Average Medicaid Office Visit Payments in Smyrna, DE: $49.90
Avg. Paid
$49.90
Range
$0.00 – $97.88
Total Claims
19,352
Providers
22
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 Smyrna, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Delaware Medical Care Pa
51 Deak Dr |
$77.05 | 6,156 | 5,555 |
|
Steps 2 Wellness, Llc
229 N Main Street |
$66.34 | 2,329 | 1,664 |
|
Marsha Ann Nau
401 N Carter Rd Ste 201 |
$97.88 | 1,556 | 1,430 |
|
Islam Juma Al Junaidi
51 Deak Dr |
$5.61 | 1,529 | 1,216 |
|
Fiza Khan
401 N Carter Rd Ste 201 |
$73.06 | 1,354 | 1,294 |
|
Jennifer C Liquido
38 Deak Dr |
$0.45 | 954 | 726 |
|
Priyanka Dixit-Patel
100 S Main St |
$1.54 | 858 | 526 |
|
Blanca N. Ocampo-Lim
38 Deak Dr |
$6.30 | 682 | 537 |
|
Ma Caridad Purisima Rosal
38 Deak Dr |
$1.46 | 622 | 560 |
|
Stephanie D. Johnson
229 N. Main Street |
$0.62 | 560 | 511 |
|
Rufino V Rosal
38 Deak Dr |
$4.30 | 495 | 377 |
|
Kirk Family Practice, Llc
100 South Main Street |
$86.43 | 492 | 470 |
|
Jazab Ali Sheikh
401 N Carter Rd Ste 201 |
$54.02 | 379 | 345 |
|
Clinton Earl Glass
51 Deak Dr |
$0.00 | 292 | 279 |
|
Elizabeth S Sushereba
100 S Main St |
$0.32 | 234 | 177 |
|
Kartik Swaminathan
29 N East St |
$8.33 | 203 | 155 |
|
Angela M. Pollock
100 S. Main Street, Suite 101 |
$3.20 | 201 | 179 |
|
Cynthia S Devine
310 N Main St |
$6.21 | 152 | 141 |
|
Deborah T Kirk
100 South Main Street |
$0.00 | 135 | 117 |
|
Patricia J Jacob
100 S Main St Ste 207 |
$1.48 | 100 | 74 |
|
Adeyinka O. Reid
100 S Main St |
$5.91 | 39 | 34 |
|
Mable Tsui
401 N Carter Rd Ste 201 |
$32.49 | 30 | 26 |
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 Smyrna, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Smyrna, DE is $49.90 per claim, based on 19,352 claims from 22 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 Smyrna, DE?
There are 22 Medicaid providers offering Office Visit related services in Smyrna, DE according to public payment data.
What is the price range for Office Visit in Smyrna, DE?
Medicaid reimbursement for Office Visit in Smyrna, DE ranges from $0.00 to $97.88 per claim, with an average of $49.90. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Smyrna, DE
Home Health Visit
Avg $143.21
100,970 claims
Dental Cleaning & Exam
Avg $50.65
32,777 claims
Personal Care Services
Avg $57.82
24,183 claims
Dental Filling
Avg $247.64
19,484 claims
Physical Therapy
Avg $13.56
17,582 claims
Substance Abuse Treatment
Avg $0.00
10,628 claims
Psychiatric Evaluation
Avg $43.10
4,036 claims
Ambulance Transport
Avg $18.57
3,978 claims