Average Medicaid Office Visit Payments in Arecibo, PR: $7.46
Avg. Paid
$7.46
Range
$0.00 – $131.55
Total Claims
1,090,216
Providers
221
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 Arecibo, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aco Del Norte Llc
Calle 16 V1 |
$0.60 | 733,527 | 578,040 |
|
Metro Pavia Healthcare Centers
Zona Industrial Victor Rojas 2 Carr 129 |
$54.12 | 18,840 | 17,478 |
|
Angel Luis Perez
53 Ave Barbosa |
$0.43 | 13,946 | 8,305 |
|
Aco Del Norte Ppn, Llc
Calle 16 V-1 |
$0.79 | 12,255 | 11,596 |
|
Arthur Mitchell Tollinchi
Carr 2 Km 63.1 |
$0.68 | 12,208 | 6,729 |
|
Instituto Del Cancer Y Enfermedades De La Sangre, Csp
53 Calle Andres Garcia |
$45.09 | 9,970 | 8,052 |
|
Joel Ojeda-Rivera
Metro Pavia Health Clinic |
$68.56 | 9,965 | 9,284 |
|
Angel Luis Perez
Ave. Barbosa #62 |
$0.03 | 9,828 | 5,849 |
|
Carlos Renaldo Nieves Martinez
Carretera#2 Km 63.1 |
$0.20 | 7,492 | 6,789 |
|
Nelson Y. Narvaez Oms
Ave. Antonio R. Barcelo # 163 |
$42.56 | 6,347 | 5,854 |
|
Mariano E Gonzalez Diez
Ave Miramar #540 |
$47.63 | 5,828 | 5,384 |
|
Rolando Colon Nebot
Hospital Cayetano Coll Y Toste |
$40.14 | 5,464 | 5,068 |
|
Luis D Melero
Victor Rojas 1 Calle Marginal A 26 |
$0.34 | 5,267 | 3,197 |
|
Victor M Salgado Bravo
702 Ave San Luis |
$47.78 | 5,234 | 4,936 |
|
Daina I Antonsanti
Carr. #2 Bloque Mm Urb. Mirador Vista Azul |
$0.32 | 5,143 | 4,042 |
|
Raul Arroyo Rosario Md C S P
65 Ave Barbosa Ste 105 |
$41.37 | 4,946 | 4,491 |
|
Ivan Garcia Cuevas
Bo Moraflores |
$0.80 | 4,904 | 3,318 |
|
Nicolas Alicea Cuevas
Barrio Jarealito, Calle Principal #62 |
$0.04 | 4,900 | 3,102 |
|
Sayra Dejesus Munoz
Urb. Las Brisas 123 |
$0.01 | 4,830 | 3,055 |
|
Irma E. Perez-Amaro
14 Calle Rosales |
$0.00 | 4,596 | 3,286 |
|
Salvador Lopez-Rojas
Carretera Num. 2 Ramal 638 Km. 6.0 Miraflores |
$1.14 | 4,433 | 3,025 |
|
Lourdes Montano Rivera
Ave Barbosa #66 |
$0.16 | 4,362 | 2,705 |
|
Manuel E Marcano Rivera
115 Calle Ariosto Cruz |
$11.64 | 4,079 | 2,712 |
|
Rolando Colon Martinez
54 Ave Barbosa |
$0.47 | 4,006 | 3,016 |
|
Walter Rivera
244 Calle Pino Tanyosho |
$0.12 | 3,969 | 3,138 |
|
Celestino Carrion Castillo
#318 Ave Rafael Rivera Aulet |
$17.44 | 3,830 | 2,811 |
|
Proviana Ortiz Velazquez
V1 Calle 16 |
$0.49 | 3,809 | 3,189 |
|
Rafael Martinez
62 Jarialitos |
$2.09 | 3,754 | 3,095 |
|
Ismael Gonzalez Delgado
50 Calle Andres Oliver |
$0.06 | 3,608 | 2,195 |
|
Alberto Abreu-Rivera
Ana Lens De Susoni #59 Street |
$8.93 | 3,413 | 3,065 |
|
Dante Amadis Rodriguez
102 Calle Francisco Jaurregui |
$12.33 | 3,380 | 3,025 |
|
John Sepulveda
Ave De Diego 52 |
$46.43 | 3,290 | 1,647 |
|
Elena Mocoroa
Hospital Dr. Cayetano Coll Y Toste, Carr. #129, Km. 1 |
$2.63 | 3,271 | 2,380 |
|
Ismael Bague
Carr 681 Km.4.3 |
$0.07 | 3,190 | 1,954 |
|
Jose Acevedo
Carr. 638 K6 H0 |
$1.62 | 3,152 | 2,454 |
|
Jose R. Zaragoza-Buxo
Zona Industrial Victor Rojas 2 |
$39.53 | 3,097 | 3,023 |
|
Victor Luis Perez-Gonzalez
Urb Villa Los Santos Calle 16 V 1 |
$0.00 | 3,052 | 1,463 |
|
Carmen M Roman
V1 Calle 16 |
$0.05 | 2,793 | 2,002 |
|
Ivonne M Figueroa-Rivera
Hospital Pavia Arecibo |
$61.52 | 2,731 | 2,649 |
|
Domenech Andrew Figueroa
Cprn #2 |
$0.98 | 2,510 | 2,076 |
|
Rose M Ramos
53 Ave Barbosa |
$0.33 | 2,481 | 1,364 |
|
Departamento De Salud Oficial
Clinica De Inmunologia De Arecibo |
$21.17 | 2,480 | 2,370 |
|
Dr Susoni Health Community Services Corp
Ave San Luis |
$111.13 | 2,470 | 2,438 |
|
Rene Rocha Rodriguez
Ave.San Luis, Carr.129 Hosp. Dr. Cayetano Coll Y Toste |
$43.43 | 2,458 | 2,369 |
|
Jose Antonio Marrero Nieves
54 Calle Tnte Luis Garcia |
$0.00 | 2,437 | 1,607 |
|
Serrano Pulmonary Services,Llc
Carr 2 Km 67.7 Bo Santana |
$47.17 | 2,423 | 2,317 |
|
Laura E Rolon Orengo
Urb Via Cerena |
$0.84 | 2,390 | 1,999 |
|
Sandra J Lopez
Calle Emilio Castelar #51 |
$0.75 | 2,361 | 1,586 |
|
Jose A. Mattei
301 Manuel Perez Aviles Street |
$49.12 | 2,350 | 1,977 |
|
Dakmarys Padilla Guzman
162 Calle Rodriguez Irizarry |
$0.12 | 2,338 | 1,394 |
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 Arecibo, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Arecibo, PR is $7.46 per claim, based on 1,090,216 claims from 221 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 Arecibo, PR?
There are 221 Medicaid providers offering Office Visit related services in Arecibo, PR according to public payment data.
What is the price range for Office Visit in Arecibo, PR?
Medicaid reimbursement for Office Visit in Arecibo, PR ranges from $0.00 to $131.55 per claim, with an average of $7.46. 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 Arecibo, PR
Blood Work & Lab Tests
Avg $9.39
727,104 claims
Dental Cleaning & Exam
Avg $22.05
251,449 claims
Urinalysis & Urine Tests
Avg $3.75
150,894 claims
Eye Exam
Avg $30.85
146,175 claims
Speech Therapy
Avg $52.68
90,255 claims
EKG / ECG (Electrocardiogram)
Avg $11.26
71,971 claims
Home Health Visit
Avg $99.23
64,054 claims
Physical Therapy
Avg $21.70
62,702 claims