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 |
|---|---|---|---|
|
Rainbow Pediatrics
21141 Sterling Ave Unit 1 |
$56.08 | 30,284 | 22,629 |
|
Nutrihealth Llc
20930 Dupont Blvd Unit 202 |
$80.77 | 10,176 | 8,293 |
|
La Red Health Center Inc
21444 Carmean Way |
$0.15 | 9,864 | 8,015 |
|
Sussex Pain Relief Center Llc
18229 Dupont Blvd |
$52.62 | 9,640 | 7,801 |
|
Georgetown Medical Associates, Llc
20930 Dupont Blvd |
$55.39 | 7,405 | 5,828 |
|
La Red Health Center Inc
21444 Carmean Way |
$0.24 | 5,554 | 4,460 |
|
Sussex Eye Center Pa
502 W Market St |
$73.19 | 5,043 | 4,373 |
|
Andrew Richard Crichlow
18229 Dupont Blvd |
$45.84 | 4,641 | 3,871 |
|
Robert L Rankin
505 W Market St Ste 100 |
$102.68 | 3,778 | 3,548 |
|
Atlantic Family Physicians, Llc
2 Lee Ave Unit 103 |
$47.93 | 3,601 | 2,768 |
|
Pankaj Sanwal
21141 Sterling Ave |
$1.98 | 2,986 | 2,445 |
|
Tracy L Dysard
20930 Dupont Blvd Unit 202 |
$58.16 | 2,977 | 2,523 |
|
Manonmani Antony
18229 Dupont Blvd |
$4.32 | 2,968 | 2,216 |
|
Beshara N Helou
20930 Dupont Blvd |
$9.39 | 2,577 | 2,122 |
|
John Melbourne Mcgraw
21655 Biden Ave |
$48.70 | 2,408 | 1,498 |
|
Vibha Sanwal
21141 Sterling Ave Unit 1 |
$1.51 | 1,643 | 1,442 |
|
Jeanette M Grant
21444 Carmean Way |
$39.33 | 1,503 | 1,311 |
|
Joanna Bailey Sweet
21444 Carmean Way |
$94.17 | 1,479 | 1,234 |
|
Fabricio J Alarcon
2 Lee Ave Unit 103 |
$4.41 | 1,421 | 971 |
|
Leena Samuel Saj
21444 Carmean Way |
$160.95 | 1,343 | 1,259 |
|
Candice Roberts
18229 Dupont Blvd |
$57.25 | 1,228 | 1,097 |
|
Ana Luisa Guerrero
21444 Carmean Way |
$1.65 | 1,049 | 985 |
|
The Rosa Health Center, Inc
10 N Front St |
$63.84 | 1,035 | 953 |
|
Stacey A Kemp
21444 Carmean Way |
$1.94 | 1,006 | 317 |
|
Erin Lawrence Bender
20930 Dupont Blvd Unit 202 |
$200.52 | 831 | 711 |
|
Jona D. Gorra
10 W Laurel St |
$6.97 | 774 | 623 |
|
Lisa Bartels
21635 Biden Ave |
$2.15 | 643 | 493 |
|
Jessica W Baxter
503 W Market St |
$2.05 | 586 | 504 |
|
Victorino Lopez De Jesus
21635 Biden Ave |
$4.61 | 523 | 394 |
|
Brightview Llc
501 W Market St |
$4.37 | 467 | 159 |
|
Debra Lynn Hayes
18229 Dupont Blvd |
$0.32 | 436 | 306 |
|
Parul Singh
21141 Sterling Ave Unit 1 |
$76.07 | 338 | 299 |
|
Andrea Forsyth
18229 Dupont Blvd |
$3.53 | 331 | 291 |
|
Nancy Marie Smith
10 W Laurel St |
$12.63 | 324 | 216 |
|
Dustin D Davis
201 W Market St |
$6.93 | 282 | 220 |
|
Salvatore F Salfi
26351 Patriots Way |
$0.00 | 199 | 149 |
|
Tarek Waked
21635 Biden Ave Unit 203 |
$2.45 | 165 | 144 |
|
Janet T Pedro
505 W Market St |
$6.23 | 136 | 110 |
|
Joseph Francis Karnish
505 W Market St |
$4.01 | 120 | 101 |
|
La Red Health Center, Inc.
17099 County Seat Hwy |
$0.29 | 113 | 58 |
|
Myloan Thi Nguyen
502 W Market St |
$14.35 | 110 | 98 |
|
Lorren Michael Donmoyer
21635 Biden Ave |
$76.17 | 107 | 87 |
|
Kimberly Ann Yates
26351 Patriots Way |
$1.10 | 103 | 87 |
|
Eileen Mary Davis
201 W Market St |
$6.65 | 102 | 80 |
|
Aimee Parker
502 W Market St |
$16.32 | 83 | 62 |
|
Jehan Riar
25 Bridgeville Rd |
$0.49 | 44 | 35 |
|
Dc Medical Services, Llc
10 W Laurel St |
$41.66 | 17 | 13 |
|
Michael Rebarchik
502 W Market St |
$20.52 | 17 | 16 |
|
Jacob Stoker
21655 Biden Ave |
$0.00 | 16 | 16 |
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