46	45	38
Timothy J Schnettler 36500 Aurora Dr	$31.31	41	39
Colin G Stair 36500 Aurora Dr	$52.37	37	37
Abbey Hurtis 36500 Aurora Dr	$13.91	33	30
Michael T Mcqueen 36500 Aurora Dr	$16.61	27	26

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 Summit, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Summit, WI is $32.41 per claim, based on 35,949 claims from 58 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 Summit, WI?

There are 58 Medicaid providers offering Office Visit related services in Summit, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Summit, WI ranges from $0.00 to $52.37 per claim, with an average of $32.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Summit, WI: $32.41

Providers Offering Office Visit in Summit, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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New York, NY

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Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Summit, WI

Emergency Room Visit

Physical Therapy

Blood Work & Lab Tests

Prescription Medications

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests

X-Ray

Vaccines & Immunizations