Average Medicaid Office Visit Payments in Adjuntas, PR: $8.84
Avg. Paid
$8.84
Range
$0.00 – $50.18
Total Claims
42,803
Providers
14
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 Adjuntas, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edwin Irizarry
23 Calle Enrique Sanabria |
$4.93 | 12 | 12 |
|
Mayra I Torres Pagan
39 Calle Munoz Rivera |
$0.00 | 96 | 71 |
|
Corporacion Adjuntena De La Salud
20 Calle Rius Rivera |
$0.00 | 331 | 232 |
|
Jose R. Perez Valentin
18 Calle Progreso |
$0.00 | 357 | 167 |
|
Jorge E Ruiz Diaz
10A Rius Rivera |
$0.00 | 358 | 292 |
|
Nydia I. Sepulveda-Pagan
Carr 135 Km 70.2 |
$0.00 | 624 | 395 |
|
Francisco Manuel Murphy-Rivera
19 Calle San Joaquin |
$2.04 | 656 | 439 |
|
Centro Cardiovascular De La Montana,Csp
35 Calle Munoz Rivera |
$50.18 | 794 | 767 |
|
Loriann Antommarchi Vargas
20 Calle Rius Rivera |
$0.00 | 1,243 | 705 |
|
Hospital General De Castaner, Inc.
Carr 123 44 Calle Garzas Km 35.7 |
$7.39 | 2,284 | 1,932 |
|
Rigoberto Ramos Gonzalez
35 Calle Munoz Rivera |
$48.32 | 5,420 | 5,012 |
|
Jose L Colon Borrero
20 Calle Rius Rivera |
$0.39 | 6,168 | 4,805 |
|
Antonio Declet Manzanet
20 Calle Rius Rivera |
$0.54 | 10,164 | 7,384 |
|
Adalberto Lugo
C14 Joaquin Andino St |
$3.53 | 14,296 | 9,990 |
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 Adjuntas, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Adjuntas, PR is $8.84 per claim, based on 42,803 claims from 14 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 Adjuntas, PR?
There are 14 Medicaid providers offering Office Visit related services in Adjuntas, PR according to public payment data.
What is the price range for Office Visit in Adjuntas, PR?
Medicaid reimbursement for Office Visit in Adjuntas, PR ranges from $0.00 to $50.18 per claim, with an average of $8.84. 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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Adjuntas, PR
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Avg $9.56
134,122 claims
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Avg $3.56
30,675 claims
Dental Cleaning & Exam
Avg $18.83
29,706 claims
X-Ray
Avg $22.19
9,044 claims
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Avg $81.24
7,053 claims
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Avg $33.23
6,322 claims
Tooth Extraction
Avg $42.04
4,789 claims
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Avg $35.78
4,627 claims