Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lewes, DE: $59.41

Avg. Paid

$59.41

Range

$0.00 – $162.19

Total Claims

228,910

Providers

125

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 Lewes, DE

Provider	Avg. Paid	Claims	Patients
Beebe Physician Network Inc. 1515 Savannah Rd	$73.44	96,116	78,629
Jason Staback 17644 Coastal Hwy #6	$45.20	17,889	16,797
The Pediatric & Adolescent Center 33759 Clay Rd	$66.86	16,276	13,184
First State Orthopaedics Pa 12100 Black Swan Drive	$61.81	14,732	12,437
Aspira Health 18068 Coastal Hwy	$53.95	13,831	9,953
Focus Behavioral Health At The Beach Lp 33712 Wescoats Rd	$75.87	6,765	5,521
Beebe Medical Center, Inc. 424 Savannah Rd	$52.04	4,407	3,515
Jimmy D Chua 1535 Savannah Rd	$25.04	4,332	3,286
Clinic By The Sea Llc 16295 Willow Creek Rd	$64.29	3,921	3,502
Atlantic Adult And Pediatric Medicine, Pa 34435 King Street Row Ste 1	$73.28	2,577	2,209
Peter Jo Coveleski 12100 Black Swan Dr Ste 201	$4.25	2,564	2,056
Rheumatology Consultants Of De Pa 20268 Plantations Rd	$48.87	2,522	2,053
Cardiovascular Consultants Of Southern Delaware 16704 Kings Hwy	$47.12	2,203	1,949
Milton Enterprises, Inc 17015 Old Orchard Rd Unit 2	$56.41	2,135	1,858
Claudia J Halstead 424 Savannah Rd	$123.98	2,034	1,988
Atracare Walk-In Llc 18068 Coastal Hwy	$42.09	1,932	1,460
Johannah Butler 12100 Black Swan Dr	$88.68	1,773	1,591
Mona T Orsini 1606 Savannah Rd	$63.27	1,771	1,278
Mid-Atlantic Family Practice 20251 John J Williams Hwy	$54.25	1,730	1,470
Brian Caswell-Monack 20251 John J Williams Hwy	$2.98	1,538	684
Daryl Sharman 20251 John J Williams Highway	$3.83	1,396	694
Delaware Psychological Services Llc 17021 Old Orchard Rd	$82.61	1,273	1,186
Douglas B Allen 424 Savannah Rd	$3.68	1,056	897
Margaret Anne Shaw 33712 Wescoats Rd Unit 4	$2.97	1,037	946
Brendan Kane 17425 Ocean One Plz Unit 1	$28.00	1,010	897
Jennifer Ann Hurd 17015 Old Orchard Rd Unit 2	$5.11	940	721
Laurel Ann Steen 34434 King Street Row	$50.55	774	577
Katelin Raye Talbert 16287 Willow Creek Rd	$95.90	727	547
Charles A Stanislav 34435 King Street Row	$2.60	663	562
Cardiovascular Interventional Associates Llc 16392 Coastal Hwy # 1	$66.24	634	544
Delaware Neurology Associates,Pa 34434 King Street Row	$53.19	610	468
Roman C Orsini 12100 Black Swan Drive	$3.83	603	482
Cape Ent, P.A. 17005 Old Orchard Rd	$44.23	587	496
Amulya D Amirneni 17005 Old Orchard Rd	$37.30	544	538
Julia C Seeley 400 Savannah Rd	$2.61	520	457
Gita Pillai 12100 Black Swan Drive	$1.79	513	390
Holly Marie Mckiel 1535 Savannah Rd	$2.39	501	373
Cape Henlopen Dermatology, P.A. 750 Kings Hwy	$59.82	485	469
Odette Dela Cruz Evangelista 1526 Savannah Rd	$3.09	478	403
Claire Megan Capobianco 12100 Black Swan Drive	$3.09	453	379
Jennifer A Wright 16337 Coastal Hwy	$30.94	453	350
Jose Antonio Pando 20268 Plantations Rd	$2.97	427	316
Richard F Caruso 1309 Savannah Rd	$5.99	425	383
Casey Elizabeth Mayer 16337 Coastal Hwy	$74.88	422	416
Rajinder Prasad 34453 King Street Row	$12.27	414	283
William A Thomas 34434 King Street Row	$6.92	411	352
Ralph Joseph Defriece 1515 Savannah Rd	$4.39	397	326
Edmund Thomas Carroll 12100 Black Swan Drive	$2.04	397	279
Maxime G Moise 431 Savannah Rd	$3.17	380	314
Reetu Singh 34381 Carpenters Way	$5.33	378	283

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 Lewes, DE?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lewes, DE is $59.41 per claim, based on 228,910 claims from 125 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 Lewes, DE?

There are 125 Medicaid providers offering Office Visit related services in Lewes, DE according to public payment data.

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

Medicaid reimbursement for Office Visit in Lewes, DE ranges from $0.00 to $162.19 per claim, with an average of $59.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Lewes, DE: $59.41

Providers Offering Office Visit in Lewes, DE

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Lewes, DE

Emergency Room Visit

Blood Work & Lab Tests

X-Ray

Psychiatric Evaluation

Physical Therapy

CT Scan (Computed Tomography)

Ultrasound

Speech Therapy