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Based on public Medicaid payment data.

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

Other Procedures in Watertown, WI