Average Medicaid Office Visit Payments in Claymont, DE: $8.10
Avg. Paid
$8.10
Range
$0.00 – $77.41
Total Claims
11,644
Providers
13
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 Claymont, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sangeeta Bhattacharya
2401 Philadelphia Pike |
$0.00 | 25 | 22 |
|
Kaleb Carter
2400 Philadelphia Pike |
$32.69 | 83 | 82 |
|
Sarah M Thompson
2401 Philadelphia Pike |
$0.00 | 100 | 87 |
|
Toral Shah Desai
2093 Philadelphia Pike # 4289 |
$50.94 | 139 | 126 |
|
Claymont Walk In Care Llc
2400 Philadelphia Pike |
$34.86 | 288 | 176 |
|
Ats Of Delaware, Llc
2999 Philadelphia Pike |
$40.34 | 392 | 308 |
|
Kara Heppermann Mayes
2093 Philadelphia Pike # 4289 |
$77.41 | 422 | 412 |
|
Melonie Romina Palmer
1004 Society Dr |
$22.21 | 619 | 589 |
|
Meiru Zhao
2400 Philadelphia Pike |
$6.32 | 868 | 743 |
|
Xin Liu
2400 Philadelphia Pike Ste A |
$2.82 | 1,206 | 1,132 |
|
Scott Houser
590 Naamans Rd |
$0.00 | 1,335 | 1,153 |
|
Southbridge Medical Advisory Council, Inc.
2722 Philadelphia Pike |
$0.73 | 1,793 | 1,296 |
|
Bernard Nosanchuk
650 Naamans Rd Ste 110 |
$0.46 | 4,374 | 4,044 |
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 Claymont, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Claymont, DE is $8.10 per claim, based on 11,644 claims from 13 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 Claymont, DE?
There are 13 Medicaid providers offering Office Visit related services in Claymont, DE according to public payment data.
What is the price range for Office Visit in Claymont, DE?
Medicaid reimbursement for Office Visit in Claymont, DE ranges from $0.00 to $77.41 per claim, with an average of $8.10. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Claymont, DE
Substance Abuse Treatment
Avg $5.25
214,762 claims
Physical Therapy
Avg $18.82
46,496 claims
Speech Therapy
Avg $18.40
13,576 claims
Psychiatric Evaluation
Avg $22.44
7,197 claims
Dental Cleaning & Exam
Avg $50.61
5,858 claims
Ambulance Transport
Avg $60.27
5,037 claims
Behavioral & Mental Health Therapy
Avg $132.72
1,921 claims
Blood Work & Lab Tests
Avg $0.04
788 claims