Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wausau, WI: $35.51

Avg. Paid

$35.51

Range

$0.00 – $138.35

Total Claims

242,386

Providers

283

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 Wausau, WI

Provider	Avg. Paid	Claims	Patients
Aspirus Wausau Hospital, Inc 333 Pine Ridge Blvd	$46.87	18,326	14,041
Healthfirst Network Inc. F/K/A Family Planning Health Services Inc. 216 S 3Rd Ave	$39.85	16,460	15,552
Amy Elizabeth Heinrich 2720 Plaza Dr	$74.32	10,291	9,234
Christian De Gregorio 520 N 28Th Ave	$41.86	9,833	8,695
David Royal Holz 2727 Plaza Dr	$53.35	6,998	6,405
Elizabeth Jeannie Wilson-Ward 3621 S Emerald Dr	$31.75	4,962	4,680
Heidi Leigh Heise 1100 Lake View Dr	$30.18	4,707	3,528
Lisa A Reineke 2720 Plaza Dr	$34.41	4,325	4,117
Timothy E Wasano 2720 Plaza Dr	$32.57	4,125	3,773
Kelly R Poole 2727 Plaza Drive	$38.78	4,098	3,809
Andrew Charles Buchl 333 Pine Ridge Blvd	$39.10	3,772	3,497
Erik J Gustafson 425 Wind Ridge Dr	$16.28	3,674	3,066
Vicki L Maguire 2727 Plaza Dr	$37.30	3,618	3,318
David Albert Nash 425 Pine Ridge Blvd	$24.18	3,493	3,161
Matthew Thomas Clancy 333 Pine Ridge Blvd	$11.88	2,860	1,812
Melissa Linden 2720 Plaza Dr Ste 1300	$34.96	2,835	2,402
Thao Lo 2727 Plaza Dr	$29.10	2,796	2,536
Gregory John Poole 2727 Plaza Dr	$28.78	2,671	2,376
Laura Berry 2720 Plaza Dr Ste 1100	$30.09	2,645	2,369
David L Mathias 2727 Plaza Dr	$46.28	2,486	2,310
Tiffany Pluger 2400 Marshall St Ste A	$29.64	2,346	1,761
Gabriel Ticho 1100 Lake View Dr	$20.11	2,259	1,938
Deepak Sambhara 800 N 1St St	$10.39	2,257	1,903
Kevin John Townshend 1901 Westwood Center Blvd	$34.61	2,203	1,853
Patrick M Allen 212 Sturgeon Eddy Rd	$28.29	2,099	1,935
Luis C Galang 800 1St St	$29.05	2,033	1,840
Kirsten R Vetterkind 2727 Plaza Dr	$39.94	2,017	1,844
Vicky Baker 2727 Plaza Dr	$33.05	1,959	1,825
Brittney Wanless 2720 Plaza Dr	$29.12	1,943	1,749
Glenn B Burt 1901 Westwood Center Blvd	$31.20	1,829	1,578
Todd L. Hostetler 512 S 28Th Ave	$36.43	1,825	1,683
Jean E Vogel 1100 Lake View Dr	$29.22	1,735	1,302
Shagun Sharma 425 Wind Ridge Dr	$41.94	1,697	1,655
Kelly B Jankowsky 500 Wind Ridge Dr	$37.35	1,656	1,516
Kathy Lynne Obermann 2400 Pine Ridge Blvd	$33.19	1,618	1,421
Lori L Shepherd 2727 Plaza Dr	$33.94	1,607	1,488
David A Edmondson 512 S 28Th Ave	$33.05	1,605	1,448
Lori M Evans 200 S 18Th Ave	$34.02	1,574	1,465
Stephanie Werner 630 S 36Th Ave	$40.29	1,522	1,385
Jennifer Susan Verna 2727 Plaza Dr	$27.89	1,520	1,334
John E Carroll 2720 Plaza Dr	$19.26	1,494	1,371
Aspirus Medical Group, Inc. 500 Wind Ridge Dr	$59.00	1,474	1,454
Sabrina Rhea Spets 1100 Lake View Dr	$30.46	1,454	1,169
David Eugene Lange 1901 Westwood Center Blvd	$22.13	1,418	1,130
Carla J Heiden 500 Wind Ridge Drive	$30.90	1,357	1,219
Dominique N Villalba 2727 Plaza Dr	$38.03	1,349	1,250
Heather Yang 1810 N 2Nd St	$18.96	1,307	788
Daniel B Jackson 2720 Plaza Dr	$33.42	1,298	1,170
Gregory K Sewall 512 S 28Th Ave	$30.76	1,293	1,161
Erin Marie Bayerl 500 Wind Ridge Dr	$32.15	1,285	1,204

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 Wausau, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wausau, WI is $35.51 per claim, based on 242,386 claims from 283 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 Wausau, WI?

There are 283 Medicaid providers offering Office Visit related services in Wausau, WI according to public payment data.

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

Medicaid reimbursement for Office Visit in Wausau, WI ranges from $0.00 to $138.35 per claim, with an average of $35.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wausau, WI: $35.51

Providers Offering Office Visit in Wausau, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Wausau, WI

Behavioral & Mental Health Therapy

Substance Abuse Treatment

Blood Work & Lab Tests

Dental Cleaning & Exam

Emergency Room Visit

Psychiatric Evaluation

Chiropractic Care

Speech Therapy