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
Jose L Munoz Benedicto 6777 Calle Marg. Biascochea	$50.00	12	12
Marangeli Benitez Rolon Country Club C/232 Hv4	$5.77	12	12
Idenisse M Berrios 188-36 Calle 516	$23.66	12	12
Jeannette Lube 65Th Infantry Ave.	$4.17	12	12
Servicios De Salud Integrados, P.S.C. 10 Ave Laguna Ste 207	$27.69	13	13
Carla Nicole Cruz-Diaz Carr 190, Km 1.8	$76.01	14	14
Maria Esther Rodriguez Rohena Fr13 Via 15	$0.00	14	12
Barbara Arandes Perez Ave Campo Rico Local 7 Y 8 Centro Comercial Borinquen	$59.46	15	14
Felix Melendez Ortiz Ave El Comandante Calle 266	$0.00	16	13
Cesarly Rodriguez Urrutia Avenida 65 De Infanteria	$10.29	17	13
Yanira Morales 65Th Infantery Ave. #3 St. Km 8.3	$25.00	17	17
Luis Ramon Rivera Allende Via 33 Mn6 Esquina Fidalgo Diaz Villa Fontana	$48.92	19	19
Maria Teresa Vega-Martinez Carr 3 Km 8.3 Ave 65Th Infanteria	$74.33	19	12
Nerina Elvira De La Cruz 113-20 Calle 77	$0.00	19	19
Ramon R Pineyro Carolina Shopping Court Of 009	$0.00	23	18
Sandra Negron Santiago Villa Fontana Park	$0.00	25	12
Naomi Rios Sierra Condominio Andalucia	$2.88	26	26
Ariel Francisco Gonzalez Cordero 10,000 Ave 65 De Infanteria	$72.34	26	13
Departamento De Salud Oficial Avenida 65 De Infanteria	$52.44	27	26
Jorge Luis Falcon-Chevere Carretera # 3 65Th Infantry Ave.	$25.00	27	27
Manuel A Colon 65Th Infantry Ave. #3 St. Km 8.3	$25.00	28	28
Soobin Maeng Condominio Playa Dorada Torres B Ph 12	$0.00	29	27
Inspira Behavioral Care Corp. 23 Carolina Century Business Center	$0.00	30	29
Juan C Vila 3018 Ave Isla Verde	$77.90	30	25
Lester Quinonez Metro Parvia Clinic Carolina- Emergency Room	$38.21	31	31
Recinto De Ciencias Medicas Ave. 65 De Infanteria	$25.00	34	30
Jose G Ayala Pr 3 Km 8 Cii 3	$0.00	36	33
Dalya Davila Carmona Carr 857 Km 0.4 Barrio Canovanillas	$0.00	46	43
Zorelis Annette Lopez Cividanes Mm8 Calle 420	$0.00	46	33
Rosamar Donis Rivera Carolina Alta	$3.74	46	45
Salvador Mercado Rodriguez 172-16 Calle 438	$8.31	55	52
Juanita Negron 105 Ave Laguna	$7.50	78	70
Jose F Camunas 1025 Calle Marginal	$17.11	86	75
Elga Maytee Deliz Roldan 2716 Roberto Clemente Ave.	$60.43	91	79
Krystahl Z. Andujar-Rivera Policlinica Dr Luis Rodriguez	$46.82	94	83
Fernando Luis Villar Fornes 54 Calle De Diego N	$2.92	96	88
Mauro Iranzo Upr Hospital-65Th Infanteria Ave.	$40.86	118	112
Khadijah Ahkad Hamdallah Ave. Monserrate Aa5 Esq. Fidalgo Diaz	$0.00	133	127
Edith Calderon State Road 3 Km 8.3 , 65Th Infanteria Ave.	$1.00	140	133
Zuanette Ramos-Robles 3018 Ave Isla Verde	$64.34	150	96
Pablo Andres Fontanet Sanchez Go7 Ave Roberto Sanchez Vilella	$15.30	150	140
Ricardo Gonzalez Ave El Comandante Calle 266,	$25.02	155	127
Rafael Torres Velez X1152 Pontezuela Ave	$44.02	157	142
Lidgia R Vives Castro Antiguo Edificio Jesus T Pinero 80100 Esquina Molinillo	$99.61	163	149
Luis Anibal Soto Ave Monserrate Bh-11	$80.38	165	110
Angel Rivera - Castro 11310 Ave. 65 Infanteria	$19.32	167	159
Carlos A. Gonzalez Roberto Clemente Hsing	$16.52	195	109
Efrain Del Valle Gl14 Ave Campo Rico	$0.00	202	192
Laboratorio Clinico Metropolis Carretera 860 Km 0.8	$0.00	203	186
Angelita Villanueva Mo14 Calle 424	$0.09	206	191

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)