Average Medicaid Office Visit Payments in Watertown, WI: $36.05
Avg. Paid
$36.05
Range
$0.00 – $71.81
Total Claims
55,192
Providers
48
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 Watertown, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Teresa G Grimes
132 Hospital Dr |
$24.76 | 10,154 | 9,036 |
|
Watertown Medical Center Llc
125 Hospital Dr |
$57.54 | 7,774 | 6,702 |
|
James Edward Meade
134 Hospital Dr |
$33.25 | 6,498 | 5,848 |
|
Scott A Martin
134 Hospital Dr |
$33.84 | 5,128 | 4,599 |
|
Jeffrey Alan Meade
134 Hospital Dr |
$32.15 | 4,641 | 4,106 |
|
Karie Ann Mantey
134 Hospital Dr |
$71.81 | 3,766 | 3,578 |
|
Edward Fairfax Frost
109 Air Park Dr |
$29.55 | 3,568 | 3,201 |
|
Leslie M. Golden
123 Hospital Dr Ste 212 |
$34.07 | 1,999 | 1,583 |
|
Jewel E Schneider
109 Air Park Dr |
$29.99 | 1,124 | 1,023 |
|
Christina Molinaro
123 Hospital Dr Ste 212 |
$26.29 | 1,049 | 977 |
|
Promporn June Suwanabol
123 Hospital Dr |
$25.86 | 1,013 | 906 |
|
Robert Steven Legrow
127 Hospital Dr |
$26.75 | 1,012 | 852 |
|
Jessica Krupinski
123 Hospital Dr Ste 212 |
$32.57 | 928 | 590 |
|
Terry L Turke
132 Hospital Dr |
$17.15 | 613 | 468 |
|
Alyssa K Rasmussen
123 Hospital Dr Ste 1008 |
$23.33 | 456 | 414 |
|
David G Smiley
1507 Doctors Ct |
$38.99 | 451 | 406 |
|
Jeanne Marie Denk
125 Hospital Dr |
$30.04 | 414 | 379 |
|
Tahmina Aafreen
128 Hospital Dr |
$16.65 | 409 | 383 |
|
Quinn C Burton
800 W Main St |
$31.00 | 396 | 348 |
|
John R Basarich
127 Hospital Dr |
$21.99 | 387 | 323 |
|
Michael A Grajewski
1507 Doctors Ct |
$26.10 | 356 | 337 |
|
Linnea M Nagel
612 Mary Knoll Ln |
$10.56 | 315 | 227 |
|
Terry Mark Roman
123 Hospital Dr |
$19.90 | 305 | 267 |
|
Casey Jo Brown
123 Hospital Dr |
$28.98 | 276 | 247 |
|
Lauren Ashley Pederson
127 Hospital Dr |
$25.03 | 266 | 204 |
|
Ryan Weyenberg
808 E Main St |
$40.94 | 211 | 171 |
|
Anna Christa Stamas
127 Hospital Dr |
$39.11 | 186 | 150 |
|
Heidi Pauli
127 Hospital Dr |
$32.85 | 178 | 161 |
|
Michael E Sullivan
127 Hospital Dr |
$27.85 | 177 | 160 |
|
Edward J Foster
125 Hospital Dr |
$34.40 | 171 | 129 |
|
Thomas John Matthew Considine
1724 S Church St |
$19.80 | 167 | 148 |
|
Amber Rose Hendriksen
1507 Doctors Ct |
$29.50 | 127 | 117 |
|
Nicolette Ella Weisensel
129 Hospital Dr |
$16.64 | 125 | 54 |
|
Watertown Physician Practices Llc
1507 Doctors Ct |
$16.51 | 91 | 89 |
|
Amber Kathlyn Miller
125 Hospital Dr |
$29.97 | 71 | 59 |
|
City Of Watertown
515 S 1St St |
$6.45 | 62 | 57 |
|
Greg Thomas Graglia
101 Oakridge Ct |
$13.59 | 51 | 36 |
|
Gina Marie Sullivan
125 Hospital Dr |
$0.00 | 46 | 13 |
|
Karla Bakke
132 Hospital Dr |
$27.62 | 42 | 39 |
|
Watertown Physician Practices Llc
125 Hospital Dr |
$21.34 | 33 | 30 |
|
Steven P Rhodes
123 Hospital Dr |
$16.88 | 33 | 26 |
|
Jan S Beyer
134 Hospital Dr |
$32.42 | 28 | 26 |
|
Melodie Defouw
127 Hospital Dr |
$19.75 | 21 | 12 |
|
Bradley H Wehking
816 West St |
$21.77 | 18 | 15 |
|
Daniel Elmes
101 Oakridge Ct |
$10.81 | 18 | 14 |
|
Kristin Elizabeth Hanington Erickson
132 Hospital Dr |
$21.98 | 13 | 12 |
|
John R Anslinger
123 Hospital Dr |
$15.08 | 13 | 13 |
|
Deborah Pacey
123 Hospital Dr |
$21.14 | 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 Watertown, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Watertown, WI is $36.05 per claim, based on 55,192 claims from 48 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 Watertown, WI?
There are 48 Medicaid providers offering Office Visit related services in Watertown, WI according to public payment data.
What is the price range for Office Visit in Watertown, WI?
Medicaid reimbursement for Office Visit in Watertown, WI ranges from $0.00 to $71.81 per claim, with an average of $36.05. 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 Watertown, WI
Blood Work & Lab Tests
Avg $10.61
86,545 claims
Personal Care Services
Avg $7.53
69,699 claims
Non-Emergency Medical Transportation
Avg $23.93
61,985 claims
Physical Therapy
Avg $11.35
51,749 claims
Speech Therapy
Avg $11.30
37,750 claims
Emergency Room Visit
Avg $50.83
37,122 claims
Chiropractic Care
Avg $18.63
24,857 claims
Urinalysis & Urine Tests
Avg $10.74
20,311 claims