Based on public Medicaid payment data.

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
Benjamin Lehrer 2999 N Mayfair Rd	$26.67	12	12
Pamela Ann Anderson 201 N Mayfair Rd Fl 2	$38.16	12	12
Edward B Smith 3289 N Mayfair Rd	$53.86	12	12
Jennifer E Macgaffey 3289 N Mayfair Road	$28.29	13	12
Alexandra Wilson 2500 N Mayfair Rd Ste 500	$29.57	13	13
Jake D Bauwens 2500 N Mayfair Rd Ste 500	$42.31	13	13
Amanda Elizabeth Funk 10000 W Bluemound Rd	$10.21	13	13
Michelle Ricci 10625 W North Ave Ste 102	$42.95	14	14
Kelsey Lechusz 2999 N Mayfair Rd	$42.69	14	13
Nicole Patricia Trochil 1155 N Mayfair Rd	$15.13	14	13
Oscar Coppes 1155 N Mayfair Rd	$19.09	14	14
Kathryn Carnahan 3040 N 117Th St	$27.30	14	12
Rebecca Weidner 10625 W North Ave Ste Ll3	$11.81	15	12
Lisa Matuszewski Rich 601 N 99Th St	$11.81	16	15
Geoffrey B Watters 1220 Dewey Ave	$62.88	16	12
Patrick Mccarthy 3289 N Mayfair Rd	$59.00	16	15
Traci Renae Fritz 6100 W State St Apt 404	$25.93	18	12
Dennis Worthington 201 N Mayfair Road	$22.30	19	15
Compassionate Doctors Inc 10625 W North Ave	$40.21	21	17
Bonnie J. Tesch 3289 N Mayfair Rd	$24.48	25	25
Chen Cui 1155 N Mayfair Rd	$33.16	25	25
Elina Y Gilgur 10800 W Capitol Dr	$27.47	26	25
Omar Dyara 959 N Mayfair Rd	$15.32	26	24
Keely Marshall 10000 W Bluemound Rd	$30.18	26	25
Jack M Alloy 8320 W Bluemound Rd	$17.02	26	26
Matthew B Lee 3040 N 117Th St	$31.57	26	25
Rohit Seth Loomba 9000 W Wisconsin Ave	$68.00	26	26
Larresha Noel Williams 1155 N Mayfair Rd	$42.40	27	27
Keri Chaney 10000 W Bluemound Rd	$33.28	28	25
Daniel Raymond Knabel 10000 W Bluemound Rd	$14.77	28	27
Christopher J Milkie 10125 West North Avenue	$20.69	29	28
Haroon Zubair 3289 N Mayfair Rd	$32.80	29	26
Ashley Marie Saggio Groose 6005 W North Ave	$59.78	29	27
Michele R Tschopp 3289 N Mayfair Road	$25.04	31	26
Mark D. Horneffer 10950 W Capitol Dr	$15.17	31	26
Kristen H Reynolds 8320 W Bluemound Rd	$36.21	33	30
Pamela Schultz 201 N Mayfair Rd	$46.04	34	33
Mary Ann Rasku 1220 Dewey Ave	$22.47	37	12
Renee Marie Zimmermann 3040 N 117Th St	$43.30	38	30
Gabrielle Burns 10625 W North Ave Ste 101B	$78.72	39	35
Edit B Olasz Harken 10000 W Bluemound Rd	$19.87	40	34
Anjali D Thakrar 1155 N Mayfair Rd	$71.26	41	40
William Ernest Sylvanus Apps 933 N Mayfair Rd Ste 107	$22.34	43	40
Amy Tamburrino 3040 North 117Th Street	$29.31	44	39
Sarah J Ramirez 1155 N Mayfair Road	$43.88	44	44
Carmen L Terlizzi 3040 N 117Th St	$28.07	45	42
Menachem H Graupe 201 N Mayfair Road	$38.44	48	43
Amy Lynn Pepe 201 N Mayfair Rd	$56.36	50	46
Laura S Oldenburg 3077 N Mayfair Rd Ste 305	$14.09	51	42
Dinshah D Gagrat 1220 Dewey Ave	$12.13	52	36

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.

Average Medicaid Office Visit Payments in Wauwatosa, WI: $34.81

Providers Offering Office Visit in Wauwatosa, WI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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