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
Linet Odhiambo Campbell 801 Middleford Rd	$42.06	12	12
Robert Henry 24459 Sussex Hwy	$28.65	13	12
Tammy Newton-Tierno 1301 Middleford Rd	$0.00	17	17
Delaware Orthopaedic Consultants, Llc 1320 Middleford Rd Ste 203	$59.14	21	16
Peninsula Chiropractic Center 26685 Sussex Hwy	$21.91	24	15
Michael James Munro 1305 Bridgeville Hwy	$14.35	29	26
Helene Yolanda Henry 24459 Sussex Hwy	$51.09	29	27
David Cohen 100 Rawlins Drive	$1.41	38	30
Christopher M. Heisey 543 N Shipley St Ste C	$2.67	42	39
Patrick Tierno 1301 Middleford Rd	$0.00	46	40
Nanticoke Internal Medicine 1 Cedar Ave	$92.35	49	47
Joan Bloom 1 Delaware Pl	$0.24	53	39
Jose L Barriocanal 220 Pennsylvania Ave	$8.51	53	45
Women'S Medical Center, P.A. 1301 Middleford Rd	$64.51	58	55
La Red Health Center, Inc. 105 N Front St Ste B	$0.38	78	45
Ronald Concha Parra 701 Middleford Road	$12.13	86	59
Marie C Wolfgang 1 Cedar Ave	$2.73	88	71
Elizabeth Kornfield Chadwell 100 Rawlins Drive	$3.77	90	83
Healogics Specialty Physicians Of Delaware, Llc 801 Middleford Rd	$36.96	107	64
Deepa Nalini Diaram 916 Middleford Rd	$47.90	118	110
Ashley Taylor 162 Venture Dr	$0.00	127	81
Romeo A Escaro Md Pa 9085 Riverside Drive	$70.96	127	101
Tidalhealth Nanticoke, Inc 801 Middleford Rd	$115.63	151	118
Melissa M Kestler 220 Pennsylvania Ave	$119.12	156	124
Ismet Lukolic 100 Rawlins Dr	$1.91	163	142
Gina Kay Alderson 24488 Sussex Hwy	$4.44	172	157
Deepa Bhanot 100 Rawlins Dr	$3.89	202	164
Anthony M. Policastro Nemours Pediatrics Seaford	$0.00	223	207
Madeline Esther Marcus 801 Middleford Rd	$310.64	225	215
Meghan Mccarter 200 Rawlins Dr	$108.78	233	206
Abha Gupta 100 Rawlins Drive	$0.31	336	176
Eman Mazloum 100 Rawlins Dr	$49.29	350	338
Nanticoke Cardiology, P.A. 200 Federal St	$6.64	355	334
Jeffrey Allan Willey 4049 Woodland Ferry Rd	$134.02	368	290
Ian Michael Baxter 100 Rawlins Drive	$0.85	390	212
Ephphatha Medical Care Services Llc 23092 Meadow Wood Ct Unit 416	$29.56	397	241
Raju Maharjan 100 Rawlins Drive	$2.70	417	376
Karen L Schreiber 100 Rawlins Drive	$0.82	458	382
James F Palmer 8857 Riverside Dr	$4.29	463	384
Gurjeet Kaur 49 Fallon Ave	$1.53	483	408
Bruce Michael Dopler 24488 Sussex Hwy	$5.04	579	480
Alvaro Ivan Buenano 200 Federal St	$5.90	593	495
Keith A Sargent 100 Rawlins Drive	$3.25	666	563
Bradley Paul Mackler 924 Middleford Rd	$6.10	675	594
Allen Mirzaei 543 N Shipley St	$3.67	678	545
Thiele Umali Anthony 49 Fallon Ave.	$0.62	718	621
Bradley T Lemon 543 N Shipley St	$3.85	730	553
Cassendre Gibbs 1350 Middleford Rd Ste 501	$123.74	768	671
Angel Edgardo Alicea 200 Federal St	$5.46	782	620
Richard Paul Simons 200 Federal St	$5.96	847	655

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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