Based on public Medicaid payment data.

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
Tyler Nicholas O'Brien 1 W Winter St Ste 200	$19.44	12	12
Judith K Held Md Inc 695 W Central Ave	$0.00	13	13
Joseph Jared Guth 460 W Central Ave	$54.43	13	12
Lauren Brandt Wiley 2295 W William St	$38.15	20	20
Leah Katherine Middelberg 7853 Pacer Dr	$88.92	26	16
Karen A. Tackett 801 Ohiohealth Blvd	$38.68	27	26
Kevin Glen Doherty 6511 Taggart Rd	$41.92	29	29
Joy E Workman 250 S Henry St	$11.27	29	15
Michael Fomenky 336 W Wind Rd	$318.75	30	30
Michelle L Rapach 551 W Central Ave Ste 204	$36.83	33	26
Christian Coletta 1816 Columbus Pike Ste 70	$72.00	40	39
Mohamed K. Abdo 6 Lexington Blvd	$58.65	56	56
Koteswara R. Nalluri 561 W Central Ave	$15.74	70	69
Jane Ellen Graebner 1871 W William St	$23.80	122	97
Suzanne H Lin 460 W Central Ave	$39.77	126	121
Christine Kelly Lyons 801 N Houk Rd	$57.59	142	120
Shannon Nicole Beitel 801 N Houk Rd	$52.50	144	136
Kara Jane Wada 175 S Sandusky St Ste 256	$58.45	145	144
Emily Lauren Sykes 1 W Winter St Ste 200	$49.09	157	142
Andrea Claytor 1100 Sunbury Rd	$61.27	166	160
Steven Kocher 29 Grandview Ave	$63.84	173	171
Logan C Beckett 801 Ohio Health Blvd Ste 260	$44.07	173	158
Christine Elizabeth Thiel 561 W Central Ave	$23.38	188	176
Laurie Claire Bates 801 N Houk Rd	$44.58	196	181
Lauren Kelsey-Tsen Mcclain 551 W Central Ave	$59.02	235	213
Emily Sentman 7853 Pacer Dr	$109.69	242	158
Mark Bradley Skinner 824 Bowtown Rd	$49.19	317	270
Gary James Duncan 454 W Central Ave	$53.00	334	310
Tiffini Lasch 560 Sunbury Rd	$41.63	375	330
Kavita S. Sharma 551 W Central Ave Ste 204	$44.66	396	381
Kathleen Michelle Provanzana 6 Lexington Blvd	$34.69	403	371
Tejas A Mehta 551 W Central Ave Ste 204	$35.38	409	388
Devon Jean Schultz 6 Lexington Blvd	$43.30	445	413
Stephen J Choban 460 W Central Ave	$19.48	498	403
Michael Anthony Bauml 551 W Central Ave Ste 204	$43.32	509	486
Steven M Hirsch 801 Ohiohealth Blvd	$45.84	525	494
Erin Jeffrey 801 N Houk Rd	$53.87	567	545
Drew Jackson Belpedio 1871 W William St	$24.87	578	467
Denise M. Cambier 801 Ohio Health Blvd Ste 210	$32.90	609	581
David Hoang 460 W Central Ave	$30.63	627	522
Candice Iman Martin 7853 Pacer Dr Ste 3A	$39.18	654	605
Martha Anderson 1871 W William St	$23.63	666	556
Caroline Marie Powers Cockrell 7853 Pacer Dr Ste 3A	$41.54	685	633
Jacalyn Marie Cross 801 Ohiohealth Blvd	$38.94	765	713
Vanessa Rae Mcelroy 88 N Sandusky St	$111.11	781	679
Andrew S Macdowell 801 Ohiohealth Blvd	$37.35	847	773
Thomas Park Hubbell 550 W Central Ave	$41.40	889	819
Chantel Adora Williams 1103 Treeline Way	$59.16	915	891
Cynthia Jane Wallace 6 Lexington Blvd	$45.19	932	856
Gregory S. Knudson 551 W Central Ave Ste 102	$27.26	944	893

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.

Average Medicaid Office Visit Payments in Delaware, OH: $53.89

Providers Offering Office Visit in Delaware, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Delaware, OH

Emergency Room Visit

Blood Work & Lab Tests

Psychiatric Evaluation

Home Health Visit

Dental Cleaning & Exam

Behavioral & Mental Health Therapy

Speech Therapy

Vaccines & Immunizations