Average Medicaid Office Visit Payments in Arroyo, PR: $7.37
Avg. Paid
$7.37
Range
$0.00 – $56.70
Total Claims
66,733
Providers
15
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 Arroyo, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Migdoel Vazquez Davis
Jardines De Arroyo |
$0.00 | 10,481 | 6,625 |
|
Jessica R. Aguirre Pillot
Hc 1 Box 5502 |
$0.00 | 7,527 | 5,749 |
|
Jose Ramon Santiago-Torres
Sector 4 Calle |
$11.84 | 6,922 | 3,555 |
|
Nilda J. Alvarez
Urb Jardines Lafayette |
$0.00 | 6,377 | 4,996 |
|
Jose E Rivera Irizarry
100 Calle Morse |
$56.70 | 5,766 | 5,186 |
|
Centro De Salud Familiar Dr. Julio Palmieri Ferri Inc.
Street Morse |
$2.49 | 5,753 | 5,157 |
|
Maria Margarita Muniz
Carretera 755 Kilometro 0.4 |
$0.28 | 5,677 | 4,902 |
|
Fermin L De Jesus
Carr 753 Km 6.4 |
$0.18 | 5,535 | 4,841 |
|
Rosalinda Solivan Mercado
Centro De Salud Familiar |
$0.15 | 4,823 | 3,911 |
|
Melissa Vicente
Calle Morse Esquina Valentina # 46 |
$1.25 | 4,530 | 4,038 |
|
Jose Sandalio Rivera Irizarry
211 Calle Morse |
$0.68 | 1,875 | 1,422 |
|
Uro Clinic Csp
Hwy 3 |
$41.92 | 1,393 | 1,319 |
|
Hydee L Collazo Santiago
207 Calle Morse |
$0.00 | 44 | 33 |
|
Edwin Solis Bazan
53 Calle Virgilio Sanchez |
$0.00 | 17 | 12 |
|
Maria Del Carmen Gutierrez Ortiz
Morse 160 |
$4.54 | 13 | 13 |
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 Arroyo, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Arroyo, PR is $7.37 per claim, based on 66,733 claims from 15 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 Arroyo, PR?
There are 15 Medicaid providers offering Office Visit related services in Arroyo, PR according to public payment data.
What is the price range for Office Visit in Arroyo, PR?
Medicaid reimbursement for Office Visit in Arroyo, PR ranges from $0.00 to $56.70 per claim, with an average of $7.37. 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
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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 Arroyo, PR
Blood Work & Lab Tests
Avg $7.27
170,693 claims
Vaccines & Immunizations
Avg $9.78
48,189 claims
Urinalysis & Urine Tests
Avg $2.89
30,735 claims
Dental Cleaning & Exam
Avg $17.14
7,088 claims
Emergency Room Visit
Avg $31.69
4,486 claims
Echocardiogram
Avg $202.19
2,866 claims
EKG / ECG (Electrocardiogram)
Avg $39.48
1,381 claims
Psychiatric Evaluation
Avg $3.41
1,108 claims