Average Medicaid Office Visit Payments in Milton, DE: $37.13
Avg. Paid
$37.13
Range
$0.47 – $134.80
Total Claims
16,210
Providers
17
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 Milton, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John J Ludwicki
424 Mulberry St |
$1.13 | 4,503 | 3,675 |
|
Lowell F Scott Jr Md Pa
611 Federal St Ste 3 |
$81.69 | 3,379 | 3,176 |
|
Lowell F Scott
611 Federal St Ste 3 |
$0.47 | 1,797 | 1,589 |
|
Susan Carolyn Corey
506 Union St |
$51.03 | 1,448 | 1,310 |
|
Millsboro Eye Care Llc
28322 Lewes Georgetown Hwy |
$134.80 | 1,432 | 1,334 |
|
Jenna Seiff
424 Mulberry St |
$1.16 | 965 | 801 |
|
Bryan Patrick De La Cruz Villar
18383 Hudson Rd Ste B |
$1.87 | 410 | 366 |
|
Maria V. Haldar
23900 Milton Ellendale Hwy |
$7.90 | 383 | 324 |
|
Maria Childers
424 Mulberry St |
$2.23 | 371 | 323 |
|
Paul Kendall Pulchny
630 Mulberry St |
$3.28 | 322 | 246 |
|
Nicole Steinberg
18383 Hudson Rd |
$70.19 | 279 | 271 |
|
Assem Mamayeva
18383 Hudson Rd Ste B |
$63.00 | 230 | 210 |
|
Adam S Brownstein
611 Federal St |
$4.82 | 208 | 171 |
|
Lisa R Reid
18383 Hudson Rd Fl 2 |
$4.55 | 203 | 171 |
|
Maribel Garcia
124 Broadkill Rd |
$3.03 | 172 | 141 |
|
Kelly Palekar
15953 Pickering Dr |
$103.31 | 93 | 85 |
|
Elisa M. Montross-Lopez
630 Mulberry Street |
$1.01 | 15 | 14 |
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 Milton, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Milton, DE is $37.13 per claim, based on 16,210 claims from 17 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 Milton, DE?
There are 17 Medicaid providers offering Office Visit related services in Milton, DE according to public payment data.
What is the price range for Office Visit in Milton, DE?
Medicaid reimbursement for Office Visit in Milton, DE ranges from $0.47 to $134.80 per claim, with an average of $37.13. 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 Milton, DE
Vaccines & Immunizations
Avg $2.38
9,347 claims
Eye Exam
Avg $61.22
8,174 claims
Psychiatric Evaluation
Avg $36.92
5,484 claims
Dental Cleaning & Exam
Avg $44.35
1,909 claims
Physical Therapy
Avg $3.90
1,071 claims
Personal Care Services
Avg $271.79
1,037 claims
Behavioral & Mental Health Therapy
Avg $202.73
511 claims
Hearing Test (Audiometry)
Avg $0.90
409 claims