Average Medicaid Office Visit Payments in Milford, DE: $47.01
Avg. Paid
$47.01
Range
$0.00 – $123.88
Total Claims
96,782
Providers
70
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 Milford, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bayhealth Medical Center, Inc.
800 N Dupont Blvd |
$66.22 | 17,137 | 14,075 |
|
People'S Place Ii, Inc.
1131 Airport Rd |
$66.77 | 12,432 | 11,646 |
|
Atlantic Womens Care Llc
306 Polk Ave |
$57.06 | 7,547 | 5,571 |
|
Albert Hartman French
306 Polk Ave |
$0.09 | 5,135 | 2,174 |
|
Bayhealth Medical Center, Inc.
100 Wellness Way |
$45.54 | 4,964 | 3,783 |
|
La Red Health Center, Inc.
21 W Clarke Ave Ste 1001 |
$0.33 | 4,506 | 3,275 |
|
Premier Orthopaedic Bone & Joint Care
329 Mullet Run |
$38.00 | 4,212 | 3,052 |
|
Adaobi M Enekwizu-Anadu
705 North St |
$65.31 | 3,578 | 3,433 |
|
Winston Pediatrics Pa
375 Mullet Run Street |
$67.88 | 2,363 | 2,170 |
|
Reiesha D Graham
101 Wellness Way Ste 300 |
$99.04 | 2,292 | 1,912 |
|
Jay Dave
111 Neurology Way |
$4.83 | 1,954 | 1,622 |
|
Lauren Parmer
1012 Mattlind Way |
$90.90 | 1,787 | 1,399 |
|
Bayhealth Medical Center, Inc.
100 Wellness Way |
$53.38 | 1,775 | 1,586 |
|
Teresa H Keller
16 S Dupont Hwy |
$0.46 | 1,688 | 1,375 |
|
Rosemarie Di Peppi
100 Wellness Way |
$74.48 | 1,615 | 1,583 |
|
Bayhealth Medical Center, Inc
804 N Dupont Blvd |
$68.70 | 1,567 | 1,332 |
|
Eastern Physical Medicine And Wellness Center, Llc
1009 Mattlind Way |
$57.97 | 1,320 | 1,080 |
|
Ifeanyi Afam Udezulu
1019 Mattlind Way |
$9.13 | 1,319 | 1,048 |
|
Suzanne C Bagas
101 Wellness Way |
$0.81 | 1,226 | 1,044 |
|
Ben Hur Hill Aguilar
804 N Dupont Blvd |
$48.37 | 1,186 | 849 |
|
Lance E Underwood
915 N Dupont Blvd Ste 1 |
$58.38 | 996 | 984 |
|
Natasha Seerattan
101 Wellness Way |
$1.41 | 963 | 847 |
|
Milford Pulmonary And Sleep Consultants, Llc
39 W Clarke Ave |
$38.72 | 943 | 806 |
|
Andrea Marylin Bishop
100 Wellness Way |
$52.63 | 928 | 879 |
|
Cedric Terriell Barnes
119 Neurology Way |
$5.43 | 904 | 684 |
|
Bradley Morken Winston
375 Mullet Run |
$0.64 | 896 | 786 |
|
Francisco Rodriguez
100 Wellness Way |
$96.67 | 813 | 667 |
|
Lily Internal Medicine And Associates,Llc
1019 Mattlind Way |
$82.92 | 793 | 496 |
|
Scott A. Hammer
119 Neurology Way |
$4.34 | 601 | 473 |
|
Jolene M. Dickerson
101 Wellness Way |
$0.49 | 599 | 537 |
|
Milford Primary Care Associates, Llc
301 Jefferson Ave |
$48.90 | 582 | 476 |
|
Michel R Samaha
39 W Clarke Ave |
$5.02 | 547 | 439 |
|
302 Family Medicine, Llc
306 Polk Ave |
$72.55 | 508 | 425 |
|
Preeti Gupta
101 Wellness Way Ste 200 |
$2.57 | 494 | 409 |
|
Adrian John Morris
575 Bay Ave |
$4.02 | 487 | 466 |
|
Laeeq Ahmer
802 N Dupont Blvd |
$3.40 | 477 | 392 |
|
Miaohou Xu
101 Wellness Way Ste 300 |
$0.59 | 454 | 324 |
|
Pedro J Perez
802 N Dupont Blvd |
$7.16 | 439 | 359 |
|
Nira Amrita Madisi
800 N Dupont Blvd |
$36.31 | 365 | 337 |
|
Guy Mitchell Edmondson
310 Mullet Run |
$2.52 | 349 | 300 |
|
Edwin Mark Johnson
802 N Dupont Blvd |
$4.99 | 300 | 253 |
|
Atlantic Chiropractic Associates, P.A.
509 Lakeview Ave |
$35.23 | 294 | 222 |
|
Divergent Direct Primary Care
1011 N Walnut St |
$53.07 | 285 | 250 |
|
Cnmri Pa
111 Neurology Way |
$123.88 | 276 | 263 |
|
Ivy Elizabeth Thompson
800 N Dupont Blvd |
$78.39 | 243 | 220 |
|
Michelle Lynn Bretzius
306 Polk Ave |
$3.67 | 240 | 190 |
|
Ambreen Raza
804 S Dupont Blvd |
$2.39 | 208 | 131 |
|
Raghu Dharmavaram Kottam
100 Wellness Way |
$2.42 | 204 | 166 |
|
Erika Lyn Porter
1012 Mattlind Way |
$0.00 | 193 | 157 |
|
We Care Nephrology Llc
100 Kings Hwy |
$46.02 | 172 | 161 |
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 Milford, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Milford, DE is $47.01 per claim, based on 96,782 claims from 70 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 Milford, DE?
There are 70 Medicaid providers offering Office Visit related services in Milford, DE according to public payment data.
What is the price range for Office Visit in Milford, DE?
Medicaid reimbursement for Office Visit in Milford, DE ranges from $0.00 to $123.88 per claim, with an average of $47.01. 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 Milford, DE
Dental Cleaning & Exam
Avg $53.01
81,457 claims
Personal Care Services
Avg $129.77
66,644 claims
Non-Emergency Medical Transportation
Avg $48.49
62,143 claims
Blood Work & Lab Tests
Avg $10.03
61,177 claims
Substance Abuse Treatment
Avg $365.36
55,401 claims
Psychiatric Evaluation
Avg $53.83
51,176 claims
EKG / ECG (Electrocardiogram)
Avg $12.12
18,780 claims
Vaccines & Immunizations
Avg $3.33
17,583 claims