Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Waukesha, WI: $31.79

Avg. Paid

$31.79

Range

$0.00 – $213.40

Total Claims

258,119

Providers

230

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 Waukesha, WI

Provider	Avg. Paid	Claims	Patients
Prohealth Waukesha Memorial Hospital, Inc. 725 American Ave	$50.18	30,397	24,646
Planned Parenthood Of Wisconsin 426 W Main St	$33.67	12,531	11,886
Jillian Marie O'Grady 514 Riverview Ave	$6.29	10,975	6,794
Mary Yang 514 Riverview Ave	$36.37	10,617	6,414
Tracey J Strombeck 2315 E Moreland Blvd # West	$50.89	8,260	7,702
Nikki Sean Kroner 721 American Ave Ste 501	$13.55	7,491	5,931
Bret Valentine 309 E North St	$33.46	5,970	4,720
Olivia Rose Dankwah 20611 Watertown Rd Ste E	$46.90	5,446	3,771
David Holloway 2717 N Grandview Blvd Ste 303	$13.96	5,119	3,847
Kathryn Smith 1111 Delafield Street	$32.47	4,903	4,466
Diane S Beeck 20611 Watertown Rd Ste E	$43.48	4,487	3,086
Paul Larson 721 American Avenue Suite 501	$35.23	4,340	3,883
Jennifer Vipond N14W23900 Stone Ridge Dr	$35.43	4,216	3,731
Maria G Ilao-Pahm 2315 E Moreland Blvd	$39.26	3,823	3,551
Michelle Kathryn Heaton 721 American Ave Ste 501	$23.52	3,499	2,992
Lisa Drew 721 American Ave Ste 501	$30.88	3,245	2,944
Maureen Longeway 210 Nw Barstow St	$32.62	2,987	2,668
Thomas J. Sheedy 2130 Big Bend Rd	$30.64	2,929	2,532
Simon B Griesbach 210 Nw Barstow St	$32.22	2,782	2,491
Joseph Tzougros N14W23900 Stone Ridge Dr	$29.35	2,728	2,374
Peter Haan Johnson 721 American Ave Ste 108	$25.31	2,679	2,286
Gerhard Sawall N14W23900 Stone Ridge Dr	$29.76	2,613	2,314
Moon Ja Kim W231 N1440 Corporate Ct	$32.93	2,526	2,249
Rada Malinovic 1501 Airport Rd	$15.04	2,494	2,198
Emily Rebecca Walz 309 E North St	$23.58	2,485	2,136
Megan H. Hackel W231N1440 Corporate Ct	$21.19	2,385	2,010
Kirstin M Certalic 2315 E Moreland Blvd	$27.26	2,300	2,188
Jennifer Leigh Zeman 210 Nw Barstow St	$30.64	2,286	2,043
Megan Edwards 2130 Big Bend Rd	$29.71	2,225	2,039
Kristen Elizabeth Fox 210 Nw Barstow St	$32.83	2,175	1,956
Randall B Steinhaus 721 American Ave	$27.68	2,161	1,975
Renelle L Staus W231N1440 Corporate Ct	$30.69	2,161	2,018
Jonathan R Mueller 2130 Big Bend Rd	$34.36	2,149	1,973
Deborah Pichler 514 Riverview Ave	$19.82	2,035	1,609
Yasmin K Bhathena W231N1440 Corporate Ct	$45.31	1,914	1,747
Laura M Sheets W231N1440 Corporate Ct Ste 310	$45.98	1,795	1,627
Janine Allison Kolinski 721 American Ave Ste 501	$27.93	1,780	1,454
Omer Afzal 111 Ann Street	$19.98	1,609	1,454
Mandy Lynn Porter Dosti 2315 E Moreland Blvd	$31.63	1,596	1,492
Roman T Pyasta W231N1440 Corporate Ct	$26.26	1,592	1,434
Susanne M Krasovich 210 Nw Barstow St	$32.51	1,562	1,387
Jeffrey Scott Nelson 2315 E Moreland Blvd	$24.89	1,546	1,224
Margo A Sherman 2130 Big Bend Rd	$31.09	1,536	1,375
Ezzideen Barjes Alrawi 111 Ann St	$28.89	1,526	1,383
Ronald J Cooper 1111 Delafield St	$22.70	1,522	1,292
Jocelyn Kinga Hallen S31W24757 Sunset Dr	$17.91	1,485	1,104
Anna Witt 210 Nw Barstow St	$31.42	1,484	1,333
Sandra G Amadon 240 Maple Ave	$25.37	1,467	1,318
Carly Lynn Skamra 20800 Swenson Dr Ste 175	$29.56	1,460	1,321
Kathleen A Brass 2130 Big Bend Rd	$38.15	1,383	1,229

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 Waukesha, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waukesha, WI is $31.79 per claim, based on 258,119 claims from 230 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 Waukesha, WI?

There are 230 Medicaid providers offering Office Visit related services in Waukesha, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Waukesha, WI ranges from $0.00 to $213.40 per claim, with an average of $31.79. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Waukesha, WI: $31.79

Providers Offering Office Visit in Waukesha, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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