Average Medicaid Office Visit Payments in Millsboro, DE: $56.57
Avg. Paid
$56.57
Range
$0.00 – $394.15
Total Claims
72,179
Providers
37
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 Millsboro, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Coras Wellness And Behavioral Health, Llc
315 Old Landing Rd |
$77.89 | 30,239 | 25,343 |
|
Aaron Green
32026 Long Neck Rd |
$0.78 | 7,182 | 6,117 |
|
Ctm Medical Associates Llc
32711 Long Neck Rd |
$57.94 | 6,752 | 5,702 |
|
Sharon Owens
25935 Plaza Dr |
$108.78 | 5,911 | 5,248 |
|
Peninsula Health Llc
26744 John J. Williams Hwy |
$49.99 | 3,770 | 2,813 |
|
The Pearl Clinic, Llc
28539 Dupont Blvd |
$59.64 | 3,270 | 2,586 |
|
Cheryl Lyn Zdana
32711 Long Neck Rd |
$11.19 | 2,761 | 2,165 |
|
Melissa Wiley
30265 Commerce Dr Unit 104 |
$30.15 | 2,331 | 1,393 |
|
Fadi E Damouni
26744 John J Williams Hwy. |
$6.75 | 1,562 | 1,122 |
|
Coastal Care & Dermatology, Llc
28524 Dupont Blvd |
$38.94 | 1,542 | 1,030 |
|
Semaan M Abboud
32711 Long Neck Rd |
$2.91 | 843 | 603 |
|
Amudha Boopathi
30265 Commerce Dr |
$0.00 | 827 | 730 |
|
Ernest R Gelb
32060 Long Neck Rd |
$57.95 | 666 | 592 |
|
Ryan Michael Brown
30265 Commerce Dr Unit 206 |
$77.81 | 561 | 520 |
|
Harry A Lehman
30265 Commerce Dr |
$1.03 | 547 | 471 |
|
William Robert Doran
30265 Commerce Dr Unit 103 |
$2.50 | 481 | 388 |
|
Georges A Dahr
32711 Long Neck Rd |
$8.67 | 378 | 286 |
|
Lewes Surgical & Medical Associates, P.A.
Cedar Tree Medical Center |
$68.81 | 292 | 241 |
|
Mandi Lyn Lahman
30265 Commerce Dr Unit 206 |
$1.94 | 289 | 160 |
|
Sherin Ibrahim Howett
28539 Dupont Blvd |
$2.66 | 255 | 201 |
|
Anis Ahmed
400 Delaware Ave |
$0.00 | 247 | 214 |
|
James Kirkland Beebe
32050 Long Neck Rd |
$5.31 | 218 | 169 |
|
Alma Surratt
32711 Long Neck Rd |
$4.01 | 216 | 205 |
|
Lisa A Hohl
30265 Commerce Dr Unit 206 |
$6.36 | 203 | 179 |
|
Angela R Toney
28467 Dupont Blvd Unit 6 |
$2.63 | 161 | 100 |
|
Marisa Conti
32050 Long Neck Rd |
$9.04 | 138 | 101 |
|
Hilary Haack
30265 Commerce Dr Unit 206 |
$2.46 | 132 | 97 |
|
Nicole Marie Caselli
32060 Long Neck Rd |
$13.98 | 121 | 96 |
|
Mary T Parsons
28538 Dupont Blvd |
$1.67 | 46 | 42 |
|
Danielle L Giddins
30265 Commerce Dr Unit 206 |
$100.43 | 46 | 44 |
|
Alma Surratt Pmhnp, Cns-Bc
32711 Long Neck Rd |
$107.75 | 40 | 40 |
|
Long Neck Chiropractic, Inc.
32783 Long Neck Rd Unit 1 |
$2.27 | 39 | 17 |
|
Rhonda Hina Davis
28539 Dupont Blvd Ste B |
$4.68 | 32 | 27 |
|
Nancy A. Townsend O'Day
28467 Dupont Blvd Coastal Care & Dermatology |
$0.68 | 28 | 21 |
|
Martha J Lins
101 E Dupont Hwy |
$0.00 | 24 | 24 |
|
Coastal Chiropractic, Llc
28467 Dupont Blvd |
$17.09 | 16 | 12 |
|
Javed Akhtar
32050 Long Neck Rd |
$394.15 | 13 | 12 |
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 Millsboro, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Millsboro, DE is $56.57 per claim, based on 72,179 claims from 37 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 Millsboro, DE?
There are 37 Medicaid providers offering Office Visit related services in Millsboro, DE according to public payment data.
What is the price range for Office Visit in Millsboro, DE?
Medicaid reimbursement for Office Visit in Millsboro, DE ranges from $0.00 to $394.15 per claim, with an average of $56.57. 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 Millsboro, DE
Substance Abuse Treatment
Avg $9.82
1,522,908 claims
Physical Therapy
Avg $16.07
41,934 claims
Dental Cleaning & Exam
Avg $52.92
28,693 claims
Psychiatric Evaluation
Avg $37.25
25,500 claims
Non-Emergency Medical Transportation
Avg $10.66
20,801 claims
Dental Filling
Avg $229.16
4,764 claims
Ambulance Transport
Avg $46.62
3,949 claims
Chiropractic Care
Avg $25.24
2,791 claims