Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sun Prairie, WI: $35.25

Avg. Paid

$35.25

Range

$0.41 – $61.99

Total Claims

41,412

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 Sun Prairie, WI

Provider	Avg. Paid	Claims	Patients
Audra L Yentz 10 Tower Dr	$37.39	13	12
Jason M Ballweg 105 Clarmar Dr	$17.96	14	13
Annie Laura Henderson 10 Tower Dr	$50.35	20	15
Kailene L Devries 10 Tower Dr	$20.13	21	16
Lesley A Coert 2651 Windsor St	$26.99	38	37
Sarah N Westby 2651 Windsor St	$17.53	40	39
Robert M Greytak 10 Tower Dr	$14.58	47	27
Michael J Aughey 10 Tower Dr	$37.96	49	43
Jackie L Sell 1226 School St	$27.22	52	44
Taylor M Lata 2651 Windsor St	$36.28	62	52
Katharine Marie Greenfield 2651 Windsor St	$26.05	70	64
Yusuf Abdullah 10 Tower Dr	$61.99	91	83
Eric Bauman 722 Lois Dr	$58.41	95	84
Nicole N. Weathers 2651 Windsor St	$18.05	109	96
Leo A Schug 10 Tower Dr	$15.53	110	93
Kyle Peter D'Alberto 10 Tower Dr	$34.63	112	105
Bruce Gordon Baranski 2168 County Road T	$17.86	139	129
Kate M Blank 10 Tower Dr	$35.53	224	200
Ann M Byrne 1401 Okeeffe Ave Apt 216	$22.63	237	221
Michele L Newquist 10 Tower Dr	$27.91	250	206
Chad J. Hess 10 Tower Dr	$22.99	251	211
Paige E Armga 2651 Windsor St	$23.38	252	243
Jodi Ann Wagner 3112 Egre Rd	$0.41	280	245
Laura Shaw Kuhn 2651 Windsor St	$34.02	338	303
David W Queoff 2651 Windsor St	$24.64	397	371
James E Quackenbush 2501 Ironwood Dr Apt 227	$18.24	469	439
Tyler D Zenner 10 Tower Dr	$41.55	548	489
Jacob J. Bryan 2651 Windsor St	$21.41	549	500
Carol Jan Morris 10 Tower Dr	$24.49	579	467
Diana V Flint 10 Tower Dr	$38.54	613	556
Megan E Kuikman 10 Tower Dr	$35.51	666	594
Hilary Jahnke 10 Tower Dr	$36.52	701	653
Sarah E Meyer 10 Tower Dr	$37.89	864	761
Danielle R Gindlesberger 10 Tower Dr	$38.40	1,030	887
Nina M Kinnunen 10 Tower Dr	$41.03	1,036	939
David G Kass 10 Tower Dr	$30.48	1,092	900
Adebowale Mofikoya 425 W Main St Ste 201	$25.89	1,119	967
Laura B Pethan 10 Tower Dr	$34.35	1,184	1,102
Stephanie M Stenseth 10 Tower Dr	$37.07	1,215	1,090
Alarise Jacquelyn Clay 1305 Prairie Rose Dr	$34.59	1,224	1,159
Mihaela Pirau 10 Tower Dr	$15.76	1,430	1,419
Stephanie T Schrader 10 Tower Dr	$39.15	1,531	1,372
Kimberly K Ward 10 Tower Dr	$27.47	1,697	1,481
Anne E Arbet 10 Tower Dr	$36.32	1,728	1,535
Amanda E Kafka 10 Tower Dr	$35.88	1,747	1,564
Christopher L Kleppe 10 Tower Dr	$41.70	2,119	1,873
Kimberly Jean Berndt 131 Walmar Dr	$37.10	2,552	1,873
Phillip L. Stall 10 Tower Dr	$58.16	2,868	2,438
Joanne L Taylor 10 Tower Dr	$35.12	3,083	2,808
Keith E Cooper 10 Tower Dr	$29.20	3,217	2,928

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 Sun Prairie, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sun Prairie, WI is $35.25 per claim, based on 41,412 claims from 51 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 Sun Prairie, WI?

There are 51 Medicaid providers offering Office Visit related services in Sun Prairie, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Sun Prairie, WI ranges from $0.41 to $61.99 per claim, with an average of $35.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sun Prairie, WI: $35.25

Providers Offering Office Visit in Sun Prairie, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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