Average Medicaid Office Visit Payments in Ceiba, PR: $0.61
Avg. Paid
$0.61
Range
$0.00 – $14.00
Total Claims
34,992
Providers
7
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 Ceiba, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ruth Esther Rivera
262 Ave Lauro Pinero |
$0.00 | 56 | 51 |
|
Pedro Torres Lopez
Mango Beach St Num 111 |
$14.00 | 237 | 200 |
|
Nicolas Gomez Amalbert
24 Paseo De La Costa |
$0.00 | 348 | 292 |
|
Angel S. Muntaner-Morales
205 Ave Lauro Pinero |
$0.17 | 4,905 | 4,290 |
|
Marie Ivelina Muntaner Rodriguez
205 Ave Lauro Pinero |
$0.26 | 7,388 | 6,532 |
|
Deryck A. Bermudez Rivera
266 Ave Lauro Pinero |
$0.11 | 10,150 | 8,806 |
|
Mei-Ling Olivero
40 Castillos Del Mar |
$1.20 | 11,908 | 10,398 |
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 Ceiba, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ceiba, PR is $0.61 per claim, based on 34,992 claims from 7 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 Ceiba, PR?
There are 7 Medicaid providers offering Office Visit related services in Ceiba, PR according to public payment data.
What is the price range for Office Visit in Ceiba, PR?
Medicaid reimbursement for Office Visit in Ceiba, PR ranges from $0.00 to $14.00 per claim, with an average of $0.61. 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
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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 Ceiba, PR
Dental Cleaning & Exam
Avg $19.93
14,064 claims
Blood Work & Lab Tests
Avg $9.38
14,059 claims
Emergency Room Visit
Avg $19.13
3,559 claims
Urinalysis & Urine Tests
Avg $2.96
3,318 claims
Vaccines & Immunizations
Avg $2.91
1,833 claims
Dental Filling
Avg $28.12
988 claims
Ambulance Transport
Avg $128.14
627 claims
Hearing Test (Audiometry)
Avg $0.03
398 claims