Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Newark, DE: $54.53

Avg. Paid

$54.53

Range

$0.00 – $479.00

Total Claims

707,386

Providers

451

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 Newark, DE

Provider	Avg. Paid	Claims	Patients
Christiana Care Health Services Inc 4755 Ogletown Stanton Rd Ste 1900	$30.67	51,590	27,306
Christiana Care Quality Partners 200 Hygeia Dr	$48.67	51,274	43,882
First State Orthopaedics Pa 4745 Ogletown - Stanton Rd	$56.81	46,088	34,750
Newark Emergency Center 324 E Main St	$201.09	26,504	24,151
Ent And Allergy Of Delaware Llc 700 Prides Xing Ste 200	$71.32	25,412	21,932
Christiana Care Health Services Inc 200 Hygeia Dr Ste 1420	$59.63	21,812	16,291
Burke Dermatology, Pa 774 Christiana Rd Ste 107	$57.75	20,495	19,316
Panzer Dermatology Associates 537 Stanton Christiana Rd	$48.48	18,771	13,995
Delaware Center For Maternal Fetal Medicine Of Christiana Care 1 Centurian Dr Ste 312	$61.77	18,208	11,755
Advancexing Pain And Rehabilitation Clinic Pa 620 Stanton Christiana Rd Ste 202	$58.08	16,774	12,332
Christiana Care Health Services, Inc 200 Hygeia Dr Ste 1360	$48.02	14,747	10,609
Bancroft Behavioral Health 1423 Capitol Trail Drummond Plaza Office Park	$83.84	14,328	11,397
Mid-Atlantic Behavioral Health, Llc 910 S Chapel St	$82.93	13,052	11,893
Christiana Care Health Services, Inc 4735 Ogletown Stanton Rd Ste 1116	$46.91	11,849	8,442
Nephrology Associates Pa 4923 Ogletown Stanton Rd	$43.35	10,722	9,436
Delaware Center For Digestive Care Llc 4745 Ogletown Stanton Rd Ste 134	$55.90	10,430	8,732
Christiana Care Health Services, Inc 4735 Ogletown Stanton Rd	$26.55	10,153	6,841
Medical Oncology Hematology Consultants Pa 4701 Ogletown Stanton Rd	$53.89	9,957	7,662
Delaware Neurosurgical Group, P.A. 774 Christiana Rd	$102.80	9,359	7,949
Christiana Care Health Services Inc 4701 Ogletown Stanton Rd	$44.18	8,823	5,942
All About Pain And Spine 300 Biddle Ave	$22.69	8,183	6,089
Christiana Care Health Services Inc 200 Hygeia Dr	$40.39	8,125	5,646
Abby Medical, Llc 1 Centurian Dr	$67.62	7,971	6,821
Christiana Institute Of Advanced Surgery, Pa 537 Stanton Christiana Road	$81.55	7,747	6,986
Mohammad Ali Khan 2600 Glasgow Ave Ste 212	$54.28	6,940	5,238
Valerie Terrill Acevedo 200 Hygeia Dr	$71.98	6,706	4,766
Premiere Physicians P.A. 314 E Main St	$66.20	6,523	5,043
Cardiology Physicians, Llc 1 Centurian Dr	$59.55	6,519	5,430
More About You Inc 220 Christiana Medical Ctr	$83.82	6,200	5,372
Abimbola Oloyede 200 Hygeia Dr Ste 1420	$8.50	5,667	4,945
First State Pediatrics, Llc 210 Christiana Medical Ctr	$59.49	5,340	4,305
Patrick A Foster 2600 Glasgow Ave Ste 210	$8.64	5,194	4,705
First State Endocrinology, Pa 774 Christiana Rd Ste 109	$68.24	4,912	4,543
Mid-Atlantic Pain Institute, P.A. 100 Biddle Ave	$52.21	4,821	4,007
Delaware Sleep Disorder Centers, Llc 620 Stanton Christiana Rd Ste 101	$41.75	4,606	2,829
Christiana Care Health Services, Inc 4755 Ogletown Stanton Rd Ste 6E34	$48.79	4,440	3,213
Kerry Kirifides, M.D., P.A. 875 Aaa Blvd	$64.57	4,413	3,377
Jose S Picazo 600 Christiana Medical Ctr	$52.62	4,411	3,266
St Francis Hospital Inc. 620 Stanton-Christiana Rd	$59.45	4,138	3,421
Ronette Lee Lammers 200 Hygeia Dr	$44.55	3,998	3,743
Delaware Medical Care Associates Llc 537 Stanton Christiana Rd	$67.32	3,672	3,369
Jarrett Keller Sell 27 Marrows Rd	$59.36	3,583	3,413
Newark Pediatrics Pa 314 East Main St	$66.08	3,303	2,638
Premier Pediatrics, Llc 2600 Glasgow Ave	$61.62	3,241	2,583
Delaware Family Medicine, Llc 15 Omega Dr Bldg K	$70.00	3,126	2,429
The Heart & Vascular Clinic, Pa 620 Stanton Christiana Rd	$53.00	3,109	2,803
Harold Paul Kramer 2600 Glasgow Avenue	$12.98	3,057	2,679
Thomas J. Burke 774 Christiana Rd Ste 107	$0.93	3,007	2,437
Pm Pediatrics Of Delaware Pa 3180 Fashion Center Blvd	$44.51	2,833	2,681
Delaware Modern Pediatrics 300 Biddle Ave	$74.89	2,828	2,238

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 Newark, DE?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newark, DE is $54.53 per claim, based on 707,386 claims from 451 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 Newark, DE?

There are 451 Medicaid providers offering Office Visit related services in Newark, DE according to public payment data.

What is the price range for Office Visit in Newark, DE?

Medicaid reimbursement for Office Visit in Newark, DE ranges from $0.00 to $479.00 per claim, with an average of $54.53. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Newark, DE: $54.53

Providers Offering Office Visit in Newark, DE

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Newark, DE

Emergency Room Visit

Blood Work & Lab Tests

Psychiatric Evaluation

Case Management Services

Personal Care Services

EKG / ECG (Electrocardiogram)

Physical Therapy

Ultrasound