Average Medicaid Office Visit Payments in Wauwatosa, WI: $34.81
Avg. Paid
$34.81
Range
$0.00 – $83.98
Total Claims
306,279
Providers
264
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 Wauwatosa, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ratidzai Rioga
10625 W North Ave Ste 326 |
$34.90 | 24,143 | 18,497 |
|
Joseph A Locke
2500 N Mayfair Rd Ste 630 |
$36.17 | 10,208 | 7,338 |
|
Zeba Sami
10702 W Burleigh St |
$26.39 | 9,893 | 8,533 |
|
Geetha Ganesan
3289 N Mayfair Rd |
$44.82 | 7,655 | 6,651 |
|
Soliven C Bautista
201 N Mayfair Rd Fl 4 |
$30.58 | 7,613 | 7,071 |
|
Lisa M Soboleski
1220 Dewey Ave |
$36.51 | 6,242 | 5,740 |
|
Yoganand Gundamraj
1220 Dewey Ave |
$44.32 | 5,998 | 5,656 |
|
Jerry M Bloomstein
1220 Dewey Ave |
$39.17 | 5,756 | 4,844 |
|
Alyssa Mohorek
8320 W Bluemound Rd |
$38.87 | 5,390 | 4,933 |
|
Sunitha Gundamraj
3289 N Mayfair Rd |
$36.83 | 4,769 | 4,244 |
|
Roxanne J Kane
3040 N 117Th St |
$48.18 | 4,742 | 4,402 |
|
Elizabeth Moberg-Wolff
3333 N Mayfair Rd Ste 103 |
$25.03 | 4,576 | 4,200 |
|
Mark W Robinson
8320 W Bluemound Rd |
$35.51 | 4,576 | 4,067 |
|
Nicole Novak
10625 W North Ave |
$28.05 | 4,506 | 4,158 |
|
Basil U Maduka
1220 Dewey Ave |
$27.16 | 4,493 | 4,081 |
|
Milos Tomich
7120 W North Ave |
$9.42 | 4,425 | 3,434 |
|
Zachary Beth
201 N Mayfair Rd Fl 2 |
$26.73 | 4,307 | 3,635 |
|
Sara J Nolan
1055 N Mayfair Rd |
$34.42 | 4,189 | 3,782 |
|
Filoreta D Udrea
1220 Dewey Ave |
$28.47 | 4,094 | 3,799 |
|
Lisa M Wochos
1220 Dewey Ave |
$31.29 | 4,030 | 3,538 |
|
Subhadeep Barman
1220 Dewey Ave |
$27.62 | 3,947 | 2,330 |
|
Savan Panchal
1055 N Mayfair Rd |
$37.94 | 3,872 | 3,529 |
|
Nancy L Lassa
1155 N Mayfair Rd |
$14.34 | 3,825 | 2,949 |
|
Kristin Marie Stoehr
3289 N Mayfair Rd |
$37.03 | 3,821 | 3,534 |
|
Emilee Yamdagni
3040 N 117Th St |
$46.01 | 3,811 | 3,520 |
|
Laura Elizabeth Yahr Nelson
1220 Dewey Ave |
$39.61 | 3,546 | 3,278 |
|
Julie Katherine Staskunas
201 N Mayfair Rd |
$32.60 | 3,388 | 3,043 |
|
Misty B Lesnjak
1220 Dewey Ave |
$27.15 | 3,373 | 3,031 |
|
April Studer Biscocho Weber
3289 N Mayfair Rd |
$55.32 | 3,037 | 2,775 |
|
Emily E Jacobs
3289 N Mayfair Rd |
$35.02 | 2,907 | 2,667 |
|
Maritoni Molina Abraham
1220 Dewey Ave |
$42.34 | 2,850 | 2,654 |
|
Gonzalo Barinaga
3077 N Mayfair Rd Ste 100 |
$31.34 | 2,693 | 2,442 |
|
James A Bockeloh
1155 N Mayfair Rd |
$31.42 | 2,452 | 2,210 |
|
Khyati Soni
1055 N Mayfair Rd |
$34.79 | 2,416 | 2,208 |
|
Denise A Brachmann
1220 Dewey Ave |
$35.76 | 2,411 | 2,147 |
|
Kelsey Paige Pendleton
530 N 108Th Pl Ste 100 |
$39.03 | 2,393 | 2,140 |
|
Jordan H. Hughes
1155 N Mayfair Rd |
$35.08 | 2,388 | 1,982 |
|
Cheryl Wendt
3040 N 117Th St Ste 100 |
$41.42 | 2,323 | 2,195 |
|
Robyn Kathleen Labarge
3040 N 117Th St |
$46.01 | 2,316 | 2,142 |
|
Robert R. Grindell
201 N Mayfair Rd |
$39.84 | 2,276 | 2,032 |
|
Abigail Czarnecki
10012 W Capitol Dr |
$31.24 | 2,225 | 1,626 |
|
David B Kornreich
2500 N Mayfair Rd |
$22.61 | 2,049 | 1,819 |
|
Mallorie A Bergstrom
2727 N Mayfair Rd Ste I |
$23.80 | 1,991 | 1,490 |
|
Rick L Strickroot
3289 N Mayfair Rd |
$31.90 | 1,954 | 1,771 |
|
Bindu S. Bamrah
3077 N Mayfair Rd Ste 305 |
$20.92 | 1,953 | 1,656 |
|
U Michael Blaschke
2727 N Mayfair Rd. |
$24.78 | 1,863 | 1,449 |
|
Namita Dhiman
1220 Dewey Ave |
$58.84 | 1,850 | 1,716 |
|
Yelena Planic
201 N Mayfair Rd |
$56.77 | 1,811 | 1,538 |
|
Hairong Sang
201 N Mayfair Rd |
$32.01 | 1,735 | 1,606 |
|
Charles M Grade
7845 Harwood Ave |
$16.79 | 1,712 | 1,281 |
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 Wauwatosa, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wauwatosa, WI is $34.81 per claim, based on 306,279 claims from 264 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 Wauwatosa, WI?
There are 264 Medicaid providers offering Office Visit related services in Wauwatosa, WI according to public payment data.
What is the price range for Office Visit in Wauwatosa, WI?
Medicaid reimbursement for Office Visit in Wauwatosa, WI ranges from $0.00 to $83.98 per claim, with an average of $34.81. 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 Wauwatosa, WI
Psychiatric Evaluation
Avg $78.17
211,256 claims
Behavioral & Mental Health Therapy
Avg $162.47
142,204 claims
Emergency Room Visit
Avg $43.46
125,870 claims
Personal Care Services
Avg $42.40
102,563 claims
Home Health Visit
Avg $38.70
72,726 claims
Blood Work & Lab Tests
Avg $15.29
56,735 claims
Tooth Extraction
Avg $76.84
52,748 claims
Physical Therapy
Avg $17.15
45,528 claims