Average Medicaid Office Visit Payments in Ciales, PR: $4.08
Avg. Paid
$4.08
Range
$0.00 – $33.23
Total Claims
132,376
Providers
17
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 Ciales, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prymed Medical Care, Inc
Calle 149 Km 13 |
$5.83 | 64,261 | 56,675 |
|
Clinica De Cuidado Medico, Inc.
4 Calle Hospital |
$0.72 | 28,667 | 21,752 |
|
Carlos Manuel Otero Rivera
Carr. 146 Km 27.4 |
$0.46 | 13,793 | 11,436 |
|
Alberto Sastre
10 Calle De Diego |
$0.46 | 7,577 | 6,075 |
|
Shirley Jaime
Road 149 Km 12.3 |
$0.24 | 5,324 | 4,273 |
|
Orlando Sanchez Gonzalez
Carretera 149 Km 17.9 Bo. Pesas |
$33.23 | 3,915 | 3,534 |
|
Hector Francisco Delgado
55 Calle Palmer |
$0.01 | 2,324 | 1,807 |
|
Rosily Rivera Matos
Oficin Medica Carretera 149 Km 17.9 Bo Pesas |
$0.00 | 1,227 | 794 |
|
Maria Isabel Hernandez
55 Calle Palmer |
$0.07 | 1,088 | 807 |
|
Ronald Aponte Hernandez
Calle 149 Km 615 Int 1.4 Bo Posa |
$2.19 | 760 | 614 |
|
Eric Alicea Martinez
Road 149 Km 12.3 |
$0.29 | 744 | 622 |
|
Luis E Tavarez Alarcon
Road 149 Km 12.3 |
$1.51 | 701 | 622 |
|
Maria A Collazo
Calle Jose De Diego, Ciales Pueblo |
$0.03 | 686 | 449 |
|
Ivan Torres Silva
Road 149 Km 12.3 |
$0.96 | 670 | 606 |
|
Vanessa Rios
Carr 149 Km 12.3 Bo. Pueblo |
$0.11 | 586 | 534 |
|
Ana Maria Hernandez Perez
Road 149 Km 12.3 |
$8.66 | 39 | 39 |
|
Rafael Rodriguez Rios
12 Calle Corchado |
$0.00 | 14 | 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 Ciales, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ciales, PR is $4.08 per claim, based on 132,376 claims from 17 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 Ciales, PR?
There are 17 Medicaid providers offering Office Visit related services in Ciales, PR according to public payment data.
What is the price range for Office Visit in Ciales, PR?
Medicaid reimbursement for Office Visit in Ciales, PR ranges from $0.00 to $33.23 per claim, with an average of $4.08. 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 Ciales, PR
Blood Work & Lab Tests
Avg $8.48
115,350 claims
Vaccines & Immunizations
Avg $5.39
29,424 claims
Urinalysis & Urine Tests
Avg $3.27
19,567 claims
Dental Cleaning & Exam
Avg $22.59
18,612 claims
Emergency Room Visit
Avg $42.93
10,818 claims
Eye Exam
Avg $3.37
8,548 claims
Ultrasound
Avg $68.36
5,107 claims
EKG / ECG (Electrocardiogram)
Avg $4.75
3,694 claims