Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Rehoboth Beach, DE: $50.68

Avg. Paid

$50.68

Range

$0.00 – $110.44

Total Claims

46,554

Providers

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 Rehoboth Beach, DE

Provider	Avg. Paid	Claims	Patients
Beacon Pediatrics Llc 18947 John J Williams Hwy	$61.63	21,078	16,616
Luis J Castro 18941 John J Williams Hwy	$35.44	3,813	3,630
Martha E. Hughes 19405 Plantation Rd	$34.95	2,109	1,788
Afua Ofaah Nyanin 19405 Plantation Rd	$91.88	2,073	1,765
Sussex Pulmonary And Endocrine Consultants, Pa 18947 John J Williams Hwy Unit 305	$50.81	1,740	1,397
Amy Michelle Lane 19409 Plantation Rd, Ste 4	$47.58	1,705	1,388
Xiaojing Shi 19409 Plantation Rd Ste 4	$79.68	1,622	1,591
Mehran Hamzeh Langroudi 19405 Plantation Rd	$58.15	1,207	926
Theresa Ann Parkhurst 50 Cascade Ln	$0.00	1,098	1,008
Tina R Vincent Torres 19161 Healthy Way Unit 100	$4.44	982	851
Ams Of Delaware, Llc 20576 Coastal Hwy	$26.04	857	780
Nouman Asif 18947 John J Williams Hwy	$101.57	852	745
Melinda Dawn Ricker 19161 Healthy Way Unit 100	$35.24	803	657
Catherine M Haut 18947 John J Williams Hwy	$1.13	666	540
Dean L Mittman 18947 John J Williams Hwy Unit 201	$34.35	645	622
Mieshia Staples Clark 18766 John J Williams Hwy Ste 306	$50.12	628	595
Nancy M Gideon 18947 John J Williams Hwy	$0.56	597	513
Erin Fletcher 18947 John J Williams Hwy	$1.15	534	436
Jeffrey J Boxer 18947 John J Williams Hwy	$1.03	528	432
Stacey G. Fox 18947 John J Williams Hwy	$0.91	498	418
I & O Diabetes Consultants Llc 18766 John J Williams Hwy Ste 306	$61.73	411	290
Meredith Ann Luckenbaugh 18947 John J Williams Hwy	$2.42	312	248
Candace Thune 19606 Coastal Hwy Unit 102	$110.44	306	291
William Lenox Pfaff 18947 John J Williams Hwy	$3.90	257	236
Carol Yacula 18947 John J Williams Hwy Unit 101	$41.22	207	165
David G. Reyes 18947 John J Williams Hwy	$5.15	173	144
Jacoby Spittler 19405 Plantation Rd Unit 2	$54.69	170	157
Nisarg R Desai 18947 John J Williams Hwy Unit 101	$0.12	105	82
Michael David Sofronski 18947 John J Williams Hwy Unit 205	$1.32	100	81
Vidya Nandini Balkishun 18947 John J Williams Hwy Unit 101	$43.92	97	59
Lewes Spine Center Llc 18947 John J Williams Hwy Bldg Unit311	$84.79	87	83
Srujitha Murukutla 18947 John J Williams Hwy	$0.00	66	59
Positive Perceptions Llc 50 Cascade Ln	$18.23	65	64
Christina Sykes 19405 Plantation Rd Unit 2	$1.37	54	47
Matthew J Tulloch 36223 Farm Ln Ste 140	$7.77	49	39
Adeline N Nukuna 19405 Plantation Rd Unit 2	$4.62	32	28
Scott Jacob Fudemberg 18791 John J Williams Hwy Ste 1	$32.82	28	27

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 Rehoboth Beach, DE?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rehoboth Beach, DE is $50.68 per claim, based on 46,554 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 Rehoboth Beach, DE?

There are 37 Medicaid providers offering Office Visit related services in Rehoboth Beach, DE according to public payment data.

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

Medicaid reimbursement for Office Visit in Rehoboth Beach, DE ranges from $0.00 to $110.44 per claim, with an average of $50.68. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Rehoboth Beach, DE: $50.68

Providers Offering Office Visit in Rehoboth Beach, DE

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Rehoboth Beach, DE

Substance Abuse Treatment

Dental Cleaning & Exam

Vaccines & Immunizations

Blood Work & Lab Tests

Psychiatric Evaluation

Chiropractic Care

Dental Filling

Tooth Extraction