Average Medicaid Office Visit Payments in New Castle, DE: $46.76
Avg. Paid
$46.76
Range
$0.00 – $141.47
Total Claims
62,390
Providers
31
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 New Castle, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark Stephen Trochimowicz
400 South St |
$5.36 | 20 | 19 |
|
Amber Manning
129 N Dupont Hwy |
$0.00 | 21 | 19 |
|
The Life Center Complex, Inc
903 Delaware St |
$0.00 | 22 | 16 |
|
Dynamic Therapeutics Inc.
819 Churchmans Road Ext |
$41.24 | 23 | 13 |
|
Karen Ellis-Brisbon
239 Christiana Rd |
$0.00 | 31 | 26 |
|
Jeena Mary Zachariah
129 N Dupont Hwy |
$0.00 | 44 | 44 |
|
David E Driban
239 Christiana Rd |
$0.00 | 46 | 16 |
|
John Austin Defrate
575 S Dupont Hwy |
$0.00 | 49 | 43 |
|
Saranya Biswas
94 Christiana Rd |
$24.03 | 54 | 42 |
|
The Life Center Complex, Inc
27 Landers Ln |
$49.26 | 99 | 53 |
|
Jaclyn M Barton
239 Christiana Rd |
$0.00 | 123 | 105 |
|
Antoinette Ducrest
14 Central Ave |
$0.78 | 135 | 105 |
|
Nadeem Afzal
1901 N Dupont Hwy |
$0.00 | 144 | 126 |
|
Thaddeaus Samuel Foster
1901 N Dupont Hwy |
$51.37 | 178 | 174 |
|
Khaled Shams Mirza
1901 N Dupont Hwy |
$0.00 | 191 | 174 |
|
Marita Mapua Fallorina
1 Catherine St |
$0.75 | 363 | 321 |
|
Kanida Tassniyom Charuworn
1901 N Dupont Hwy |
$44.45 | 378 | 369 |
|
Ars New Castle Llc
263 Quigley Blvd |
$66.36 | 404 | 308 |
|
Joelle M Mengang
94 Christiana Rd |
$54.21 | 597 | 480 |
|
Marita Fallorina Llc Fallorina Marita M Single Member
1 Catherine St |
$61.46 | 778 | 716 |
|
Patricia Dina Lifrak
287 Christiana Rd |
$0.00 | 1,490 | 1,352 |
|
Vijaya Yezdani
191 Christiana Rd |
$0.10 | 1,663 | 1,409 |
|
Brenda Jones
100 W Commons Blvd Ste 301 |
$141.47 | 1,997 | 810 |
|
Sheila Nannette Cannon
100 W Commons Blvd |
$41.52 | 2,356 | 2,149 |
|
Khaja Yezdani
191 Christiana Rd |
$2.30 | 2,485 | 2,066 |
|
David Lemonte Gaines
100 Dover St |
$56.53 | 4,910 | 3,301 |
|
Nancy Gutierrez Rivera
94 Christiana Rd |
$0.05 | 6,223 | 4,318 |
|
Patricia D Lifrak Md Inc
287 Christiana Rd |
$64.18 | 7,126 | 6,045 |
|
Gregory Papa
3620 N Dupont Hwy |
$45.07 | 8,277 | 6,403 |
|
Brandywine Urology Consultants Pa
12 Reads Way Ste 2000 |
$58.79 | 10,111 | 8,750 |
|
Family Care Associates, Inc
191 Christiana Rd |
$57.06 | 12,052 | 10,490 |
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 New Castle, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Castle, DE is $46.76 per claim, based on 62,390 claims from 31 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 New Castle, DE?
There are 31 Medicaid providers offering Office Visit related services in New Castle, DE according to public payment data.
What is the price range for Office Visit in New Castle, DE?
Medicaid reimbursement for Office Visit in New Castle, DE ranges from $0.00 to $141.47 per claim, with an average of $46.76. 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 New Castle, DE
Personal Care Services
Avg $499.51
340,204 claims
Home Health Visit
Avg $227.05
118,434 claims
Substance Abuse Treatment
Avg $11.95
77,453 claims
Durable Medical Equipment (DME)
Avg $30.36
72,137 claims
Non-Emergency Medical Transportation
Avg $10.13
69,320 claims
Physical Therapy
Avg $31.35
21,076 claims
Speech Therapy
Avg $39.85
12,310 claims
Ambulance Transport
Avg $32.68
7,689 claims