Average Medicaid Office Visit Payments in Verona, WI: $38.82
Avg. Paid
$38.82
Range
$2.47 – $80.39
Total Claims
9,060
Providers
22
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 Verona, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jason Alan Ricco
100 N Nine Mound Rd |
$80.39 | 2,110 | 1,853 |
|
Krista Dopf
651 Acadia Way |
$13.27 | 1,107 | 737 |
|
Jennifer Terasa
100 N Nine Mound Rd |
$24.19 | 1,077 | 979 |
|
John W Beasley
100 N Nine Mounds Rd |
$28.36 | 1,076 | 994 |
|
Jean Marie Riquelme
100 N Nine Mound Rd |
$27.06 | 917 | 819 |
|
Douglas L Smith
100 N Nine Mounds Road |
$28.88 | 739 | 645 |
|
Magnolia Jean Larson
100 N Nine Mound Rd |
$40.08 | 459 | 440 |
|
Margo E Hubbard
928 Hemlock Dr |
$25.22 | 419 | 358 |
|
Randy Kittleson
3085 Timber Ln |
$23.99 | 298 | 285 |
|
Jessica Afrose Zaman
419 Prairie Way Blvd |
$62.31 | 194 | 191 |
|
Gregg A Heatley
3844 Swoboda Rd |
$16.90 | 192 | 168 |
|
Sarah Elizabeth Ranke
520 Roman Mist Way |
$29.37 | 117 | 105 |
|
Harmony R Ryan
271 S Main St |
$35.69 | 73 | 64 |
|
Jared Mark Radermacher
600 W Verona Ave |
$22.41 | 54 | 54 |
|
Kathleen A Desantes
3906 Caribou Rd |
$7.11 | 47 | 42 |
|
Mark William Wirtz
100 N Nine Mound Rd |
$49.82 | 41 | 26 |
|
Amanda R Preimesberger
300 E Verona Ave Ste A |
$42.00 | 39 | 38 |
|
Loyda E Braithwaite
310 Ridge View Trl |
$29.32 | 31 | 28 |
|
Benjamin D Traun
681 Fairview Ter |
$13.66 | 28 | 27 |
|
Cassandra Marie Lovato
10243 Meandering Way |
$31.50 | 15 | 15 |
|
Jessica Lyn Leiberg
7857 Schaller Rd |
$12.26 | 14 | 12 |
|
Allison D Couture
100 N Nine Mound Rd |
$2.47 | 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 Verona, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Verona, WI is $38.82 per claim, based on 9,060 claims from 22 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 Verona, WI?
There are 22 Medicaid providers offering Office Visit related services in Verona, WI according to public payment data.
What is the price range for Office Visit in Verona, WI?
Medicaid reimbursement for Office Visit in Verona, WI ranges from $2.47 to $80.39 per claim, with an average of $38.82. 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 Verona, WI
Personal Care Services
Avg $14.80
61,670 claims
Speech Therapy
Avg $15.96
35,964 claims
Non-Emergency Medical Transportation
Avg $11.25
28,572 claims
Physical Therapy
Avg $26.55
17,381 claims
Dental Cleaning & Exam
Avg $24.35
13,875 claims
Chiropractic Care
Avg $20.62
7,361 claims
Ambulance Transport
Avg $113.51
6,146 claims
Dental Filling
Avg $64.95
1,963 claims