Skip to content
Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Tomah, WI: $73.15

Avg. Paid

$73.15

Range

$8.19 – $225.27

Total Claims

63,863

Providers

50

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 Tomah, WI

Provider Avg. Paid Claims Patients
Tomah Memorial Hospital Inc

501 Gopher Dr

$131.56 26,552 21,847
Sarah Nicole Liddell

501 Gopher Dr

$30.28 4,284 2,730
Kelly E Hodgson-Kline

1330 N Superior Ave

$34.85 3,268 3,079
Stacey J Sperlingas

325 Butts Ave

$40.21 3,226 3,017
Cassie Sullivan

501 Gopher Dr

$27.83 2,491 2,270
Michelle M Masters

501 Gopher Dr

$26.06 2,155 1,978
Kimberly A Tate

1330 N Superior Ave

$42.56 2,031 1,902
Laura J Miller

501 Gopher Dr

$25.23 1,794 1,623
Michael C Stark

325 Butts Ave

$23.17 1,759 1,580
Agnieszka Dendura

501 Gopher Dr

$31.01 1,551 1,434
Ashlie Lynn Dushek

505 Gopher Dr

$30.07 1,289 1,185
Glenna J Olson

1330 N Superior Ave

$26.53 1,267 1,165
Rachel Ann Robarge

1330 N Superior Ave

$38.29 834 765
Kelly S Thayer

501 Gopher Dr

$20.55 773 716
Mitchelle L Schroader

1330 N Superior Ave

$31.15 766 713
Shelley Larice Strojny

500 E Veterans St

$28.22 753 614
Robert D Hulburt

321 Butts Ave

$26.25 701 627
Andrew Last

325 Butts Ave

$24.62 600 548
Kayla J Gilman

505 Gopher Dr

$32.07 591 547
Rick A Erdman

1330 N Superior Ave

$27.83 525 497
Ashley K Path

501 Gopher Dr

$20.86 522 473
Brian William Olson

301 Superior Ave

$19.54 454 416
Jill P Mcmullen

1330 N Superior Ave

$29.07 451 421
Willard K Schanhofer

325 Butts Ave

$24.52 438 408
Brad A Jones

505 Gopher Dr

$34.43 403 350
Kimberly Megan Casper

501 Gopher Dr

$33.67 380 317
Christine E Jacobsen

1330 N Superior Ave

$33.84 361 348
Robyn Lynn Brown

501 Gopher Dr

$29.38 359 304
Karyn Cecele

325 Butts Ave

$34.15 356 326
Kara A Kamps-Schmitt

505 Gopher Dr

$33.46 332 295
Ifeloluwa A Olutola

325 Butts Ave

$44.29 289 270
Bradley Peter Bekkum

500 E Veterans St

$18.62 280 264
Jill E Boulden

325 Butts Ave

$37.20 267 238
Teri S. Gjerseth

505 Gopher Dr

$64.71 266 241
Montserrat S. Del Olmo

505 Gopher Dr

$45.84 239 220
Robert Anthony Holness

1330 N Superior Ave

$26.27 195 178
Krista Ann Scharer

325 Butts Ave

$35.90 192 178
Kristi L Carlson

325 Butts Avenue

$22.29 181 161
Michael J Saunders

325 Butts Ave

$26.48 128 116
Jayde A Thompson

505 Gopher Dr

$26.92 121 115
John Jackson

505 Gopher Dr

$225.27 101 84
Emile W. Salvo

17312 Interlude Rd

$34.27 94 86
Peter J Hordyk

1330 N Superior Ave

$20.05 72 62
Thomas E Boulden

325 Butts Ave

$16.61 50 44
Vanessa Rose Rogich

325 Butts Ave

$46.52 32 27
Gerald Dennis Fushianes

501 Gopher Dr

$22.06 29 24
Bradley Duane Maurhoff

1330 N Superior Ave

$8.19 19 12
Aaron M.K. Butler

1330 N Superior Ave

$27.02 15 14
Evelyn Williams Bragg

500 E Veterans St

$56.93 15 15
Brent Allen Fuerbringer

1330 N Superior Ave

$15.16 12 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 Tomah, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tomah, WI is $73.15 per claim, based on 63,863 claims from 50 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 Tomah, WI?

There are 50 Medicaid providers offering Office Visit related services in Tomah, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Tomah, WI ranges from $8.19 to $225.27 per claim, with an average of $73.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Tomah, WI