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 |
|---|---|---|---|
|
Todd Ralph Rieter
205 Valley Ave |
$27.47 | 12 | 12 |
|
Katherine Meurer
1700 W Paradise Dr |
$47.35 | 12 | 12 |
|
Rebecca L Brown
528 Shepherds Dr |
$15.23 | 13 | 12 |
|
Michelle M. Miller
1100 Gateway Ct |
$25.25 | 13 | 13 |
|
Eric J Kirk
205 Valley Ave |
$15.34 | 14 | 14 |
|
Nipun Gupta Verma
3200 Pleasant Valley Rd |
$123.47 | 14 | 12 |
|
Fj Schofield
820 E Paradise Dr |
$18.50 | 15 | 15 |
|
Rinku M Patel
1700 W Paradise Dr |
$48.22 | 15 | 12 |
|
Nicole L Klausmeier
1700 W Paradise Dr |
$18.18 | 19 | 13 |
|
John F. Weaver
205 Valley Ave |
$27.03 | 25 | 13 |
|
Jennifer S George
1100 Gateway Ct |
$40.45 | 28 | 26 |
|
Peter Joshua Cronin
1700 W Paradise Dr |
$21.75 | 29 | 25 |
|
Colin James Mooney
3200 Pleasant Valley Rd |
$23.60 | 29 | 24 |
|
Loreal Dolar
1700 W Paradise Dr |
$41.83 | 33 | 31 |
|
April Anita Shera
1700 W Paradise Dr |
$20.25 | 37 | 26 |
|
Zoran D Gajic
1700 W Paradise Dr |
$17.34 | 54 | 40 |
|
Lawrence P Sullivan
1700 W Paradise Dr |
$22.96 | 66 | 55 |
|
Jennifer Nicole Thomson
1700 W Paradise Dr |
$43.05 | 69 | 64 |
|
Jessica Murphy
111 E Washington St |
$10.24 | 70 | 39 |
|
Muhammad Z Mian
205 Valley Ave |
$24.76 | 72 | 65 |
|
Lawrence A Gill
1700 W Paradise Dr |
$24.05 | 72 | 64 |
|
Monica Clare Ryan
3200 Pleasant Valley Rd |
$15.03 | 74 | 69 |
|
Charles E Sammis
5595 County Road Z |
$29.47 | 76 | 69 |
|
Samuel Jon Kortes
531 E Washington St |
$39.57 | 95 | 88 |
|
Denine Eva Murn
3200 Pleasant Valley Rd |
$27.08 | 101 | 94 |
|
Sylvia Hillmann
1700 W Paradise Dr |
$45.84 | 115 | 104 |
|
Meghan Lynn Christian
3200 Pleasant Valley Rd |
$18.21 | 129 | 97 |
|
Sailaja Kamaraju
1110 Oak St |
$22.50 | 139 | 117 |
|
Sandra Schaefer
611 Veterans Ave Ste 106 |
$28.88 | 141 | 119 |
|
Madhuri H. Trivedi
1700 W Paradise Dr |
$18.78 | 148 | 123 |
|
Andrea M Pipito
3200 Pleasant Valley Rd |
$60.76 | 160 | 139 |
|
Sally A Luthi
2180 S Main St |
$38.32 | 182 | 157 |
|
John Burfeind
3200 Pleasant Valley Rd |
$16.34 | 201 | 179 |
|
Heather I Osborn
1700 W Paradise Dr |
$41.01 | 208 | 190 |
|
Chhaya Patel
3200 Pleasant Valley Rd |
$38.55 | 210 | 180 |
|
Rachel Mccauley
432 E Washington St |
$13.39 | 215 | 168 |
|
David Hadcock
1700 W Paradise Dr |
$32.61 | 239 | 212 |
|
Deborah S Haas
1700 W Paradise Dr |
$35.28 | 259 | 221 |
|
Carey Cameron
1700 W Paradise Dr |
$33.65 | 277 | 238 |
|
Jeffery R Smale
3200 Pleasant Valley Rd |
$13.71 | 280 | 195 |
|
Lauren Sheafer
2180 S Main St |
$33.13 | 305 | 277 |
|
Lonna Lee Taylor
111 E Washington St |
$8.02 | 309 | 250 |
|
Carlos J Rodriguez
3200 Pleasant Valley Rd |
$22.94 | 359 | 306 |
|
Gary L Preisler
1700 W Paradise Dr |
$33.36 | 388 | 328 |
|
Daniel W Hambrook
1700 W Paradise Dr |
$71.62 | 403 | 379 |
|
Jorge Marquez De Leon
1100 Gateway Ct |
$28.43 | 423 | 399 |
|
Andrew M Guminski
1700 W Paradise Dr |
$42.40 | 429 | 387 |
|
Lindsay Ann Kochelek
1305 Chestnut St Ste 3 |
$20.72 | 467 | 432 |
|
Mark Y Nunag
2050 Continential Drive |
$16.38 | 477 | 439 |
|
Megan Jourdan
3200 Pleasant Valley Rd |
$40.67 | 499 | 356 |
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