Average Medicaid Office Visit Payments in Superior, WI: $26.15
Avg. Paid
$26.15
Range
$0.00 – $234.61
Total Claims
89,816
Providers
47
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 Superior, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St. Mary'S Hospital Of Superior
3500 Tower Ave |
$7.79 | 38,124 | 20,992 |
|
Adam M Wennersten
2222 E 5Th St |
$31.51 | 6,843 | 5,377 |
|
Emily J Anderson
2222 E 5Th St |
$31.27 | 5,786 | 4,474 |
|
Holly Lynn Gomez-Levine
3500 Tower Ave |
$31.42 | 2,782 | 2,092 |
|
Lauren Elizabeth Giammar
109 N 28Th St E |
$68.20 | 2,642 | 2,469 |
|
Olga Mikhaylovna Ter-Grigoryan
3500 Tower Ave |
$42.34 | 2,563 | 2,262 |
|
Leslie Ann Anderson
3500 Tower Ave |
$33.79 | 2,369 | 2,055 |
|
Karen Wyse Niedermier
2202 E 2Nd St Ste 377 |
$32.22 | 2,353 | 2,135 |
|
Ryan Morgan
3500 Tower Ave |
$51.30 | 2,224 | 1,874 |
|
Kelly Kristine Parish-Larson
3500 Tower Ave |
$42.95 | 1,858 | 1,630 |
|
Theresa Elizabeth Weerts
3500 Tower Ave |
$43.92 | 1,827 | 1,561 |
|
Chizoba Nicole Okechukwu
3500 Tower Avenue |
$47.54 | 1,783 | 1,502 |
|
Lake Superior Community Health Center
3600 Tower Avenue |
$0.43 | 1,626 | 1,464 |
|
John Sukhoon Yoon
109 N 28Th St E |
$15.23 | 1,479 | 1,213 |
|
Elaina A Fischer
3500 Tower Ave |
$41.43 | 1,293 | 1,159 |
|
Amy Marie Laflamme
3500 Tower Ave |
$37.76 | 1,289 | 1,134 |
|
James G Potter
3500 Tower Avenue |
$24.46 | 1,104 | 957 |
|
Zoe Kunze
2222 E 5Th St |
$51.29 | 1,013 | 762 |
|
Jay Michael Ferguson
3500 Tower Ave |
$47.64 | 984 | 930 |
|
Megan J Hoel
109 N 28Th St E |
$22.54 | 899 | 786 |
|
Michael John Sterns
3500 Tower Avenue |
$48.87 | 889 | 790 |
|
Marisa M Gehl
109 N 28Th St E |
$36.09 | 836 | 738 |
|
Jean Elise Hoyer
3500 Tower Ave |
$40.40 | 801 | 725 |
|
Anna Charlotte Greiner
109 N 28Th St E |
$20.52 | 713 | 610 |
|
Brian G Riddle
109 N 28Th St E |
$234.61 | 713 | 650 |
|
Christopher Dean Senger
3500 Tower Ave |
$41.24 | 629 | 576 |
|
Lake Superior Community Health Center
2222 E 5Th St |
$0.00 | 591 | 535 |
|
Sarah Lynn Karl
3500 Tower Ave |
$35.30 | 585 | 501 |
|
Jamie Lee Hammer
3500 Tower Ave |
$67.36 | 433 | 370 |
|
Douglas County Community Health Clinic Inc.
2231 Catlin Ave |
$44.74 | 399 | 387 |
|
Kristofer Michael Wallman
Twin Ports Va Outpatient Clinic |
$77.47 | 385 | 375 |
|
Tina Walman
2202 East 2Nd Street |
$33.20 | 377 | 351 |
|
George F Holliday
3500 Tower Ave |
$44.55 | 338 | 304 |
|
Nicholas C. Ellefson
3500 Tower Ave |
$41.17 | 326 | 278 |
|
Sarah Elizabeth Johnson
3500 Tower Ave |
$38.33 | 205 | 194 |
|
Kelly Page Sweet
3500 Tower Ave |
$38.64 | 188 | 160 |
|
Gregory Michael Lesneski
3500 Tower Ave |
$47.53 | 160 | 149 |
|
Labutale Walawwe Rajaguru
3500 Tower Ave |
$52.98 | 83 | 71 |
|
Rhiannon Elise Grimm
3500 Tower Ave |
$57.86 | 70 | 62 |
|
Katie Lange Howard
3500 Tower Ave |
$34.33 | 62 | 55 |
|
Erin Lee Fisker
3500 Tower Ave |
$46.86 | 42 | 34 |
|
Joseph Van Richards
3500 Tower Ave |
$44.02 | 41 | 39 |
|
Jason C. Bramstedt
2222 E 5Th St |
$14.63 | 34 | 27 |
|
Sarojini Sharma
3500 Tower Ave |
$46.94 | 27 | 25 |
|
Ashley Elizabeth Jensen
3500 Tower Ave |
$0.00 | 19 | 13 |
|
Georgia Dimos Brunette
3500 Tower Ave |
$30.34 | 16 | 12 |
|
Jill Marie Essay
3500 Tower Ave |
$68.04 | 13 | 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 Superior, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Superior, WI is $26.15 per claim, based on 89,816 claims from 47 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 Superior, WI?
There are 47 Medicaid providers offering Office Visit related services in Superior, WI according to public payment data.
What is the price range for Office Visit in Superior, WI?
Medicaid reimbursement for Office Visit in Superior, WI ranges from $0.00 to $234.61 per claim, with an average of $26.15. 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 Superior, WI
Blood Work & Lab Tests
Avg $11.99
135,351 claims
Emergency Room Visit
Avg $165.62
39,274 claims
Dental Cleaning & Exam
Avg $25.70
38,271 claims
Physical Therapy
Avg $21.40
34,090 claims
Psychiatric Evaluation
Avg $55.47
33,423 claims
Speech Therapy
Avg $7.53
28,097 claims
Non-Emergency Medical Transportation
Avg $8.61
24,414 claims
Personal Care Services
Avg $15.13
24,284 claims