Average Medicaid Office Visit Payments in Catano, PR: $2.93
Avg. Paid
$2.93
Range
$0.00 – $80.17
Total Claims
19,646
Providers
11
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 Catano, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yanelis M Cintron Vicenty
Street 25 Ii-19 Urb Las Vegas |
$0.26 | 5,208 | 3,052 |
|
Luis E Moreno
Las Flores St 76 No |
$0.19 | 3,485 | 3,212 |
|
Miriam T Perez Pabon
#8 Isidro Rodriguez Street |
$0.53 | 3,344 | 2,693 |
|
Jose Roy Vazquez-Maldonado
16 Calle Principal |
$3.01 | 3,054 | 2,898 |
|
Emilio Jose Velez Gonzalez
Ii19 Calle 25 |
$0.40 | 2,851 | 2,219 |
|
Rcp Anesthesia Psc
Suite 1010 Carr 165 Km 1.2 # 48 |
$40.81 | 631 | 596 |
|
Twin Brothers Inc
150 Ave Los Conquistadores Local 1 |
$0.00 | 558 | 538 |
|
Municipality Of Catano
Carretera Pr 5 Km 2.8 |
$1.18 | 267 | 218 |
|
Rene Colon-Perez
Suite 1010 Carr 165 Km 1.2 # 48 |
$80.17 | 205 | 161 |
|
Manuel Emilio Guerrero-Jimenez
Calle 19 Local 4 |
$2.04 | 27 | 21 |
|
Fernando Gerena Nieves
65 Calle Los Mangos |
$52.27 | 16 | 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 Catano, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Catano, PR is $2.93 per claim, based on 19,646 claims from 11 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 Catano, PR?
There are 11 Medicaid providers offering Office Visit related services in Catano, PR according to public payment data.
What is the price range for Office Visit in Catano, PR?
Medicaid reimbursement for Office Visit in Catano, PR ranges from $0.00 to $80.17 per claim, with an average of $2.93. 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
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Catano, PR
Blood Work & Lab Tests
Avg $11.33
99,340 claims
Urinalysis & Urine Tests
Avg $3.89
24,563 claims
Dental Cleaning & Exam
Avg $19.95
21,952 claims
Dental Filling
Avg $32.57
7,064 claims
Home Health Visit
Avg $53.13
6,814 claims
Speech Therapy
Avg $62.39
6,801 claims
Emergency Room Visit
Avg $75.71
6,126 claims
Vaccines & Immunizations
Avg $0.78
3,550 claims