Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Dover, DE: $55.49

Avg. Paid

$55.49

Range

$0.00 – $180.46

Total Claims

541,196

Providers

252

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 Dover, DE

Provider	Avg. Paid	Claims	Patients
Jatan Raythatha 742 S Governors Ave	$7.48	12	12
Edward Lee Alexander 724 S New St	$2.05	13	12
Khanh Hong Nguyen 640 S State St Fl 1	$0.00	13	13
Radu Alexandru Nedelcoviciu 724 S New St	$0.00	13	12
Comprehensive Chiropractic & Rehabilitation, P.A. 850 New Burton Rd	$6.61	13	12
Stephanie Thanh Nguyen 793 S Queen St	$48.73	14	12
Ramesh Vemulapalli 200 Banning St	$3.17	14	14
Sanjeev B Patel 200 Banning St	$9.80	15	13
State Of Delaware 417 Federal St	$66.94	15	15
Jennifer Osei-Afriyie 1020 Forrest Ave	$0.00	15	15
Svastijaya Daviratanasilpa 1198 S Governors Ave Ste B100	$10.94	16	12
John Robert Burger 651 Bay Rd Ste 1F	$1.29	17	15
Daniel N Coar 1198 S Governors Ave Ste B100	$1.31	17	13
Raymond E Miller 540 S Governors Ave Ste 201	$3.78	17	12
Assar Ahmed Rather 724 S New St	$0.00	17	13
Bayhealth Medical Center, Inc 640 S State St	$15.72	18	12
Judith Rippert 200 Banning St	$1.63	18	17
Brian M Benson 725 S Queen St	$8.89	18	12
Bayhealth Medical Center, Inc 724 S New St	$19.96	20	13
C-Schell Spine Specialists Inc. 777 Walker Rd	$0.00	20	13
Wai Wai Lin 1058 S Governors Ave Ste 101	$76.26	21	21
Andrew Joseph Gambone 651 Bay Rd Ste 1F	$0.00	22	22
Roxann Deborah Kinlock 805 S Governors Ave	$0.00	22	16
Thomas P Barnett 200 Banning St	$9.64	23	17
John P. Gusdon 640 S State St	$112.53	26	26
Advanced Sleep Disorders Center Llc 200 Banning St	$71.46	27	25
The Orthopaedic Spine Center 260 Beiser Blvd	$70.26	27	26
Mark S Borer 846 Walker Rd	$0.00	27	27
Bayhealth Medical Center, Inc 651 Bay Road	$71.28	34	33
Stephen L Malone 260 Beiser Blvd	$0.00	37	31
Jennifer Tetzner 725 S Queen St	$0.00	37	33
Nicole Jackson 200 Banning St Ste 260	$0.00	40	39
Ashley L Heisey 640 S State St	$102.23	43	37
John J. Fink 640 S State St	$1.36	46	45
Nicholas J Mandalakas 1113 S State St Ste 100	$24.49	48	38
Meghan Elizabeth Miller 200 Banning St	$1.51	49	39
Nicholas Alcorn 1004 S State St Ste 1	$0.00	49	40
Rhae Anna L Riegel 1004 S State St Ste 1	$0.42	53	45
Harsha Tankala 1125 Forrest Ave	$5.22	55	42
Medexpress, Inc - Delaware 15 S Dupont Hwy	$12.29	56	41
Emily Albright Preston 200 Banning St Ste 320	$0.34	56	43
Bayhealth Medical Center, Inc 540 S Governors Ave Ste 100	$44.38	57	52
Timothy Francis-Mooney Doyle 833 S Governors Ave	$58.73	58	54
Carrie S Keane 200 Banning St Ste 320	$3.87	59	48
Kevin P. Sheahan Nemours Pediatrics Dover	$0.00	61	55
John Bernard Coll 1893 S Dupont Hwy	$7.38	64	52
Priya Dubey 1198 S Governors Ave Ste B100	$117.91	66	51
Timothy John Smith 885 S Governors Ave	$2.39	71	67
Christie L Miller 200 Banning St	$1.53	74	58
Simone Alyssa Wilson 39 Periwinkle Ct	$71.21	74	72

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 Dover, DE?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dover, DE is $55.49 per claim, based on 541,196 claims from 252 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 Dover, DE?

There are 252 Medicaid providers offering Office Visit related services in Dover, DE according to public payment data.

What is the price range for Office Visit in Dover, DE?

Medicaid reimbursement for Office Visit in Dover, DE ranges from $0.00 to $180.46 per claim, with an average of $55.49. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Dover, DE: $55.49

Providers Offering Office Visit in Dover, DE

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Dental Cleaning & Exam

Vaccines & Immunizations

Ultrasound