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
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 Tomah, WI
Speech Therapy
Avg $10.46
46,635 claims
Emergency Room Visit
Avg $149.87
43,221 claims
Blood Work & Lab Tests
Avg $5.90
43,155 claims
Physical Therapy
Avg $23.74
25,979 claims
Personal Care Services
Avg $17.29
25,842 claims
Non-Emergency Medical Transportation
Avg $10.90
25,798 claims
Urinalysis & Urine Tests
Avg $4.68
14,654 claims
Chiropractic Care
Avg $21.14
13,531 claims