Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Carolina, PR: $13.86

Avg. Paid

$13.86

Range

$0.00 – $126.27

Total Claims

552,267

Providers

179

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 Carolina, PR

Provider	Avg. Paid	Claims	Patients
Julio E Vergne Maldonado Carolina Shopping Court, Suite 201 A	$1.82	32,341	27,590
Delma Ciuro Ave Roberto Cleaunte Blogue 123	$4.42	23,201	20,514
Arzhang Agdam 23-6 Ave Roberto Clemente	$9.83	20,392	18,714
Alida Arroyo Berrios 153 Street Urb. Jardines De Country Club	$6.05	16,765	13,702
Margarita Arenalde 19 Calle Eucalipto	$0.14	13,467	12,429
Luis A Ramirez Fernandez Juncos Carolina	$2.07	13,193	12,812
Nilda E Cruz Gaudin Villa Carolina Bloque 123 #25 Ave. Roberto Clemente	$0.54	12,981	9,734
Joseph Salem Challita Carolina Shopping Court, Suite 201 A	$4.31	12,252	10,163
Axel E. Alejandro Santiago Ave Roberto Clemente 124-66 #8	$0.44	12,199	11,398
Omar E Diaz Sojo Pq28 Ave El Comandante	$0.12	11,984	9,980
Family Medicine Group Inc. Ave. Roberto Clemente 124 #8	$0.75	11,732	10,452
Juan Rafael Nunez 3103 Cond Condesa Del Mar	$14.74	9,875	9,270
Luz N Mundo Rodriguez Calle Ignacio Arzuaga	$5.35	9,545	8,492
Vilmary Sierra Calle79 Blq 120-19	$0.60	9,261	7,738
Harry Alverio Rodriguez Go 5 Ave Campo Rico	$57.95	8,794	8,103
Rosana Teresa Rosario 163-7 Calle 421	$0.41	7,961	6,620
Bernadette Barbosa C/11 Blq 33 #8	$0.85	7,950	6,863
Jose E Lozada 3K S9 Villa Fontana	$74.32	7,934	7,211
Hildebert A Blasco 401 Bloque 139 # 10	$0.22	7,783	7,127
Rosana Ayala Reyes Villas De Parque Escorial	$1.99	7,437	6,737
Rosa A Martinez Calle 3 Km 8.3	$13.43	7,077	5,626
Kaira Carrasquillo Carrasquillo Carretera 857 Km 9.2 Bo Carruzo	$0.68	7,051	5,455
Giovan E Hernandez Lebron Grupo Medico Samaritano	$0.07	7,021	5,585
Orlando M. Sanchez Carr 3 Km 8.3 Ave 65 De Infanteria	$34.63	6,999	5,097
Santiago E Diaz Del Campo Pq28 Ave El Comandante	$8.63	6,967	6,185
Enerolisa Altagracia Cordero-Polanco Ave. Roberto Clemente Bloq 132 # 11	$1.12	6,887	6,052
Erwin R. Ortiz Cl-1 Fidalgo Diaz Ave.	$0.68	6,658	5,704
Mayra Arlene Villamil 1479 Calle Robalo	$3.45	6,644	5,836
Miguel Angel Rivera-Viera Ave 65 Infanteria	$0.09	6,428	5,892
Dania Berroa 53 Str. Blk 66#16	$0.08	6,408	4,730
Josiel Medina Zayas 65 Ave De Infanteria	$16.45	6,090	5,096
Carlos R Mellado Z15 Calle Yagrumo	$0.12	6,042	5,617
Dora De Lourdes Donate-Perez 65Th Infantry Ave	$37.58	5,538	4,137
Mark Anthony Vergara-Gomez Ave. 65Th Infanteria Km 8.3 Carr. 3	$8.10	5,477	4,346
Arelys Cabrera 29, Arbolada Street, Paseo Del Prado	$0.43	5,470	3,700
Keren Rivera Gonzalez 5J22 Calle Parque Borinquen	$0.01	5,360	4,420
Aixa G Morales Quinones Avenida Roberto Clemente Bloque 124	$0.04	5,217	4,093
Frank Rodriguez Serrano Avenida Sanchez Vilella Antiguo Campo Rico	$1.22	5,126	3,607
Pedro Juan Claudio Hospital Upr #3 Street Km 8.3	$0.19	5,092	4,651
Ricardo Luis Rodriguez Delgado Avenida El Comandante Hm-1	$0.61	4,672	4,050
Damaris Prieto Hospital Upr Carolina	$11.66	4,655	4,353
Agnes Acosta 151 Calle Guarionex	$0.45	4,584	3,947
Vincent X Rodriguez Bury Doctors Center Hospital Carolina	$64.04	4,519	3,714
Javier Ricardo Burgos Hospital U.P.R 65Th Infantry Ave.	$33.28	4,392	3,428
Diana Irizarry Ave. Roberto Clemente	$1.35	4,168	3,828
Jessica M Carrasquillo Miranda 11 Calle Floridiano Apt 1109	$60.91	4,147	3,437
Carla R. Narvaez-Rosario 54 Calle De Diego N	$1.34	4,071	3,645
Raul D Villalobos Diaz Carolina Shopping Court, Suite 201 A	$0.15	4,056	3,918
Mariana Lopez-Vazquez Dr. Clemente Fernandez Street Number 8	$5.83	3,975	2,879
Alvaro A. Talavera 65 Infanteria Av. Km. 8.3	$37.23	3,964	3,284

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 Carolina, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carolina, PR is $13.86 per claim, based on 552,267 claims from 179 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 Carolina, PR?

There are 179 Medicaid providers offering Office Visit related services in Carolina, PR according to public payment data.

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

Medicaid reimbursement for Office Visit in Carolina, PR ranges from $0.00 to $126.27 per claim, with an average of $13.86. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Carolina, PR: $13.86

Providers Offering Office Visit in Carolina, PR

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Carolina, PR

Blood Work & Lab Tests

Emergency Room Visit

Dental Cleaning & Exam

Vaccines & Immunizations

Physical Therapy

Urinalysis & Urine Tests

Speech Therapy

Durable Medical Equipment (DME)