Average Medicaid Office Visit Payments in Delaware, OH: $53.89
Avg. Paid
$53.89
Range
$0.00 – $318.75
Total Claims
225,323
Providers
109
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 Delaware, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mario Bianconi
241 Paddock Ct |
$73.43 | 16,100 | 8,252 |
|
Jennifer Lynne Datta
3124 Bean Oller Rd |
$74.80 | 15,449 | 9,898 |
|
Seth Bendo
801 Ohio Health Blvd |
$51.33 | 13,139 | 12,508 |
|
John D Toth
7420 Gooding Boulevard |
$51.53 | 9,861 | 9,144 |
|
David Anthony Sestak
1100 Sunbury Rd |
$62.60 | 7,549 | 6,943 |
|
Danielle Rebecca Wadkins
7853 Pacer Dr Ste 3D |
$28.04 | 6,475 | 3,399 |
|
Danamarie E. Aminian
801 Ohio Health Blvd |
$53.22 | 6,363 | 6,175 |
|
Gerald Thomas French
454 W Central Ave |
$44.80 | 5,998 | 5,295 |
|
Bruce Barker
801 Ohio Health Blvd Ste 160 |
$51.27 | 5,867 | 5,582 |
|
Thomas Jams Zuesi
561 W Central Ave |
$42.09 | 4,924 | 4,520 |
|
Rachael Elizabeth Zanotti-Morocco
2295 W William St |
$68.22 | 4,502 | 2,829 |
|
William Beatty Hammett
460 W Central Ave |
$46.14 | 4,478 | 3,636 |
|
Cassandra Marie Wolfinger Franks
6 Lexington Blvd |
$45.43 | 4,240 | 3,726 |
|
Julie Newsom
7420 Gooding Blvd Ste 100 |
$45.15 | 4,170 | 3,797 |
|
Martha Smith
246 Knight Dream St |
$62.31 | 4,155 | 2,543 |
|
Matthew Daniel Fuerst
6 Lexington Blvd |
$43.78 | 4,107 | 3,799 |
|
Jennifer Lynn Burkam
7420 Gooding Blvd Ste 100 |
$51.45 | 4,054 | 3,804 |
|
Lavanya Amirneni
6 Lexington Blvd |
$47.85 | 4,011 | 3,683 |
|
Kathleen Degroft Blake
7420 Gooding Blvd Ste 100 |
$50.68 | 3,812 | 3,570 |
|
Mark A. Thoma
551 W Central Ave |
$45.71 | 3,405 | 3,139 |
|
D Matthew Koehler
454 W Central Ave |
$42.42 | 3,302 | 2,992 |
|
Timothy Jon Storer
12 Lexington Blvd |
$49.05 | 3,137 | 3,040 |
|
Sujana V Rayani
1999 Woodland Hall Dr |
$80.59 | 3,095 | 2,729 |
|
Kevin Mark Haney
6 Lexington Blvd |
$36.68 | 3,084 | 2,887 |
|
Amy Louise Connor
1710 Columbus Pike |
$46.85 | 3,002 | 2,817 |
|
Courtney Ann Walsh
6 Lexington Blvd |
$43.92 | 2,980 | 2,711 |
|
Natalie Ann Dick
801 Ohiohealth Blvd |
$57.75 | 2,716 | 2,515 |
|
Francis Voegele
6 Lexington Blvd |
$46.50 | 2,536 | 2,365 |
|
Teresa Rose Recker Gross
551 W Central Ave |
$48.54 | 2,476 | 2,305 |
|
Era Gupta
460 W Central Ave |
$46.70 | 2,428 | 2,065 |
|
Grady Memorial Hospital
561 W Central Ave |
$102.17 | 2,378 | 2,026 |
|
Benjamin Meriwether Winfree
460 W Central Ave |
$46.18 | 2,362 | 1,979 |
|
Andre Mikael De Leon
801 Ohio Health Blvd Ste 260 |
$48.50 | 2,279 | 2,035 |
|
Molly Michelle Williams
801 Ohiohealth Blvd |
$54.88 | 2,228 | 2,080 |
|
Diana Lee Taylor
6 Lexington Blvd |
$45.94 | 2,164 | 1,967 |
|
Hariklia Louvakis
460 W Central Ave |
$45.07 | 1,985 | 1,696 |
|
Lea M Witt
550 W Central Ave |
$44.73 | 1,975 | 1,764 |
|
Sally Anne Hough
824 Bowtown Rd |
$138.35 | 1,958 | 1,735 |
|
Amber Dawn Boice
92 N Sandusky St Ste 300 |
$22.82 | 1,891 | 1,117 |
|
Yolanda Crawford
6 Lexington Blvd |
$50.27 | 1,794 | 1,694 |
|
Kevin Francis Gross
2295 W William St |
$45.31 | 1,704 | 1,488 |
|
Tracy King
1 W Winter St Ste 200 |
$136.39 | 1,553 | 1,404 |
|
Melissa A Payne
550 W Central Ave |
$38.76 | 1,542 | 1,410 |
|
Deanna S Osborn
6 Lexington Blvd |
$43.04 | 1,498 | 1,407 |
|
Gerald L Kremer
6 Lexington Blvd |
$41.28 | 1,478 | 1,376 |
|
Kenneth O Cayce
801 Ohiohealth Blvd |
$43.70 | 1,460 | 1,328 |
|
Juliana Boateng
6 Lexington Blvd |
$42.74 | 1,455 | 1,333 |
|
Jeffery Alan Madachy
801 Ohiohealth Blvd |
$48.02 | 1,425 | 1,301 |
|
Rashi Anne Fischer
6 Lexington Blvd |
$50.76 | 1,394 | 1,261 |
|
David E Rumbalski
801 Ohiohealth Blvd. |
$40.78 | 1,352 | 1,234 |
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 Delaware, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Delaware, OH is $53.89 per claim, based on 225,323 claims from 109 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 Delaware, OH?
There are 109 Medicaid providers offering Office Visit related services in Delaware, OH according to public payment data.
What is the price range for Office Visit in Delaware, OH?
Medicaid reimbursement for Office Visit in Delaware, OH ranges from $0.00 to $318.75 per claim, with an average of $53.89. 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 Delaware, OH
Emergency Room Visit
Avg $80.45
119,099 claims
Blood Work & Lab Tests
Avg $12.64
95,995 claims
Psychiatric Evaluation
Avg $58.03
67,870 claims
Home Health Visit
Avg $40.07
63,327 claims
Dental Cleaning & Exam
Avg $25.99
60,755 claims
Behavioral & Mental Health Therapy
Avg $77.83
55,813 claims
Speech Therapy
Avg $33.88
55,224 claims
Vaccines & Immunizations
Avg $15.31
49,912 claims