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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
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

Other Procedures in Delaware, OH