Average Medicaid Office Visit Payments in Comerio, PR: $0.93
Avg. Paid
$0.93
Range
$0.00 – $31.38
Total Claims
59,430
Providers
14
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 Comerio, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Luis Raul Diaz
1A Calle Jose De Diego |
$31.38 | 14 | 12 |
|
Ivonne Migdalia Nieves Cruz
Carr. 7774 Km 0.2 Bo. Pinas Abajo Sactor La Mora |
$7.03 | 17 | 15 |
|
Francisco Javier Rivera
Street 778 Km. 0.9 Pasarell |
$0.00 | 52 | 50 |
|
First Medical Center Inc
Carr 772 Km 0.9 Bo Pasarell |
$4.29 | 62 | 60 |
|
Luis A Llavona
63 Calle Georgetti |
$0.00 | 97 | 93 |
|
Ricardo Rodriguez
18 Calle Georgetti |
$0.00 | 144 | 111 |
|
Laboratorio Clinico Sabana Del Palmar
81 Calle Georgetti |
$0.00 | 412 | 393 |
|
Salud Integral En La Montana, Inc
Calle Georgetti, Carr 167 Entrada Pueblo |
$1.77 | 3,271 | 2,470 |
|
Nyurka Y Rosado Aponte
Hc 4 Box 6833 |
$3.26 | 6,106 | 5,117 |
|
Rosaura Aguayo Reyes
Calle Georgetti #18, Carr. 167 |
$1.14 | 6,647 | 5,445 |
|
Lissette Enid Perez
1A Calle Jose De Diego |
$0.00 | 6,995 | 6,316 |
|
Luis E Torres Bonilla
85 Georgetti St |
$0.96 | 7,318 | 5,251 |
|
Ivelisse Burgos
18 Calle Georgetti |
$0.57 | 7,506 | 6,686 |
|
Luis M Gonzalez Bermudez
Street 778 Km 0.9 Bo Pasarell |
$0.47 | 20,789 | 14,374 |
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 Comerio, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Comerio, PR is $0.93 per claim, based on 59,430 claims from 14 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 Comerio, PR?
There are 14 Medicaid providers offering Office Visit related services in Comerio, PR according to public payment data.
What is the price range for Office Visit in Comerio, PR?
Medicaid reimbursement for Office Visit in Comerio, PR ranges from $0.00 to $31.38 per claim, with an average of $0.93. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Comerio, PR
Blood Work & Lab Tests
Avg $10.05
71,595 claims
Dental Cleaning & Exam
Avg $19.66
36,409 claims
Vaccines & Immunizations
Avg $6.84
31,289 claims
Eye Exam
Avg $13.39
23,345 claims
Urinalysis & Urine Tests
Avg $3.26
16,097 claims
Dental Filling
Avg $36.57
6,009 claims
Physical Therapy
Avg $25.99
5,875 claims
Emergency Room Visit
Avg $20.00
5,439 claims