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
Lawrence W Kemp 33672 Bayview Medical Dr Fl 2	$84.65	12	12
Eleazar O'Garro 424 Savannah Rd	$40.34	12	12
Delaware Total Foot And Ankle Center 17425 Ocean One Plz Unit 1	$63.60	12	12
Mary Anne Robinson 750 Kings Hwy	$162.19	12	12
Christopher Frank Caputo 34431 King Street Row	$41.25	13	12
Gene Robert Myers 16704 Kings Hwy	$14.38	13	12
Kathryn Elizabeth O'Reilly 750 Kings Hwy	$1.85	16	14
Rodolfo Rios 1306 Savannah Rd	$1.74	17	12
Jeffrey J Heckert 20251 John J Williams Hwy	$2.47	18	13
Malick G Islam 34453 King Street Row	$0.00	19	12
Mouhanad Freih 16392 Coastal Hwy # 1	$6.17	21	14
Deborah M Tabulov 33664 Bayview Medical Dr Unit 2	$25.81	22	12
Andrea Zencak Walker 34381 Carpenters Way	$38.43	22	12
Jose M Saez 36022 Tarpon Dr	$25.08	26	25
Pain Center Of Delaware 17274 Coastal Hwy	$75.18	27	25
Kenneth P Sunnergren 16704 Kings Hwy	$5.11	29	27
Gwen Elizabeth Davis 424 Savannah Rd	$71.61	34	26
Helen A Merrick 20251 John J Williams Hwy	$0.37	35	31
Comprehensive Breast Center, Llc 34434 King Street Row Ste 2	$46.37	39	26
Coastal Foot And Ankle, Llc 33759 Clay Rd Unit 2	$65.57	39	37
Salfi'S Old-Fashioned Psychiatry, Llc 251 Lakeside Dr	$80.62	39	37
Lyvia Y. Leigh 750 Kings Hwy Ste 102	$48.45	43	42
Omkar R Baxi 12100 Black Swan Dr Ste 201	$65.16	44	42
Scott M Schulze 12100 Black Swan Drive	$2.17	46	34
Amy J Robinson 34445 King Streeet Row	$0.30	48	40
Paolo L Peghini 400 Savannah Rd	$5.94	49	37
Grifasi Eyecare And Optical, Iii, Inc. 17252 N Village Main Blvd	$73.06	52	51
John William Tyson 33672 Bayview Medical Dr Fl 1	$20.32	56	55
Jerome E Groll 34445 King Street Row	$11.12	58	51
William Joseph Barrish 17637 Shady Rd Unit 102	$3.63	61	54
Bhaskar S. Palekar 1526 Savannah Rd	$5.54	63	53
Catherine O Deluca 20251 John J Williams Hwy	$4.87	64	51
Sussex Eye Care & Medical Associates Pa 1306 Savannah Rd	$41.33	71	65
Vikas Batra 34381 Carpenter'S Way	$10.69	75	69
Caryn Brown Chasanov 34381 Carpenters Way	$6.50	75	66
Atlantic Psych Associates, Llc 1510 Savannah Rd	$86.03	79	73
Mark M Menendez 12100 Black Swan Dr Ste 201	$0.00	80	56
Ehg Gi De, P.A. 1309 Savannah Rd	$14.72	81	72
Delbert J Kwan 34431 King Street Row	$2.28	83	60
Ramon A Rosa 16704 Kings Hwy	$12.45	85	76
Paul Christopher Peet 33672 Bayview Medical Dr Fl 2	$0.50	88	72
Ann Marie Stafford 1535 Savannah Rd	$0.24	90	71
Thomas A Otter 17005 Old Orchard Rd	$3.87	107	89
Mark A Sordi 20251 John J Williams Hwy	$4.28	109	85
Steven Berlin 1535 Savannah Rd	$1.10	114	86
Conor John May 16337 Coastal Hwy	$98.86	122	94
Joseph Wendolowski 17425 Ocean One Plz Unit 1	$38.42	130	120
Patrick W Kane 12100 Black Swan Dr Ste 201	$1.73	132	112
Mohammad Mehdi 17274 Coastal Hwy	$0.00	139	120
Mitchell Christopher Stickler 750 Kings Highway	$3.04	149	123

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

Office Visit in Other Cities

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Las Vegas, NV

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