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
Lia Y Herman W231N1440 Corporate Ct	$39.98	12	12
Teresa Anne Sanford N20W22961 Watertown Rd	$39.71	12	12
Darin Ray Gregory 1111 Delafield St Ste 120	$22.22	12	12
Badger Health Center Sc 1353 S West Ave	$0.00	12	12
Laura Gildersleeve N16W24131 Riverwood Dr	$41.84	13	12
Meghan K Kinateder 1111 Delafield St	$44.59	13	12
Katiera Tekakwitha Rivera 210 Nw Barstow St	$213.40	13	12
Greg N Womack 1111 Delafield St Ste 207	$49.40	13	12
Ryan J Moncada 1111 Delafield St	$31.54	13	13
Musette Paul 2130 Big Bend Rd	$23.31	13	12
Heather Ann Rogers King 2717 N Grandview Blvd	$16.60	13	12
Michael Philip Fiore 725 American Ave	$13.42	13	12
Elizabeth Davies 717 W Moreland Blvd	$62.73	13	12
Dayken Elise Underdahl 717 W Moreland Blvd	$43.12	13	12
Genevieve M Jones 725 American Ave	$20.02	15	14
Hannah Jo Jochman 2428 N Grandview Blvd Ste 102	$34.97	15	12
Dana Joy Akiya 721 American Ave	$24.15	16	14
Alexis Rose Goss 210 Nw Barstow St	$48.62	16	12
Katherine Dalzotto N19W23993 Ridgeview Pkwy W Ste 100	$60.25	16	13
John F Pope 1111 Delafield St Ste 207	$15.00	16	15
Mark Roznik N14W23900 Stone Ridge Dr	$23.86	17	15
Jeffrey Merle Fosso 2422 North Grandview Blvd	$0.00	18	13
James Allen Ropicky N21W23340 Ridgeview Pkwy W Ste 110	$11.78	20	12
Nicole Crivello 725 American Ave	$26.28	22	18
Shari K Villa 717 W Moreland Blvd	$39.48	25	25
Gretchen Elise Mueller 210 Nw Barstow St Ste 201	$34.86	26	14
Joseph W Shea W231N1440 Corporate Ct	$20.73	26	24
Melissa S Donahue W231N1440 Corporate Ct	$35.92	27	24
Mariah M Collicott 20611 Watertown Rd Ste E	$37.48	29	26
Rhonda Somers 725 American Ave	$6.29	30	25
Edward Lloyd Kreimier Iii 1111 Delafield St	$14.65	31	24
Nicole L B Sternitzky 20611 Watertown Rd	$27.12	32	29
Susan Elaine Medd 725 American Ave	$24.36	33	28
Amy Jo Roanhouse 801 E Sunset Dr	$51.13	34	27
Deborah W Bernstein N19W23993 Ridgeview Pkwy W Ste 100	$24.47	35	24
Aracelis M. Spindt 237 Wisconsin Ave	$33.62	37	26
Allison Fahey 721 American Ave	$19.04	42	40
Danielle Marie Bernacchi W308S2809 Wild Berry Ct	$30.34	42	37
Jessica M Schrieber N19W23993 Ridgeview Pkwy W Ste 100	$28.93	44	39
Kathleen Sue Hemauer N16W24131 Riverwood Dr	$34.06	47	38
Kelly Jo Cooke 721 American Ave Ste 508	$28.49	47	37
Elizabeth A Higgins 1130 W Sunset Dr	$13.35	48	46
Nicole M Bartelt 20611 Watertown Rd	$17.47	49	31
Matthew Nathan Weinberg 721 American Ave	$32.94	54	51
Lucia C Roman-Marcial 309 E North St	$68.07	58	57
Aggeliki Zikos 2315 E Moreland Blvd	$27.72	59	52
Julie E Thomas 725 American Ave Ste 5	$28.26	60	53
Peter Mark Knabel W231N1440 Corporate Ct	$17.62	64	60
Melissa A Kalt 2315 E Moreland Blvd	$34.67	64	50
Elisabeta L Osian W231N1440 Corporate Ct	$28.87	65	58

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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