Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Waupaca, WI: $36.82

Avg. Paid

$36.82

Range

$4.13 – $141.17

Total Claims

42,717

Providers

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 Waupaca, WI

Provider	Avg. Paid	Claims	Patients
Michelle A Soto 710 Riverside Dr	$32.95	3,654	3,416
Robert William Sedlacek 710 Riverside Dr	$31.74	3,215	2,521
Amy N Mandeville 710 Riverside Dr	$16.48	2,741	2,345
Kara J. Enerson 710 Riverside Dr	$32.22	2,132	1,938
Jessica M Kimps 800 Riverside Dr	$32.38	2,040	1,776
Carri Lynn Schacherl 190 Grand Seasons Dr	$41.02	1,997	1,783
Ashley Tardieu 710 Riverside Dr	$49.68	1,988	1,840
Zachary J Baeseman 710 Riverside Dr	$37.06	1,858	1,675
Molly Ann Szymanski 710 Riverside Dr	$42.20	1,733	1,574
Wendy Carroll Hill 710 Riverside Dr	$35.84	1,623	1,459
Paul William Sletten 710 Riverside Dr	$31.65	1,354	1,240
Angela Rose Helm 710 Riverside Dr	$27.06	1,250	1,150
Sarah C Durst 710 Riverside Dr	$33.10	1,229	1,131
Dorrie Marie Happ 710 Riverside Dr	$36.53	1,178	1,068
Kelly Pucillo 710 Riverside Dr	$35.73	1,157	1,073
James P Spencer 710 Riverside Dr	$34.93	1,032	936
Katherine Margaret Miller 710 Riverside Dr	$36.58	953	871
Holly L Haberman 710 Riverside Dr	$42.74	881	778
Amy T Kenworthy 800 Riverside Dr	$13.53	825	759
Ryan D Nadboralski 800 Riverside Dr	$25.14	822	757
Thedacare Medical Center - Waupaca, Inc. 800 Riverside Dr	$141.17	815	568
Ezra Lyon 710 Riverside Dr	$47.06	778	684
Bradley Klein 710 Riverside Dr	$34.91	759	690
Emily A Olson 710 Riverside Dr	$41.41	680	612
Carmen L Miller 710 Riverside Dr	$36.42	586	544
Tammy S Elgersma 710 Riverside Dr	$24.23	554	495
Trevor D Argall 710 Riverside Dr	$43.71	536	469
Jessica Lynn Kennedy 800 Riverside Dr	$49.41	502	427
Gabrielle Ann Patri 710 Riverside Dr	$41.00	495	448
Tammy M Flynn E1634 Park View Way	$41.72	476	381
Alyssa Rose Forslin 710 Park Ave	$36.75	471	420
Christa Jeanne Hemmila 190 Grand Seasons Dr	$35.56	313	265
Hillary Busch 710 Riverside Dr	$57.97	284	256
Russell Lewis 190 Grand Seasons Dr	$72.06	233	205
Blair M Rathjen 710 Riverside Dr	$30.04	227	217
Jessica A Grant 710 Riverside Dr	$43.80	227	207
Russell F. Butkiewicz 710 Riverside Dr	$34.99	223	208
Angela Kaye Amos 710 Riverside Dr	$57.48	202	175
Gilbert C Burgstede 710 Riverside Dr	$30.87	192	179
Deborah L Ferguson 710 Riverside Dr	$26.74	160	146
James David Torhorst 1439 Churchill St # 202	$24.81	91	85
Michael Bauer 710 Riverside Dr	$32.49	60	53
Nathan Michael Larsen 800 Riverside Dr	$25.95	57	54
Gert Hasselhof N2437 E Miner Dr	$29.20	39	37
County Of Waupaca 811 Harding St	$4.13	38	37
Sabrina Webster 710 Riverside Dr	$57.64	31	29
Leidy Bauer 710 Riverside Dr	$52.72	13	12
Charles Rathjen 710 Riverside Dr	$29.22	13	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 Waupaca, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waupaca, WI is $36.82 per claim, based on 42,717 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 Waupaca, WI?

There are 48 Medicaid providers offering Office Visit related services in Waupaca, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Waupaca, WI ranges from $4.13 to $141.17 per claim, with an average of $36.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Waupaca, WI: $36.82

Providers Offering Office Visit in Waupaca, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Waupaca, WI

Blood Work & Lab Tests

Emergency Room Visit

Behavioral & Mental Health Therapy

Speech Therapy

Personal Care Services

Physical Therapy

Urinalysis & Urine Tests

Non-Emergency Medical Transportation