Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Two Rivers, WI: $26.90

Avg. Paid

$26.90

Range

$6.91 – $49.79

Total Claims

37,933

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 Two Rivers, WI

Provider	Avg. Paid	Claims	Patients
Christopher J Painter 5000 Memorial Dr	$27.66	12	12
Thomas R Mccann 5300 Memorial Dr	$25.56	13	13
Jeffrey David Schroeder 5000 Memorial Dr	$34.33	13	13
Tracy L Sherman 2219 Garfield St	$6.91	15	14
Samuel Quinn Ballard 800 Lakefront Way	$21.66	16	16
Lindsey M Kalcich 5300 Memorial Dr	$41.21	16	15
Tricia Annette Lorenz 800 Lakefront Way	$26.44	36	29
Joseph M Feder 5300 Memorial Dr	$25.23	39	37
Robert A Gahl 1516 Washington St	$18.50	41	37
Charles D Pratt 5000 Memorial Dr	$24.60	66	59
Caline Daun Long 5000 Memorial Dr	$26.51	67	44
Madelyn E Boney 2219 Garfield St	$41.64	104	98
Beverly J Ricker 5300 Memorial Dr	$30.94	106	91
Hye Chong L Lambert 5300 Memorial Dr	$41.08	106	102
Mackenzie L Zuleger 5300 Memorial Dr	$22.40	131	114
Gregory L Woodfill 5300 Memorial Dr	$29.61	181	139
Douglas E Rapisarda 5300 Memorial Dr	$34.11	210	196
Kathryn A Zavala 5300 Memorial Dr	$25.65	236	212
Barbara J Gonzales 5000 Memorial Dr	$22.21	270	246
Michelle K Petersen 5300 Memorial Dr	$30.25	277	250
Matthew Conrad 5300 Memorial Dr	$30.79	374	334
Richard W Theobald 5300 Memorial Dr	$22.31	424	411
Erin B Humphrey 5300 Memorial Dr	$20.45	470	417
Glenn A Smith 2219 Garfield St	$36.48	493	440
Aurora Health Care North, Inc. 5000 Memorial Dr	$49.79	566	466
Alfredo Diaz 2219 Garfield St	$24.46	662	609
Sandra R Van Groll 5300 Memorial Dr	$30.82	671	598
Joanna Smogoleski 5300 Memorial Dr	$32.57	714	648
Nadine M Illichmann 2848 Memorial Dr Ste 9	$16.42	750	636
Jennifer Renee Cappelle 5300 Memorial Dr	$31.99	782	723
Tresa A Teehan 5300 Memorial Dr	$24.52	807	765
Lisa A Kumbalek 5300 Memorial Dr	$37.00	897	834
Priscilla Carolina Hidalgo 5300 Memorial Dr	$28.99	912	777
Philip M Micksch 5300 Memorial Dr	$21.54	971	908
Amber M Schmitz 5300 Memorial Dr	$31.22	1,032	980
Brett J Leiknes 5000 Memorial Dr	$31.25	1,035	947
Mary P Gospodarek 2219 Garfield St	$34.44	1,148	1,028
Chanthorn Vu 5300 Memorial Dr	$23.66	1,275	993
Samantha Klinkner 2219 Garfield St	$31.90	1,383	1,308
Jennifer L. Weier 5300 Memorial Dr	$27.42	1,415	1,239
Dawn Marie Bolwerk 5300 Memorial Dr	$35.72	1,539	1,408
Angela Katsma 5300 Memorial Dr	$33.70	1,648	1,511
Janna A Kroiss 2219 Garfield St	$37.76	1,991	1,814
Carey L Willman 2219 Garfield St	$34.63	2,266	2,078
Judith Arnold 5300 Memorial Dr	$23.07	5,198	4,562
Erica L Dessart 5300 Memorial Dr	$13.48	6,555	4,922

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 Two Rivers, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Two Rivers, WI is $26.90 per claim, based on 37,933 claims from 46 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 Two Rivers, WI?

There are 46 Medicaid providers offering Office Visit related services in Two Rivers, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Two Rivers, WI ranges from $6.91 to $49.79 per claim, with an average of $26.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Two Rivers, WI: $26.90

Providers Offering Office Visit in Two Rivers, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Two Rivers, WI

Physical Therapy

Emergency Room Visit

Blood Work & Lab Tests

Personal Care Services

Psychiatric Evaluation

Urinalysis & Urine Tests

Prescription Medications

Chiropractic Care