Average Medicaid Office Visit Payments in Waterford, WI: $33.87
Avg. Paid
$33.87
Range
$5.27 – $60.40
Total Claims
19,269
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 Waterford, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ursala B Marinan
818 Forest Ln |
$32.35 | 2,142 | 1,957 |
|
Shelley Flasch
818 Forest Ln |
$30.48 | 1,946 | 1,756 |
|
Anwar R Isabell
818 Forest Ln |
$36.50 | 1,914 | 1,830 |
|
Shivani A Patel
818 Forest Ln |
$50.05 | 1,710 | 1,664 |
|
Lamberto Y Malinis
818 Forest Ln |
$39.06 | 1,585 | 1,477 |
|
Melissa A Kersten
818 Forest Ln |
$19.98 | 1,511 | 958 |
|
Melanie A Smith
818 Forest Ln |
$37.39 | 1,333 | 1,223 |
|
Mustansir Majeed
1701 Sharp Rd |
$5.27 | 1,060 | 376 |
|
Mariana Isabel Corpus Hines
818 Forest Ln |
$60.40 | 1,042 | 872 |
|
Libby Rumary
818 Forest Ln |
$18.72 | 989 | 838 |
|
Nancy M Rofalikos-Welka
818 Forrest Dr |
$41.31 | 698 | 664 |
|
Kimberley G Van Buren
818 Forrest Dr |
$34.21 | 681 | 638 |
|
Beth A Weidman
818 Forest Ln |
$35.46 | 556 | 477 |
|
Iryna Nemesh
818 Forest Ln |
$44.63 | 383 | 344 |
|
Alok K Srivastava
818 Forest Ln |
$32.83 | 370 | 351 |
|
Terry A Kollenbroich
818 Forest Ln |
$27.74 | 361 | 321 |
|
Scott J Schutten
818 Forrest Dr |
$26.14 | 302 | 287 |
|
Nicole Schwartz
818 Forrest Ln |
$27.01 | 191 | 176 |
|
Christine M Dignan
818 Forrest Ln |
$30.31 | 170 | 153 |
|
Daniel A Allison
818 Forest Ln |
$28.35 | 146 | 133 |
|
Jessica Sweeney
818 Forrest Ln |
$25.80 | 91 | 81 |
|
Kim T Duczak
818 Forrest Ln |
$42.83 | 88 | 81 |
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 Waterford, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waterford, WI is $33.87 per claim, based on 19,269 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 Waterford, WI?
There are 22 Medicaid providers offering Office Visit related services in Waterford, WI according to public payment data.
What is the price range for Office Visit in Waterford, WI?
Medicaid reimbursement for Office Visit in Waterford, WI ranges from $5.27 to $60.40 per claim, with an average of $33.87. 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 Waterford, WI
Personal Care Services
Avg $11.18
29,529 claims
Speech Therapy
Avg $11.54
11,716 claims
Physical Therapy
Avg $14.30
9,043 claims
Non-Emergency Medical Transportation
Avg $11.40
7,964 claims
Substance Abuse Treatment
Avg $9.79
2,296 claims
Vaccines & Immunizations
Avg $2.62
1,160 claims
EKG / ECG (Electrocardiogram)
Avg $8.08
1,136 claims
Psychiatric Evaluation
Avg $23.55
164 claims