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 |
|---|---|---|---|
|
Amber Jeanne Langreck
3300 Westhill Dr |
$2.41 | 12 | 12 |
|
Pamela E Glennon
225000 Hummingbird Rd Ste 100 |
$18.74 | 12 | 12 |
|
Dennis J. Costa
2400 Pine Ridge Blvd |
$18.54 | 12 | 12 |
|
Daniel P Johnston
225000 Hummingbird Rd Ste 100 |
$28.83 | 12 | 12 |
|
Meghan Walls
500 Wind Ridge Dr |
$35.28 | 13 | 13 |
|
Christopher I. Mackay
505 S 24Th Ave Ste 200 |
$19.77 | 13 | 12 |
|
Chelsea Jarvis
228 N 3Rd Ave |
$16.60 | 13 | 12 |
|
Michael Andrews
225000 Hummingbird Rd |
$11.58 | 13 | 12 |
|
Justin Gabriel Hartke
411 Westwood Dr |
$35.05 | 13 | 12 |
|
Katie Seybold
500 Wind Ridge Dr |
$31.20 | 13 | 13 |
|
Jessica Rohde
3540 Stewart Ave |
$15.13 | 14 | 14 |
|
Casey Lee Lagan
225000 Hummingbird Rd Ste 100 |
$37.83 | 14 | 13 |
|
Hillary Ruechel
500 Wind Ridge Dr |
$29.28 | 14 | 13 |
|
Brian J Eggener
1100 Lake View Dr |
$16.13 | 14 | 12 |
|
Frank J Rubino
2720 Plaza Dr |
$28.30 | 14 | 13 |
|
Vance T Hartke
411 Westwood Dr |
$87.22 | 14 | 13 |
|
Mary K Roble
411 Westwood Dr |
$17.01 | 14 | 13 |
|
Ronnie Orlando Ortiz
500 Wind Ridge Dr |
$24.70 | 14 | 13 |
|
Kyle Moeller
228 N 3Rd Ave |
$14.25 | 15 | 12 |
|
Tyler J Wimmer
500 Wind Ridge Dr |
$18.93 | 15 | 14 |
|
Edward Mckenna
215 N 28Th Ave |
$37.34 | 15 | 13 |
|
Zurab Albekioni
3000 Westhill Dr Ste 108 |
$10.24 | 15 | 14 |
|
Alicia Schumacher
520 N 32Nd Ave |
$16.00 | 16 | 14 |
|
Christopher Zeman
333 Pine Ridge Blvd |
$63.98 | 16 | 13 |
|
Brittany Ocker
3300 Westhill Dr |
$14.17 | 17 | 13 |
|
Lisa Marie Werner
3300 Westhill Dr |
$12.36 | 17 | 15 |
|
Eye Clinic Of Wisconsin Sc
800 N 1St St |
$2.30 | 18 | 17 |
|
Jesse Andrew Birsching
800 N 1St St |
$52.26 | 18 | 18 |
|
Gail Marion Marquardt
215 N 28Th Ave |
$14.17 | 18 | 15 |
|
Jessica L Juntunen
225000 Hummingbird Rd Ste 100 |
$38.94 | 19 | 17 |
|
Scott Remo Murch
3901 Stewart Ave |
$13.83 | 20 | 13 |
|
Jeffrey Terrence Ambord
3901 Stewart Ave |
$18.01 | 22 | 12 |
|
Terence R. Lichtor
2800 Westhill Dr |
$84.70 | 25 | 25 |
|
Nancy Shebuski
2727 Plaza Dr |
$38.25 | 26 | 26 |
|
Rick R Reding
2720 Plaza Dr |
$4.17 | 27 | 27 |
|
Solomon Shockman
510 N 17Th Ave |
$26.24 | 28 | 26 |
|
Kyla Paige Teresinski
510 N 17Th Ave Ste C |
$43.95 | 28 | 25 |
|
Christian L Tomski
225000 Hummingbird Rd |
$23.95 | 29 | 24 |
|
Benjamin J Hackett
225000 Hummingbird Rd Ste 100 |
$29.22 | 29 | 26 |
|
Erin M. Kern
2606 Stewart Ave Ste 200 |
$9.82 | 29 | 27 |
|
Hope Moczynski
500 Wind Ridge Dr |
$17.49 | 29 | 24 |
|
Donna Marie Leydet
3200 Westhill Dr |
$27.56 | 30 | 30 |
|
Paul J Kerns
2720 Plaza Dr Ste 2100 |
$17.74 | 30 | 26 |
|
Susan C Brown
3901 Stewart Ave |
$16.85 | 31 | 26 |
|
Melinda Rae Wayde
411 Westwood Dr |
$40.50 | 31 | 26 |
|
Sara Belle Starr
425 Pine Ridge Blvd |
$30.92 | 33 | 31 |
|
Megan M Messerschmidt
2727 Plaza Dr |
$45.69 | 34 | 28 |
|
Stephen Thorp
425 Pine Ridge Blvd Ste 209 |
$138.35 | 34 | 32 |
|
Katie A. Musolff
2727 Plaza Dr |
$21.05 | 39 | 37 |
|
Andrew Robert Johannes
411 Westwood Dr |
$57.47 | 40 | 39 |
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.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Wausau, WI
Behavioral & Mental Health Therapy
Avg $108.56
685,809 claims
Substance Abuse Treatment
Avg $12.84
545,752 claims
Blood Work & Lab Tests
Avg $8.21
282,160 claims
Dental Cleaning & Exam
Avg $34.47
137,544 claims
Emergency Room Visit
Avg $47.55
118,931 claims
Psychiatric Evaluation
Avg $67.61
110,291 claims
Chiropractic Care
Avg $18.62
101,312 claims
Speech Therapy
Avg $13.71
87,327 claims