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 |
|---|---|---|---|
|
Zubda H Rashid
4745 Ogletown Stanton Rd |
$96.45 | 12 | 12 |
|
Uchenna Samuel Nwosu
4755 Ogletown Stanton Rd |
$23.50 | 12 | 12 |
|
Raafat Z Abdel-Misih
4701 Ogletown Stanton Rd |
$0.00 | 12 | 12 |
|
Acclaim Neurodiagnostics Group
1423 Capitol Trl Ste 1114 |
$144.20 | 13 | 13 |
|
Ella Marie Stern Jacobs
4755 Ogletown Stanton Rd |
$32.31 | 13 | 13 |
|
Lindsay Dormer Robinson
2600 Glasgow Ave Ste 207 |
$0.00 | 13 | 13 |
|
Annie Elizabeth Ingram
252 Chapman Rd |
$0.00 | 13 | 13 |
|
Timothy S. Pancio
200 Hygeia Dr |
$56.96 | 13 | 13 |
|
Joseph J Bennett
4701 Ogletown Stanton Rd |
$1.14 | 14 | 12 |
|
John J Kelly
One Centurian Drive |
$4.67 | 14 | 12 |
|
Delaware Ear Nose & Throat Head & Neck Surgery Pa
4745 Ogletown Stanton Rd |
$55.28 | 14 | 12 |
|
Rashmi Khandelwal
111 Continental Dr Ste 406 |
$1.61 | 14 | 14 |
|
Jagdeep Singh Hundal
700 Prides Xing Ste 200 |
$7.83 | 14 | 13 |
|
Sarah Jean Matthews
4755 Ogletown Stanton Rd |
$0.00 | 15 | 15 |
|
Nancy Katherine Homan
4755 Ogletown Stanton Road |
$0.85 | 15 | 13 |
|
Alana Coppol Disabatino
4735 Ogletown Stanton Rd |
$14.78 | 15 | 15 |
|
Robin J Simpson
300 Biddle Ave |
$9.27 | 15 | 13 |
|
Carole A Guy
4735 Ogletown Stanton Rd |
$0.00 | 15 | 15 |
|
Susan C Stewart
4755 Ogletown Stanton Rd |
$6.71 | 15 | 13 |
|
Shilpa Rajendra Kauta
774 Christiana Rd |
$2.01 | 16 | 12 |
|
Donald S Collins
4745 Ogletown Stanton Rd |
$1.79 | 16 | 12 |
|
Henry L Weiner
252 Chapmen Road |
$3.47 | 16 | 12 |
|
Michael W. Lankiewicz
4701 Ogletown Stanton Rd |
$2.73 | 16 | 14 |
|
Nandini Mehta
4755 Ogletown Stanton Rd Ste 5A43 |
$47.21 | 16 | 12 |
|
Christina Marie Pecorella
314 E Main St |
$3.23 | 16 | 15 |
|
Kelsey Elizabeth Huntoon
4735 Ogletown Stanton Rd Ste 1250 |
$0.00 | 16 | 16 |
|
David D Zabel M.D., P.A
550 Stanton- Christiana Rd |
$54.06 | 16 | 14 |
|
Sourin Banerji
4755 Ogletown Stanton Road |
$0.00 | 17 | 13 |
|
Lynnae H Duffalo
4745 Ogletown-Stanton Road |
$7.95 | 17 | 13 |
|
Mark G Cadungog
4701 Ogletown Stanton Rd Ste 2335 |
$1.25 | 17 | 12 |
|
James D. Bray Dpm
324 E Main St |
$70.18 | 18 | 17 |
|
Eye Consultants, Llc
4923 Ogletown Stanton Rd |
$48.70 | 18 | 15 |
|
Marina V Zeltser
4735 Ogletown Stanton Rd |
$2.89 | 18 | 15 |
|
Erik S Marshall
4755 Ogletown Stanton Rd |
$2.78 | 18 | 14 |
|
Matthew K Hoffman
4755 Ogletown Stanton Rd |
$4.11 | 18 | 13 |
|
Wesley W Emmons
537 Stanton Christiana Rd |
$8.87 | 18 | 14 |
|
Michelle L. Drew
4755 Ogletown Stanton Rd |
$0.00 | 19 | 12 |
|
Stephanie Stellini-Turner
4755 Ogletown Stanton Rd |
$479.00 | 19 | 19 |
|
Anuja Thatte
4701 Ogletown Stanton Rd Ste 4200 |
$23.22 | 19 | 18 |
|
Rabia M Qureshi
111 Continental Dr |
$16.83 | 19 | 17 |
|
Pure Wellness, Llc
550 Stanton Christiana Rd |
$15.44 | 19 | 12 |
|
Joseph J Thornton
2600 Glasgow Ave Ste 107 |
$1.78 | 20 | 14 |
|
Thirumaleshawar Kanchana
537 Stanton Christiana Rd |
$1.25 | 20 | 15 |
|
Edward M Goldenberg
252 Chapman Road |
$18.55 | 20 | 13 |
|
Praful Desai
100 Rockford Dr |
$0.00 | 21 | 18 |
|
Yadira Velazquez-Rodriguez
774 Christiana Road |
$7.69 | 21 | 16 |
|
Julia W Macrae
E62 Omega Dr |
$37.25 | 21 | 13 |
|
Esther Oteng
282 The Grn |
$61.03 | 21 | 19 |
|
Rubeen K Israni
12 Celestial Way |
$6.07 | 22 | 17 |
|
Amanda J Taylor
4755 Ogletown Stanton Rd Ste 6E34 |
$4.66 | 23 | 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 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.
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 Newark, DE
Emergency Room Visit
Avg $90.00
560,932 claims
Blood Work & Lab Tests
Avg $7.81
179,528 claims
Psychiatric Evaluation
Avg $65.22
160,800 claims
Case Management Services
Avg $89.93
131,261 claims
Personal Care Services
Avg $156.34
122,111 claims
EKG / ECG (Electrocardiogram)
Avg $9.07
116,745 claims
Physical Therapy
Avg $18.74
112,611 claims
Ultrasound
Avg $60.67
111,251 claims