Average Medicaid Office Visit Payments in Barranquitas, PR: $3.25
Avg. Paid
$3.25
Range
$0.00 – $80.11
Total Claims
95,424
Providers
20
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 Barranquitas, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Esteban Vazquez Astacio
2073 Calle Cloto |
$0.20 | 18,388 | 15,671 |
|
Fernando Cuadrado-Figueroa
53 Calle Barcelo |
$0.32 | 14,242 | 11,823 |
|
Roberto Encarnacion
Carr 152 Km 15 Bo Qbadille |
$0.73 | 12,248 | 10,271 |
|
Jennifer M. Delgado
53 Calle Barcelo |
$14.28 | 9,836 | 8,609 |
|
Rene Casas
No 19 Munoz Rivera St |
$0.20 | 9,079 | 3,767 |
|
Fe Iris Fernandez Cabrera
Carr 152 Kil 8.1 |
$0.05 | 8,274 | 7,545 |
|
Oscar Javier Rodriguez
156 Calle Barcelo # 53 |
$5.38 | 7,595 | 6,961 |
|
Heidi L Torres Alvarado
53 Calle Barcelo |
$1.03 | 5,739 | 5,370 |
|
Grupo Medico Enmanuel Csp
Carretera 152 Km 8.0 |
$0.04 | 2,899 | 2,539 |
|
Rosa Cristina Rodriguez
62 Calle Barcelo |
$10.96 | 2,561 | 704 |
|
Rafael Del Campo
Carr. 152 Km. 1.5 |
$20.79 | 1,928 | 1,446 |
|
Auristela Ortiz - Rodriguez
Bo. Quebradillas Carr. 152 Km 7.7 |
$41.69 | 759 | 741 |
|
Carlos Manuel Bonet Vazquez
156 Calle Barcelo # 53 |
$0.50 | 686 | 570 |
|
Salud Integral En La Montana, Inc.
Calle Barcelo #53, Carr 156 Entrada Pueblo |
$2.35 | 448 | 399 |
|
Clinica El Buen Samaritano,Inc.
Carr.152 Km 1.9 Bo. Quebradillas |
$0.00 | 311 | 303 |
|
Brendaliz Santaella Cruz
Carretera 719 Km 2.6 Bo. Helechal |
$3.16 | 307 | 299 |
|
Waxali Inc
17 Calle Munoz Rivera |
$0.00 | 66 | 55 |
|
Edgardo R Aponte
103 Calle Barcelo |
$0.00 | 27 | 27 |
|
Mirzia Laboy
Carr 152 Interior Barrio Quebrada |
$0.00 | 17 | 15 |
|
Jose J Rivera Colon
156 Calle Barcelo |
$80.11 | 14 | 14 |
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 Barranquitas, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Barranquitas, PR is $3.25 per claim, based on 95,424 claims from 20 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 Barranquitas, PR?
There are 20 Medicaid providers offering Office Visit related services in Barranquitas, PR according to public payment data.
What is the price range for Office Visit in Barranquitas, PR?
Medicaid reimbursement for Office Visit in Barranquitas, PR ranges from $0.00 to $80.11 per claim, with an average of $3.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
13,989,780 claims · 5801 providers
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 Barranquitas, PR
Blood Work & Lab Tests
Avg $7.00
245,442 claims
Vaccines & Immunizations
Avg $8.31
61,966 claims
Urinalysis & Urine Tests
Avg $2.83
59,938 claims
Dental Cleaning & Exam
Avg $19.55
46,861 claims
Dental Filling
Avg $36.32
13,281 claims
Eye Exam
Avg $17.01
10,303 claims
Speech Therapy
Avg $41.95
10,051 claims
Hearing Test (Audiometry)
Avg $30.48
7,334 claims