Average Medicaid Office Visit Payments in West Allis, WI: $34.91
Avg. Paid
$34.91
Range
$0.00 – $132.36
Total Claims
227,990
Providers
167
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 West Allis, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Planned Parenthood Of Wisconsin
2239 S 108Th St |
$35.05 | 22,397 | 21,552 |
|
West Allis Memorial Hospital, Inc.
8901 W Lincoln Ave |
$52.42 | 11,295 | 7,988 |
|
Masroor Munim
7200 W Greenfield Ave |
$46.34 | 7,652 | 5,806 |
|
Francis X Perez
801 S 70Th St |
$0.32 | 6,503 | 5,407 |
|
David C Merrill
8905 W Lincoln Ave |
$38.81 | 6,435 | 4,513 |
|
Tatjana Stevanovic
11111 W Oklahoma Ave |
$37.50 | 5,858 | 4,576 |
|
Michael A Johnson
801 S 70Th St |
$44.14 | 5,566 | 5,121 |
|
Sarah M Slaasted
2514 S 102Nd St Ste 160 |
$25.00 | 5,462 | 2,773 |
|
Matthew James Schubert
801 S 70Th St |
$37.84 | 5,034 | 4,413 |
|
Nebojsa Stevanovic
11111 W Oklahoma Ave |
$33.17 | 4,753 | 4,018 |
|
Mark Dawydowycz
2515 S 88Th St |
$30.46 | 4,646 | 4,355 |
|
Javier A Rincon
801 S 70Th St |
$31.12 | 4,591 | 3,968 |
|
Maikeng Her
6609 W Greenfield Ave |
$35.73 | 4,301 | 4,003 |
|
Annakaren Morelos
6609 W Greenfield Ave |
$41.69 | 4,141 | 3,872 |
|
City Of West Allis
7120 W National Ave |
$11.35 | 4,096 | 3,790 |
|
Inez Adams
2514 S 102Nd St Ste 160 |
$43.91 | 3,990 | 2,982 |
|
Stacie A Binter
6609 W Greenfield Ave |
$35.68 | 3,987 | 3,738 |
|
Eric U Luy
Lincoln Avenue Clinic |
$26.91 | 3,831 | 2,915 |
|
Alice C Bustos
7220 W National Ave |
$30.62 | 3,724 | 3,441 |
|
David S Stolp
2424 S. 90Th St. |
$32.43 | 3,480 | 3,165 |
|
Armando Sanchez
801 S 70Th St |
$33.02 | 3,459 | 3,087 |
|
Andrew P Swietlik
2323 S 102Nd St |
$37.51 | 3,211 | 2,758 |
|
Keisha Denise Rogers
11211 W Lincoln Ave |
$27.41 | 2,944 | 2,393 |
|
Michael Goshorn
6609 W Greenfield Ave |
$36.44 | 2,613 | 2,376 |
|
Margaret Jean Erdman
11101 W Lincoln Ave |
$31.19 | 2,492 | 1,711 |
|
Ani L Saryan Kopf
11211 W Lincoln Ave |
$35.88 | 2,410 | 2,171 |
|
Kristine M Strickland
8905 W Lincoln Ave |
$34.65 | 2,286 | 1,839 |
|
Danielle L Kucik
6609 W Greenfield Ave |
$36.70 | 2,236 | 2,002 |
|
Aldo Martinez Vaca
6609 W Greenfield Ave |
$40.22 | 2,228 | 2,079 |
|
Hana Koester
6609 W Greenfield Ave |
$42.34 | 2,211 | 2,059 |
|
Katelin R Ludke
2424 S 90Th St |
$47.48 | 2,182 | 1,873 |
|
Shirley Gresseau
555 S 108Th St |
$91.94 | 2,172 | 1,331 |
|
Nicole L Reikowski
6609 W Greenfield Ave |
$32.36 | 2,096 | 1,912 |
|
Stephanie J Slock
8905 W Lincoln Ave Ste 409 |
$33.68 | 1,959 | 1,826 |
|
Kayla M Flores
6609 W Greenfield Ave |
$33.96 | 1,948 | 1,798 |
|
Thomas J Harrington
6609 W Greenfield Ave |
$46.13 | 1,892 | 1,701 |
|
Francis X Ruzicka
801 S 70Th St |
$35.18 | 1,862 | 1,603 |
|
Stephanie Kay Mcdearmon
2424 S 90Th St Ste 200 |
$31.71 | 1,859 | 1,659 |
|
George Vanags
2424 S 90Th St Ste 502 |
$33.32 | 1,766 | 1,641 |
|
Michelle Kosmalski
6609 W Greenfield Ave |
$35.81 | 1,755 | 1,519 |
|
Amanda R Luna
6609 W Greenfield Ave |
$28.87 | 1,727 | 1,511 |
|
Mary Dunkin
6609 W Greenfield Ave |
$41.17 | 1,706 | 1,595 |
|
Katrina Nguyen Joski
11211 W Lincoln Ave |
$29.15 | 1,702 | 1,460 |
|
Bradley Colin Lepkowski
6609 W Greenfield Ave |
$41.35 | 1,667 | 1,599 |
|
Michael James Stoesz
2424 S 90Th St |
$27.37 | 1,638 | 1,488 |
|
Luna Younan
2323 S 102Nd St |
$40.67 | 1,493 | 1,277 |
|
Paula A Ulch
6609 W Greenfield Ave |
$42.89 | 1,405 | 1,233 |
|
Patricia Ivonne Hago
801 S 70Th St |
$33.67 | 1,382 | 1,148 |
|
Lauren I Flint
7220 W National Ave |
$30.49 | 1,375 | 1,307 |
|
Lynn M Stanco
2323 S 102Nd St |
$37.96 | 1,370 | 1,203 |
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 West Allis, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Allis, WI is $34.91 per claim, based on 227,990 claims from 167 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 West Allis, WI?
There are 167 Medicaid providers offering Office Visit related services in West Allis, WI according to public payment data.
What is the price range for Office Visit in West Allis, WI?
Medicaid reimbursement for Office Visit in West Allis, WI ranges from $0.00 to $132.36 per claim, with an average of $34.91. 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 West Allis, WI
Blood Work & Lab Tests
Avg $10.67
2,219,954 claims
Substance Abuse Treatment
Avg $10.23
794,082 claims
Urinalysis & Urine Tests
Avg $6.94
408,963 claims
Personal Care Services
Avg $15.42
305,976 claims
Culture & Microbiology Tests
Avg $7.05
275,777 claims
Home Health Visit
Avg $34.84
227,188 claims
Pathology & Lab Services
Avg $27.38
221,804 claims
Physical Therapy
Avg $23.22
151,407 claims