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Based on public Medicaid payment data.

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

Other Procedures in Superior, WI