Average Medicaid Office Visit Payments in Summit, WI: $32.41
Avg. Paid
$32.41
Range
$0.00 – $52.37
Total Claims
35,949
Providers
58
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 |
|---|---|---|---|
|
Lea H Rayman
36500 Aurora Dr |
$46.67 | 13 | 12 |
|
Carol J Lagerman
36500 Aurora Dr |
$30.63 | 14 | 14 |
|
Kristal D Timm
36500 Aurora Dr |
$17.82 | 14 | 12 |
|
Marie Louise Bruce
36500 Aurora Dr |
$33.74 | 15 | 14 |
|
Steven J Hunter
36500 Aurora Dr |
$31.70 | 16 | 15 |
|
Melissa L Mcglynn
36500 Aurora Dr |
$18.71 | 24 | 24 |
|
Pravin Gupta
36500 Aurora Dr |
$26.75 | 25 | 24 |
|
Stephanie Lynn Baginski
36500 Aurora Dr |
$34.54 | 26 | 26 |
|
Michael T Mcqueen
36500 Aurora Dr |
$16.61 | 27 | 26 |
|
Abbey Hurtis
36500 Aurora Dr |
$13.91 | 33 | 30 |
|
Colin G Stair
36500 Aurora Dr |
$52.37 | 37 | 37 |
|
Timothy J Schnettler
36500 Aurora Dr |
$31.31 | 41 | 39 |
|
Jacqueline Moore Akert
36500 Aurora Drive |
$37.46 | 45 | 38 |
|
Aurora Health Care Southern Lakes, Inc.
36500 Aurora Dr |
$40.05 | 56 | 37 |
|
Tatyana Taranukha
36500 Aurora Dr |
$46.64 | 68 | 57 |
|
Elizabeth K Yun
36500 Aurora Dr |
$33.12 | 73 | 65 |
|
Elana Marie Rose Contorno
36500 Aurora Dr |
$23.51 | 77 | 75 |
|
Amy M Scott-Egerbrecht
36500 Aurora Dr |
$38.10 | 82 | 80 |
|
Ashley Blair Skosey
36500 Aurora Dr |
$27.61 | 86 | 81 |
|
Rafath Ullah
36500 Aurora Dr |
$52.16 | 95 | 88 |
|
Peter Anthony Garza
36500 Aurora Dr |
$29.95 | 113 | 109 |
|
Junwei Liu
36500 Aurora Dr |
$33.69 | 126 | 116 |
|
Nicholas P Vaughn
36500 Aurora Dr |
$36.04 | 127 | 115 |
|
Shawn E Schoch
36500 Aurora Dr |
$23.51 | 134 | 125 |
|
Holly A Wallace
36500 Aurora Dr |
$35.37 | 136 | 111 |
|
Angela Marie Ellenberger
36500 Aurora Dr |
$0.00 | 136 | 96 |
|
Hailee I. Holt
36500 Aurora Dr |
$42.36 | 180 | 161 |
|
Erika Breeser
36500 Aurora Dr |
$24.85 | 203 | 193 |
|
Paul A Lambert
36500 Aurora Dr |
$30.97 | 259 | 235 |
|
Amanda Jo Shear
36500 Aurora Dr |
$38.57 | 263 | 238 |
|
Karina Mae Arkush
36500 Aurora Dr |
$41.63 | 284 | 228 |
|
Suzanne Major
36500 Aurora Dr |
$26.26 | 290 | 262 |
|
Omar Sinno
36500 Aurora Dr |
$43.18 | 332 | 262 |
|
Adam P Siegel
36500 Aurora Dr |
$25.09 | 348 | 309 |
|
Mhd Kher Heder
36500 Aurora Dr |
$34.28 | 408 | 397 |
|
Amy R Ford
36500 Aurora Dr |
$28.92 | 467 | 428 |
|
Erica M Dziatkiewicz
36500 Aurora Dr |
$27.91 | 498 | 466 |
|
Diego Cole Villacis
36500 Aurora Dr |
$22.40 | 503 | 460 |
|
Timothy Vellinga
36500 Aurora Dr |
$27.85 | 555 | 529 |
|
Sophos Georgio Geroulis
36500 Aurora Dr |
$30.74 | 670 | 580 |
|
Rebecca M Striet
36500 Aurora Dr |
$11.12 | 877 | 563 |
|
Lindsey A Sisco
36500 Aurora Dr |
$15.27 | 893 | 731 |
|
Christina T Meyer
36500 Aurora Dr |
$31.95 | 1,011 | 903 |
|
Anthony J Wampole
36500 Aurora Dr |
$33.47 | 1,053 | 909 |
|
Shelley K Watters
36500 Aurora Dr |
$42.80 | 1,056 | 992 |
|
Carrie A Petersen
36500 Aurora Dr |
$35.92 | 1,061 | 951 |
|
Brandon Michael Rucker
36500 Aurora Dr |
$37.49 | 1,144 | 1,043 |
|
Shubhi Sehgal
36500 Aurora Dr |
$27.54 | 1,156 | 1,091 |
|
Makensie Rae Quinn
36500 Aurora Dr |
$51.55 | 1,229 | 1,147 |
|
Mark H Hermanoff
36500 Aurora Dr |
$41.95 | 1,386 | 1,288 |
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.
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 Summit, WI
Emergency Room Visit
Avg $48.76
50,561 claims
Physical Therapy
Avg $31.69
40,220 claims
Blood Work & Lab Tests
Avg $9.52
31,011 claims
Prescription Medications
Avg $0.09
10,088 claims
EKG / ECG (Electrocardiogram)
Avg $2.78
8,734 claims
Urinalysis & Urine Tests
Avg $7.53
7,787 claims
X-Ray
Avg $9.55
6,120 claims
Vaccines & Immunizations
Avg $6.21
5,775 claims