Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Barceloneta, PR: $5.44

Avg. Paid

$5.44

Range

$0.00 – $71.35

Total Claims

92,030

Providers

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 Barceloneta, PR

Provider	Avg. Paid	Claims	Patients
Servicios De Salud Primarios De Barceloneta, Inc. Highway No. 2, Cruce Davila, Km. 57.8	$5.49	45,137	39,912
Polly A Ruiz Santiago 20 Urb Catalana	$3.18	8,452	6,949
Jessika Aponte Colon Carr. 140 Km. 63.5	$0.16	5,419	4,306
Beth Ann Rivera- Frometa Carr No 2 Km 57 8	$1.29	5,004	4,247
Cynthia M Ortiz Rodriguez Carr. #2, Cruce Davila	$1.48	4,947	4,180
Felix Manuel Casiano-Cabrera Carr 140 Cruce Davila Interior	$0.29	4,209	3,436
Zaida I Carrion Atlantic Medical Center	$0.65	3,618	2,853
Hector R Velez Barrientos Carretera Num. 2,Cruce Davila	$1.85	3,424	2,641
Priscila Negron Urb. El Parque B2	$49.71	1,596	1,429
Aitzamar Ramos Rivera Calle Georgetti Int.Calle Obrero C-8	$0.06	1,469	1,227
Yadira Reyes Rosario Panorama Plaza 1841	$0.11	1,265	1,088
Carlos A Gil 45 Calle Georgetti	$0.13	1,040	895
Angel Edgardo Rivera Negron Carr # 140	$54.32	895	552
Edwin Rosado Hc 1 Box 6500	$0.24	884	801
Lorna Malpica Torres Carr 2 Km 57.8 Cruce Davila	$12.22	780	534
Gladys E Negron Caribbean Cinema Second Floor	$10.08	778	608
Greisha A Adorno-Robles Carretera #2 Km 57.8 Cruce Davila	$2.22	696	584
Jose M Perez Garcia 10 Calle Georgetti	$6.74	592	450
Indira Judith Pelet Rivera Carr 140 Km 61.9 Magueyez	$71.35	570	275
Yonathan Rivera St. Tomas Davila #1	$1.68	411	365
Waldemar Rafael Rivera Jimenez 1 Calle Tomas Davila	$5.76	199	183
Edgar Jacinto Ramos Mendez Carr 682 Kw 3,5	$0.00	183	149
Learn & Grow Therapy Group Llc 66 Urb Catalana	$3.72	148	142
Dr. Gil Maldonado Manzanet, Csp C67 Calle Georgetti	$54.58	90	81
Waleska Vargas Oliveras Carr. 140 Bo Llanadas	$0.00	66	53
Sonia Garcia-Esquilin 75 Estancias De Imbery	$20.34	53	53
Ana I. Otero Carr. No. 2 Km 57.9 Cruce Davila	$0.00	48	43
Gil Maldonado Manzanet 1 Calle Tomas Davila	$3.93	33	17
Lamarche Family Chiropractic Llc Edificio Tmg 2Do Piso	$69.02	12	12
Francisco Javier Fontanet 140 Km 63.5 Bo. Magueyes	$0.00	12	12

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 Barceloneta, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Barceloneta, PR is $5.44 per claim, based on 92,030 claims from 30 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 Barceloneta, PR?

There are 30 Medicaid providers offering Office Visit related services in Barceloneta, PR according to public payment data.

What is the price range for Office Visit in Barceloneta, PR?

Medicaid reimbursement for Office Visit in Barceloneta, PR ranges from $0.00 to $71.35 per claim, with an average of $5.44. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Barceloneta, PR: $5.44

Providers Offering Office Visit in Barceloneta, PR

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Barceloneta, PR

Speech Therapy

Blood Work & Lab Tests

Physical Therapy

Vaccines & Immunizations

Dental Cleaning & Exam

Urinalysis & Urine Tests

Chiropractic Care

Hearing Test (Audiometry)