Average Medicaid Office Visit Payments in Georgetown, DE: $46.59
Avg. Paid
$46.59
Range
$0.00 – $200.52
Total Claims
122,476
Providers
49
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 Georgetown, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jacob Stoker
21655 Biden Ave |
$0.00 | 16 | 16 |
|
Michael Rebarchik
502 W Market St |
$20.52 | 17 | 16 |
|
Dc Medical Services, Llc
10 W Laurel St |
$41.66 | 17 | 13 |
|
Jehan Riar
25 Bridgeville Rd |
$0.49 | 44 | 35 |
|
Aimee Parker
502 W Market St |
$16.32 | 83 | 62 |
|
Eileen Mary Davis
201 W Market St |
$6.65 | 102 | 80 |
|
Kimberly Ann Yates
26351 Patriots Way |
$1.10 | 103 | 87 |
|
Lorren Michael Donmoyer
21635 Biden Ave |
$76.17 | 107 | 87 |
|
Myloan Thi Nguyen
502 W Market St |
$14.35 | 110 | 98 |
|
La Red Health Center, Inc.
17099 County Seat Hwy |
$0.29 | 113 | 58 |
|
Joseph Francis Karnish
505 W Market St |
$4.01 | 120 | 101 |
|
Janet T Pedro
505 W Market St |
$6.23 | 136 | 110 |
|
Tarek Waked
21635 Biden Ave Unit 203 |
$2.45 | 165 | 144 |
|
Salvatore F Salfi
26351 Patriots Way |
$0.00 | 199 | 149 |
|
Dustin D Davis
201 W Market St |
$6.93 | 282 | 220 |
|
Nancy Marie Smith
10 W Laurel St |
$12.63 | 324 | 216 |
|
Andrea Forsyth
18229 Dupont Blvd |
$3.53 | 331 | 291 |
|
Parul Singh
21141 Sterling Ave Unit 1 |
$76.07 | 338 | 299 |
|
Debra Lynn Hayes
18229 Dupont Blvd |
$0.32 | 436 | 306 |
|
Brightview Llc
501 W Market St |
$4.37 | 467 | 159 |
|
Victorino Lopez De Jesus
21635 Biden Ave |
$4.61 | 523 | 394 |
|
Jessica W Baxter
503 W Market St |
$2.05 | 586 | 504 |
|
Lisa Bartels
21635 Biden Ave |
$2.15 | 643 | 493 |
|
Jona D. Gorra
10 W Laurel St |
$6.97 | 774 | 623 |
|
Erin Lawrence Bender
20930 Dupont Blvd Unit 202 |
$200.52 | 831 | 711 |
|
Stacey A Kemp
21444 Carmean Way |
$1.94 | 1,006 | 317 |
|
The Rosa Health Center, Inc
10 N Front St |
$63.84 | 1,035 | 953 |
|
Ana Luisa Guerrero
21444 Carmean Way |
$1.65 | 1,049 | 985 |
|
Candice Roberts
18229 Dupont Blvd |
$57.25 | 1,228 | 1,097 |
|
Leena Samuel Saj
21444 Carmean Way |
$160.95 | 1,343 | 1,259 |
|
Fabricio J Alarcon
2 Lee Ave Unit 103 |
$4.41 | 1,421 | 971 |
|
Joanna Bailey Sweet
21444 Carmean Way |
$94.17 | 1,479 | 1,234 |
|
Jeanette M Grant
21444 Carmean Way |
$39.33 | 1,503 | 1,311 |
|
Vibha Sanwal
21141 Sterling Ave Unit 1 |
$1.51 | 1,643 | 1,442 |
|
John Melbourne Mcgraw
21655 Biden Ave |
$48.70 | 2,408 | 1,498 |
|
Beshara N Helou
20930 Dupont Blvd |
$9.39 | 2,577 | 2,122 |
|
Manonmani Antony
18229 Dupont Blvd |
$4.32 | 2,968 | 2,216 |
|
Tracy L Dysard
20930 Dupont Blvd Unit 202 |
$58.16 | 2,977 | 2,523 |
|
Pankaj Sanwal
21141 Sterling Ave |
$1.98 | 2,986 | 2,445 |
|
Atlantic Family Physicians, Llc
2 Lee Ave Unit 103 |
$47.93 | 3,601 | 2,768 |
|
Robert L Rankin
505 W Market St Ste 100 |
$102.68 | 3,778 | 3,548 |
|
Andrew Richard Crichlow
18229 Dupont Blvd |
$45.84 | 4,641 | 3,871 |
|
Sussex Eye Center Pa
502 W Market St |
$73.19 | 5,043 | 4,373 |
|
La Red Health Center Inc
21444 Carmean Way |
$0.24 | 5,554 | 4,460 |
|
Georgetown Medical Associates, Llc
20930 Dupont Blvd |
$55.39 | 7,405 | 5,828 |
|
Sussex Pain Relief Center Llc
18229 Dupont Blvd |
$52.62 | 9,640 | 7,801 |
|
La Red Health Center Inc
21444 Carmean Way |
$0.15 | 9,864 | 8,015 |
|
Nutrihealth Llc
20930 Dupont Blvd Unit 202 |
$80.77 | 10,176 | 8,293 |
|
Rainbow Pediatrics
21141 Sterling Ave Unit 1 |
$56.08 | 30,284 | 22,629 |
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 Georgetown, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Georgetown, DE is $46.59 per claim, based on 122,476 claims from 49 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 Georgetown, DE?
There are 49 Medicaid providers offering Office Visit related services in Georgetown, DE according to public payment data.
What is the price range for Office Visit in Georgetown, DE?
Medicaid reimbursement for Office Visit in Georgetown, DE ranges from $0.00 to $200.52 per claim, with an average of $46.59. 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 Georgetown, DE
Personal Care Services
Avg $121.41
245,490 claims
Vaccines & Immunizations
Avg $4.80
55,017 claims
Dental Cleaning & Exam
Avg $41.59
18,460 claims
Hearing Test (Audiometry)
Avg $6.19
10,514 claims
Blood Work & Lab Tests
Avg $9.05
10,104 claims
Psychiatric Evaluation
Avg $10.47
5,495 claims
Physical Therapy
Avg $33.49
5,397 claims
Eye Exam
Avg $16.36
5,370 claims