Average Medicaid Office Visit Payments in Canovanas, PR: $3.83
Avg. Paid
$3.83
Range
$0.00 – $92.82
Total Claims
156,647
Providers
47
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 Canovanas, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lizzette Montalvo
335 Calle Flor De Nono |
$0.00 | 12 | 12 |
|
Jose David Ortiz-Rosario
B1 Calle 1 Altos Farmacia Medina #2 |
$68.20 | 13 | 12 |
|
Ramon M Ansa Vila
Betances Num. 80 |
$0.00 | 15 | 12 |
|
Jose Orlando Fernandez
Calle Autonomia Esquina Pepita Albandoz |
$0.00 | 20 | 20 |
|
Health Chiropractic And More Llc
Carr. 3, K.M. 19.3, Barrio Dos Cuerdas |
$24.82 | 28 | 28 |
|
Samuel Collazo Carrasquillo
Calle Corchado Final 1619 |
$12.63 | 31 | 28 |
|
Laboratorio Clinico Canovanas Inc
65 Calle Calderon Mujica |
$0.00 | 31 | 30 |
|
Ronald Delgado - Matos
188 Calle 1 |
$0.00 | 37 | 35 |
|
Grace E. Wandersleben
Carretera 188 Km 1.5 Barrio San Isidro |
$0.00 | 47 | 44 |
|
Nelsa Rodriguez Cespedes
Local Aa 6 |
$41.25 | 48 | 46 |
|
Health Chiropractic Llc
Carr #3 K.M. 19.9 Barrio Dos Cuerdas |
$72.96 | 60 | 56 |
|
Rafael A Ruiz Gonzalez
Calle Bauinia Aa 3 Loiza Valley Mall |
$0.00 | 64 | 56 |
|
Francisco Rafael Marte-Oquendo
Urb Loiza Valley |
$0.00 | 121 | 75 |
|
Francis Carrasquillo
Street 4 Quintas De Canovanas |
$33.24 | 128 | 72 |
|
Health Chiropractic Pr
Carr #3 K.M 19.9 Barrio Dos Cuerdas |
$77.87 | 131 | 118 |
|
Jumana Abuomar
Villas De Loiza Calle 1 Bloque B1 |
$33.17 | 143 | 142 |
|
Carl Lance Palermo Cortes
Calle Corchado Final |
$0.00 | 201 | 197 |
|
Amy Lee Cabrera
Urb Virgen Del Pilar, Calle Palmer |
$92.82 | 231 | 182 |
|
Diego J Colon Rodriguez
Local Aa-8 |
$8.25 | 258 | 218 |
|
Ileana Quiles
978 Calle Bauhinia |
$63.88 | 371 | 346 |
|
Sandra Sofia Merino Navarro
Calle Bahuinia |
$30.31 | 539 | 521 |
|
Luis Alberto Figueroa
Calle Palmer, Esq Zequeira (Ant. Calle #2) 71 |
$90.92 | 559 | 425 |
|
Norma Soraya Severino
Carretera 186 Km 7.5 |
$0.89 | 749 | 571 |
|
Lisandro Montalvo Burke
Bi Calle 1 Altos Farmacia Medina 2 |
$49.19 | 1,105 | 985 |
|
Ricardo Antonio Riefkohl
101-199 Calle Corchado Final |
$0.74 | 1,222 | 1,151 |
|
Jorge R Jarrot
Carr #3 K.M 19.9 Barrio Dos Cuerdas |
$70.00 | 1,353 | 1,247 |
|
Maria S Zamora Echevarria
83 Calle Betances |
$63.80 | 1,455 | 1,368 |
|
Zulma Iris Jurado-Agosto
Calle Palmer, Esq. Blanco Sosa #18 |
$19.13 | 1,654 | 834 |
|
Wilfred Gomez Saldana
Road. 185 Km 5.0 |
$1.25 | 1,708 | 1,612 |
|
Bimely E Torres
Canovanas Medical Center |
$0.12 | 1,768 | 1,659 |
|
Rebecca Delgado
101 Calle Autonomia |
$0.54 | 2,158 | 1,636 |
|
Julio Ramon Badillo
87 Calle Munoz Rivera |
$0.40 | 2,721 | 2,317 |
|
Katia Larisa Mercado
Hc 1 Box 5123 |
$0.30 | 3,417 | 3,225 |
|
Internal Medicine Canovanas Group Corp.
Calle Orquidea A-48 Urb Loiza Valley |
$1.48 | 3,482 | 2,995 |
|
Hilda Violeta Mujica
83 Calle Munoz Rivera |
$0.03 | 3,937 | 3,407 |
|
Eduardo A Michelen Namnun
Urb Loiza Valley |
$0.70 | 4,383 | 3,599 |
|
Francisco Marte Cabrera
Calle Orquidea A-48 Urb Loiza Valley |
$0.20 | 6,923 | 5,609 |
|
Jose A. Gaudier Diaz
40A Calle Orquidea |
$6.18 | 7,120 | 5,939 |
|
Yngrid B Lithgow Ramirez
Urb Loiza Valley |
$0.50 | 7,530 | 6,207 |
|
Mairalisa Gomez-Fortuna
Calle Palmer # 8 |
$0.13 | 8,111 | 7,106 |
|
Victor M Simons
Calle Corchado Final |
$0.58 | 10,805 | 9,751 |
|
Hector C. Rodriguez-Phipps
65 Calle Calderon Mujica |
$0.88 | 11,391 | 10,127 |
|
Sandra Raquel Rodriguez Rosario
48 Calle Orquidea |
$0.18 | 12,697 | 11,229 |
|
Justo Quinones Negron
975 Calle Bauhinia |
$1.48 | 13,693 | 11,993 |
|
Maria De Los Angeles Rodriguez
Calle Corchado #58 Canovanas |
$0.05 | 13,858 | 12,454 |
|
Fernando Bordet Villa
41A Calle Orquidea |
$0.20 | 14,548 | 12,740 |
|
Oscar Garcia Roman
58 Calle Corchado |
$4.79 | 15,771 | 12,396 |
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 Canovanas, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Canovanas, PR is $3.83 per claim, based on 156,647 claims from 47 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 Canovanas, PR?
There are 47 Medicaid providers offering Office Visit related services in Canovanas, PR according to public payment data.
What is the price range for Office Visit in Canovanas, PR?
Medicaid reimbursement for Office Visit in Canovanas, PR ranges from $0.00 to $92.82 per claim, with an average of $3.83. 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
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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 Canovanas, PR
Blood Work & Lab Tests
Avg $7.09
263,052 claims
X-Ray
Avg $8.50
127,420 claims
Urinalysis & Urine Tests
Avg $2.92
62,406 claims
CT Scan (Computed Tomography)
Avg $126.12
45,955 claims
Physical Therapy
Avg $26.47
45,640 claims
Vaccines & Immunizations
Avg $9.57
39,373 claims
Dental Cleaning & Exam
Avg $19.10
39,186 claims
Eye Exam
Avg $14.41
34,397 claims