Average Medicaid Office Visit Payments in Cidra, PR: $4.73
Avg. Paid
$4.73
Range
$0.00 – $59.00
Total Claims
186,679
Providers
54
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 Cidra, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carlos R Caceres Roure
734 St Hm 0.5 Bo Arenas |
$2.35 | 22,971 | 14,679 |
|
Cossma Inc
Ave El Jibaro Carr 172 Km 13 5 |
$5.65 | 21,549 | 19,467 |
|
Robert Rivera
Ave. El Jibaro Hospital Menonita Cidra |
$0.16 | 10,704 | 8,229 |
|
Edwin Velazquez
Carr 734 Km 0.5 Bo Arenas |
$2.20 | 9,655 | 6,162 |
|
Nelson Carrasquillo Falcon
70 Calle Antonio R Barcelo |
$0.05 | 9,377 | 7,537 |
|
Brenda Margarita Torres Perez
Parque Industrial Ave. El Jibaro Office 105 |
$0.00 | 9,287 | 6,407 |
|
Sorivette Surillo-Ortiz
Ave El Jibaro Carr #172 Km 13.5 Bo Bayamon |
$0.01 | 6,924 | 5,342 |
|
Julia S Vazquez Martirena
27 Calle Baldorioty |
$52.33 | 6,697 | 5,377 |
|
Maria Luz Roldan
Ave. El Jibaro, Carr. 172, Km. 13.5 |
$0.12 | 6,064 | 4,469 |
|
Ivette Rodriquez
Calle Barcelo |
$0.14 | 5,711 | 4,279 |
|
Hector Javier Rodriguez
2 Calle Francisco Cruz |
$26.36 | 5,367 | 4,445 |
|
Aurea D Burgos Pabon
Calle Gautier Benitez Num 19 |
$0.01 | 5,064 | 3,707 |
|
Julio Armando Marrero-Guadalupe
Ave. El Jibaro |
$0.10 | 5,056 | 4,371 |
|
Andres Ramos Conde
Francisw Cruz Street No 5 |
$0.10 | 5,006 | 3,793 |
|
Ruben Mendez Benabe
Ave El Sibaro D Industrial |
$0.40 | 4,617 | 4,093 |
|
Evelyn Judith Rodriguez
3 Calle Francisco Cruz |
$0.30 | 4,347 | 3,808 |
|
Edgardo Luis Ronda Lebron
Calle Francisco Cruz Haddock Urbanizaciou Fernandez |
$0.09 | 4,233 | 3,294 |
|
Nayib J Rivera Betancourt
Bo. Rabanal |
$0.02 | 4,062 | 3,359 |
|
Tamia Lee Rodriguez Melendez
Ave El Jibaro Carr 172 Km 13.5 |
$0.13 | 3,839 | 3,487 |
|
Hilson Acosta
Bo Arena Carr 734 |
$3.01 | 3,675 | 3,042 |
|
Roberto Rodriguez
Ave. El Jibaro Carr. 172 Km 13.5 |
$0.16 | 3,426 | 2,903 |
|
Jorge Luis Calderon
Ave El Jibaro |
$0.06 | 2,259 | 1,666 |
|
Javier Rivera-Zayas
Plaza El Jibaro |
$59.00 | 2,075 | 1,817 |
|
Jose Luis Gonzalez
55 Calle Baldorioty |
$0.25 | 2,006 | 1,892 |
|
Evelyn Rivera
Carr 172 Km3.3 Ave El Jibaro |
$1.61 | 1,991 | 1,594 |
|
Guillermo F Martinez
149 Calle Estacion |
$0.00 | 1,896 | 1,592 |
|
Amaury Arnaldo Roman
4 Calle Baldorioty |
$0.02 | 1,713 | 810 |
|
Miosotis Munoz Pena
Ave El Jibaro Carr 172 Km 13.5 |
$0.00 | 1,607 | 1,357 |
|
Grupo Medico De Cidra, Inc.
49 Calle Jose De Diego |
$0.41 | 1,535 | 1,323 |
|
Celeste Rodriguez Colon
Carr. 734 Km 0.5 Bo. Arenas |
$19.06 | 1,126 | 1,014 |
|
Orlando Alvarado Santiago
Carr 172 Km 13.5 Ave El Jibaro |
$0.24 | 1,120 | 902 |
|
Roberto Zayas Pitynska
Calle Barcelo Num 12 |
$0.19 | 1,028 | 794 |
|
Iris A Colon Marrero
Carretera 172 Interior, Km. 7.5 |
$4.63 | 1,018 | 876 |
|
Gladinette Zayas Lopez
Carr 787 Km 1.5 |
$0.00 | 986 | 235 |
|
Adriana M Roldan Velez
Carr 172 Km 13.5 |
$0.00 | 958 | 792 |
|
Jeovhanni Nieves
9 Carr 173 |
$0.01 | 851 | 702 |
|
Rosalie Candelario
2 Calle Francisco Cruz |
$0.00 | 851 | 691 |
|
Jose Manuel Diaz
Urb. Treasure Valley C 27 |
$0.00 | 849 | 324 |
|
Richard Graulau Rosario
18 Calle Jose Padilla El Caribe |
$1.98 | 841 | 668 |
|
Elena Gonzalez Ortiz
2 Padilla El Caribe |
$0.00 | 691 | 601 |
|
Patricia Rivera Baez
85 Calle Topacio |
$1.58 | 673 | 609 |
|
Alberto Fernandez Torres
30 Calle Barcelo |
$0.00 | 535 | 435 |
|
Daniel Velez
Calle Barcelo 12 Esq Carr 173 |
$0.00 | 415 | 288 |
|
Hector Orlando Santos Reyes
Route No. 734, Km. 0.5 |
$8.28 | 410 | 334 |
|
H.A.Z. Health Services Inc.
Carr 734 Km 0.5 Bo. Arenas |
$0.00 | 356 | 344 |
|
Inspira Behavioral Care Corp.
12 Calle Roman Baldorioty De Castro |
$37.06 | 297 | 293 |
|
Francheska Vega Cancel
Rr02 Box 7492 |
$3.93 | 288 | 214 |
|
Erasto Rodriguez
140 Jose De Diego St |
$0.35 | 170 | 150 |
|
Laboratory Medicine Services Incorporated
Carretera 172 Km 7.5 |
$0.00 | 167 | 150 |
|
Frances Marie Morell Colberg
Carr 172, Km 7.5 |
$6.17 | 149 | 137 |
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 Cidra, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cidra, PR is $4.73 per claim, based on 186,679 claims from 54 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 Cidra, PR?
There are 54 Medicaid providers offering Office Visit related services in Cidra, PR according to public payment data.
What is the price range for Office Visit in Cidra, PR?
Medicaid reimbursement for Office Visit in Cidra, PR ranges from $0.00 to $59.00 per claim, with an average of $4.73. 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 Cidra, PR
Blood Work & Lab Tests
Avg $10.93
139,529 claims
Dental Cleaning & Exam
Avg $19.90
78,764 claims
Speech Therapy
Avg $52.02
59,170 claims
Vaccines & Immunizations
Avg $4.94
36,911 claims
Psychiatric Evaluation
Avg $4.26
28,644 claims
Urinalysis & Urine Tests
Avg $3.71
28,634 claims
Physical Therapy
Avg $21.90
18,563 claims
Emergency Room Visit
Avg $52.11
12,931 claims