Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Seaford, DE: $38.92

Avg. Paid

$38.92

Range

$0.00 – $310.64

Total Claims

342,965

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 Seaford, DE

Provider	Avg. Paid	Claims	Patients
Addiction Medical Facility, Llc 1309 Bridgeville Hwy	$21.04	131,753	13,913
Tidalhealth Physician Network, Inc. 801 Middleford Rd	$46.43	77,430	56,334
Seaford Internal Medicine Llc 1501 Middleford Rd	$62.50	24,510	20,722
Ambient Medical Care, Llc 24459 Sussex Hwy Ste 2	$69.39	20,749	18,261
Tidalhealth Physician Network, Inc. 100 Rawlins Dr	$65.72	11,936	10,195
Alpha Care Medical, Llc 1340 Middleford Rd Ste 401	$55.48	11,315	7,750
Southern Delaware Foot & Ankle Llc 543 N Shipley St	$47.44	7,126	6,379
Ivonne Herrera 1350 Middleford Rd	$29.08	6,026	4,293
Arthritis & Osteoporosis Center Llc 1350 Middleford Rd	$42.99	5,271	4,748
Compass Mental Wellness Services, Inc 413 High St	$54.11	4,688	3,389
La Red Health Center, Inc. 300 High St	$0.16	3,856	3,196
Michael Scott Bush 801 Middleford Rd	$120.81	3,225	3,045
The Neurology Center Of S Delaware Pa 24488 Sussex Hwy	$65.70	2,584	2,282
Nandini Bhat 49 Fallon Ave	$6.31	1,956	1,814
Peter Anthony Lerza 801 Middleford Rd	$83.87	1,852	1,008
Ronald Artuz Luna 1501 Middleford Rd	$3.82	1,691	1,358
Deepa Diaram, Dpm 916 Middleford Rd	$66.78	1,423	1,249
Martha P Valero 715 E King St	$115.50	1,407	1,331
Louis Joseph-Romel Crevecoeur 1501 Middleford Rd	$2.95	1,274	992
Rituparna Deb 49 Fallon Ave	$0.76	1,076	932
Claude J Dimarco 8468 Herring Run Rd	$1.90	1,057	862
Francisco Antonio Padilla Quiroz 100 Rawlins Dr	$1.63	1,056	609
Mark Ang Evangelista 1501 Middleford Rd	$6.53	1,054	845
Nanticoke Gastroenterology, P.A. 924 Middleford Rd	$72.93	1,032	959
Maryrose Ifeoma Okemmuo 24459 Sussex Hwy	$89.59	976	776
Ent & Allergy Center, P.A. 8468 Herring Run Rd	$63.56	933	871
Jaclyn Ann Lewis 49 Fallon Ave	$1.35	926	853
Kimberly Ann Young-Conner 49 Fallon Ave.	$0.57	900	763
Richard Paul Simons 200 Federal St	$5.96	847	655
Angel Edgardo Alicea 200 Federal St	$5.46	782	620
Cassendre Gibbs 1350 Middleford Rd Ste 501	$123.74	768	671
Bradley T Lemon 543 N Shipley St	$3.85	730	553
Thiele Umali Anthony 49 Fallon Ave.	$0.62	718	621
Allen Mirzaei 543 N Shipley St	$3.67	678	545
Bradley Paul Mackler 924 Middleford Rd	$6.10	675	594
Keith A Sargent 100 Rawlins Drive	$3.25	666	563
Alvaro Ivan Buenano 200 Federal St	$5.90	593	495
Bruce Michael Dopler 24488 Sussex Hwy	$5.04	579	480
Gurjeet Kaur 49 Fallon Ave	$1.53	483	408
James F Palmer 8857 Riverside Dr	$4.29	463	384
Karen L Schreiber 100 Rawlins Drive	$0.82	458	382
Raju Maharjan 100 Rawlins Drive	$2.70	417	376
Ephphatha Medical Care Services Llc 23092 Meadow Wood Ct Unit 416	$29.56	397	241
Ian Michael Baxter 100 Rawlins Drive	$0.85	390	212
Jeffrey Allan Willey 4049 Woodland Ferry Rd	$134.02	368	290
Nanticoke Cardiology, P.A. 200 Federal St	$6.64	355	334
Eman Mazloum 100 Rawlins Dr	$49.29	350	338
Abha Gupta 100 Rawlins Drive	$0.31	336	176
Meghan Mccarter 200 Rawlins Dr	$108.78	233	206
Madeline Esther Marcus 801 Middleford Rd	$310.64	225	215

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 Seaford, DE?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Seaford, DE is $38.92 per claim, based on 342,965 claims from 78 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 Seaford, DE?

There are 78 Medicaid providers offering Office Visit related services in Seaford, DE according to public payment data.

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

Medicaid reimbursement for Office Visit in Seaford, DE ranges from $0.00 to $310.64 per claim, with an average of $38.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Seaford, DE: $38.92

Providers Offering Office Visit in Seaford, DE

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Dental Cleaning & Exam