Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wilmington, DE: $55.68

Avg. Paid

$55.68

Range

$0.00 – $262.09

Total Claims

1,174,146

Providers

633

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 Wilmington, DE

Provider	Avg. Paid	Claims	Patients
Cheryl Bolinger 601 New Castle Ave	$0.00	12	12
Luis M Garcia, Jr Dpm 1941 Limestone Rd	$43.70	12	12
Eric D Kalish 1941 Limestone Rd	$9.13	12	12
Sonal Bhatnagar 1600 Rockland Rd	$64.10	12	12
Alana Elizabeth Salvucci 1600 Rockland Rd	$0.00	12	12
Jennette A Firlein 1600 Rockland Rd	$46.94	12	12
Abigail Owens 1600 Rockland Rd	$0.00	13	12
Nina Powell-Hamilton 1600 Rockland Rd	$85.67	13	13
Delaware Vision Academy Llc 3105 Limestone Rd	$99.46	13	12
Marc Grobman Internal Medicine & Primary Care 3411 Silverside Rd	$100.45	13	13
Tara A. Pezzuto 1600 Rockland Rd	$0.00	13	12
Joel D Temple A.I. Dupont Hospital For Children	$40.36	13	12
Jeffrey M Guarino 1401 Foulk Road	$0.00	13	12
Carol Tavani 501 West 14Th Street	$0.00	13	13
Katherine W Taylor 1801 Rockland Rd	$7.96	13	12
Shaida Nasiri-Blomgren 1600 Rockland Rd	$83.15	13	12
Mark S Eskander 1941 Limestone Rd Ste 101	$9.09	13	12
Brittany Mimeault Foster 1600 Rockland Rd	$18.15	14	14
Ying Zhu 1941 Limestone Rd	$0.00	14	13
Alexis M. Souleles 222 Philadelphia Pike	$0.00	14	14
Chinye Mukosolu Otojare 1207 N Scott St	$11.04	14	12
Lindsay Moore 3411 Silverside Rd Ste 100	$53.06	14	14
Rachel A Overdevest 5500 Skyline Dr Ste 4	$5.39	14	12
Christopher Zebley 1400 Washington Street	$1.35	14	13
Robyn R. Miller 1600 Rockland Rd	$0.00	14	14
Heather M Rafal 1601 Milltown Rd Ste 24	$1.91	14	12
Ashley Panichelli 1401 Foulk Road	$7.95	14	14
Andrew W. Walter A.I. Dupont Hospital For Children	$19.28	15	12
Thao-Ly Phan 1600 Rockland Rd.	$0.00	15	15
Adebowale A. Adeyemi 1600 Rockland Road	$0.00	15	14
Amanda Mandel 1600 Rockland Rd	$0.00	15	13
Rachel Chang 3521 Silverside Rd Ste 1F	$29.42	15	13
Katie Jeanne Mansur 1508 W 7Th St	$0.00	16	13
Emily Hegamyer 1600 Rockland Rd	$7.79	16	15
Sharon Miner 1400 N Washington St	$11.99	16	12
Debora A. Devuono 501 W 14Th St	$3.45	16	14
Edward R Sobel 1401 Foulk Road	$0.94	16	12
Joseph J Mesa 1941 Limestone Rd Ste 101	$2.23	16	12
Chiedozie Uwandu 405 Silverside Rd Ste 104	$49.51	16	13
Susanne M Handling 1802 W 4Th St	$0.00	16	15
Suburban Psychiatric Services 5177 W Woodmill Dr	$73.06	16	16
Ngozi Theresa Chiekwu 1508 Pennsylvania Ave Ste 1C	$108.50	17	12
Janet Brown 205 W 14Th St	$0.00	17	14
Donald S Hayes 3301 Lancaster Avenue	$0.62	17	12
Christopher Ryan Mitchell 2000 Foulk Road	$6.09	17	14
Stuart Septimus 3105 Limestone Rd	$0.00	17	16
David J Cozzolino 2000 Foulk Road	$6.83	18	12
Miroslaw P Zdunek 701 N Clayton St Ste 401	$10.98	18	12
Alice Nguyen 3926 Kirkwood Hwy	$84.91	18	16
Andy S. Goberdhan 701 N Clayton St Ste 500	$17.11	18	15

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 Wilmington, DE?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wilmington, DE is $55.68 per claim, based on 1,174,146 claims from 633 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 Wilmington, DE?

There are 633 Medicaid providers offering Office Visit related services in Wilmington, DE according to public payment data.

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

Medicaid reimbursement for Office Visit in Wilmington, DE ranges from $0.00 to $262.09 per claim, with an average of $55.68. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wilmington, DE: $55.68

Providers Offering Office Visit in Wilmington, DE

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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