Average Medicaid Office Visit Payments in West Bend, WI: $35.08
Avg. Paid
$35.08
Range
$8.02 – $128.56
Total Claims
126,049
Providers
110
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 Bend, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Colleen J Reichel
205 Valley Ave |
$48.27 | 9,023 | 8,246 |
|
Chad F Tamez
140 E Water St Ste 1 |
$39.25 | 7,213 | 6,065 |
|
Denise Elizabeth Davis
333 E. Washington Street |
$13.81 | 6,255 | 4,790 |
|
Maisha Berry-Hooks
1700 W Paradise Dr |
$33.97 | 4,731 | 4,149 |
|
Melanie Custer
611 Veterans Ave Unit 106 |
$57.00 | 4,613 | 4,108 |
|
Ryszard Cholewa
1100 Gateway Ct |
$30.87 | 4,258 | 4,015 |
|
Jeffrey Peter Brejwo
100 Gateway Ct |
$32.94 | 3,920 | 3,670 |
|
Gary M Herdrich
1700 W Paradise Dr |
$24.96 | 3,268 | 2,187 |
|
Brian Roland Wolter
140 E Water St Ste 1 |
$34.26 | 2,973 | 2,644 |
|
Renee R Jahnke
205 Valley Ave |
$35.94 | 2,817 | 2,632 |
|
Daniel E Sajdak
205 Valley Ave |
$27.30 | 2,793 | 2,476 |
|
Planned Parenthood Of Wisconsin
532 Shepherds Dr |
$28.06 | 2,738 | 2,608 |
|
Lisa K Seefeld
205 Valley Ave |
$37.37 | 2,726 | 2,507 |
|
William S Wallace
1100 Gateway Ct |
$32.60 | 2,509 | 2,318 |
|
Jeanine M Kies
1700 W Paradise Dr |
$42.27 | 2,457 | 2,159 |
|
Alissa Ashley Rue
1700 Paradise Dr |
$26.44 | 2,216 | 1,865 |
|
Sean Samuel Rooney
1700 Paradise Dr |
$34.29 | 2,195 | 1,911 |
|
Amalia A Brouillard
3200 Pleasant Valley Rd |
$41.35 | 2,169 | 1,937 |
|
Renee Sinopoli
1700 W Paradise Dr |
$29.90 | 2,107 | 1,868 |
|
Julie Bolha
611 Veterans Ave |
$43.05 | 1,915 | 1,753 |
|
Paula Carlton
205 Valley Ave |
$28.44 | 1,888 | 1,715 |
|
Karen 'Kate' Marie Glasenapp
1700 W Paradise Dr |
$27.73 | 1,873 | 1,754 |
|
Margaret P Hays
205 Valley Ave |
$24.41 | 1,827 | 1,735 |
|
Omuwa Braimah
1100 Gateway Ct |
$48.14 | 1,802 | 1,566 |
|
Jackson Nguyen
1700 W Paradise Dr |
$42.36 | 1,794 | 1,604 |
|
Raheel Mody
205 Valley Ave |
$37.64 | 1,719 | 1,551 |
|
Charles T Kaufmann
1700 W Paradise Dr |
$33.97 | 1,696 | 1,397 |
|
David J Kaiser
1700 W Paradise Dr |
$32.93 | 1,599 | 1,436 |
|
Amy L Haug
205 Valley Ave |
$33.71 | 1,572 | 1,462 |
|
Peter L Cornelius
1700 W Paradise Dr |
$23.65 | 1,545 | 1,248 |
|
Jennifer Jean Schmidt
1700 W Paradise Dr |
$45.22 | 1,527 | 1,419 |
|
Laura Cm Kirkegaard
1100 Gateway Ct |
$30.59 | 1,459 | 1,339 |
|
Melissa Rae Schmidt
205 Valley Ave |
$27.01 | 1,384 | 1,307 |
|
Stacy L Boden
3200 Pleasant Valley Rd |
$41.27 | 1,362 | 1,248 |
|
Heather M Ho
1700 W Paradise Dr |
$39.06 | 1,341 | 1,149 |
|
Abdel Hai Ismail Alqwasmi
3200 Pleasant Valley Rd |
$27.40 | 1,288 | 998 |
|
Joseph R Schwartz
1700 W Paradise Dr |
$28.86 | 1,278 | 1,170 |
|
Jeffrey B Goza
3200 Pleasant Valley Rd |
$33.09 | 1,166 | 1,067 |
|
Steven William Holcomb
1100 Gateway Ct |
$38.93 | 1,160 | 1,079 |
|
Jessica R. Miller
205 Valley Ave |
$34.54 | 1,106 | 966 |
|
Abigail Jean Haag Davis
1100 Gateway Ct |
$28.24 | 1,099 | 988 |
|
Anthony S Guthrie
1700 W Paradise Dr |
$39.72 | 1,048 | 914 |
|
Maya Frances Holtrop Sheets
611 Veterans Ave Unit 106 |
$36.59 | 1,036 | 957 |
|
Daniela Aleman
1700 W Paradise Dr |
$35.91 | 969 | 837 |
|
St. Josephs Community Hospital Of West Bend Inc.
3200 Pleasant Valley Rd |
$48.77 | 830 | 513 |
|
Ashley Linsmeier
1700 Paradise Dr |
$32.45 | 805 | 637 |
|
Lenore Elizabeth Brahm
205 Valley Ave |
$38.21 | 763 | 694 |
|
Lisa S Bosshard
611 Veterans Ave Ste 106 |
$44.67 | 741 | 660 |
|
Christina Egea Lowrance Garcia
1622 Chestnut St |
$128.56 | 738 | 618 |
|
Rajesh M Trivedi
205 Valley Ave |
$32.12 | 703 | 643 |
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 Bend, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Bend, WI is $35.08 per claim, based on 126,049 claims from 110 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 Bend, WI?
There are 110 Medicaid providers offering Office Visit related services in West Bend, WI according to public payment data.
What is the price range for Office Visit in West Bend, WI?
Medicaid reimbursement for Office Visit in West Bend, WI ranges from $8.02 to $128.56 per claim, with an average of $35.08. 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 Bend, WI
Behavioral & Mental Health Therapy
Avg $98.75
200,793 claims
Blood Work & Lab Tests
Avg $10.08
141,349 claims
Personal Care Services
Avg $9.16
91,175 claims
Psychiatric Evaluation
Avg $51.84
70,144 claims
Speech Therapy
Avg $10.74
60,775 claims
Emergency Room Visit
Avg $44.60
45,908 claims
Non-Emergency Medical Transportation
Avg $11.76
33,407 claims
Chiropractic Care
Avg $18.62
33,120 claims