Average Medicaid Office Visit Payments in Coto Laurel, PR: $20.78
Avg. Paid
$20.78
Range
$0.00 – $84.82
Total Claims
165,544
Providers
40
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 Coto Laurel, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Orlando A Torres
Torre San Cristobal |
$41.38 | 13 | 13 |
|
Caribbean Urology Llc
Torre San Cristobal Office 203-204 |
$84.82 | 48 | 47 |
|
San Cristobal Anesthesia Csp
402 Torres San Cristobal |
$30.86 | 70 | 67 |
|
Jose Antonio Torres Viruet
Calle Acerola |
$9.03 | 77 | 77 |
|
Harry J Rodriguez-Mcdougall
Torre San Cristobal |
$23.71 | 140 | 123 |
|
Breast Care And Surgery Center Psc
601 Portales Del Monte |
$64.05 | 182 | 169 |
|
Consultorio Oto Ccc Psc
Ave Torre San Cristobal |
$41.84 | 186 | 177 |
|
Jose R Cruz Cestero
Carr. 506 Avenue San Cristobal |
$24.52 | 188 | 188 |
|
Helga I Rodriguez Rodriguez
525 Calle Castilla |
$0.00 | 386 | 230 |
|
Pablo Jose Cruz Lopez
77 Calle Central |
$0.40 | 539 | 415 |
|
Jorge E. Grillasca Palou
302 Torre San Cristobal |
$40.66 | 690 | 640 |
|
Christine M. Munoz- Rodriguez
Road 506 Km 1 |
$64.99 | 782 | 701 |
|
Luis M Irizarry-Pabon
Torre San Cristobal |
$0.08 | 1,066 | 926 |
|
Jose Luis Vera-Miro
5 Ave. San Cristobal |
$41.42 | 1,070 | 979 |
|
Franklin Rivera-Carrasquillo
215 Calle Isabel |
$0.11 | 1,072 | 982 |
|
Anesthesia Providers Group, P.S.C.
216 Isabel |
$45.23 | 1,085 | 1,006 |
|
Lilliam Caraballo Lemell
Torre San Cristobal |
$50.71 | 1,271 | 1,201 |
|
Maria Teresa Velez-Maldonado
Suite 1-A |
$0.36 | 1,543 | 1,376 |
|
Enrique Gustavo Bellver Espinosa
3501 Portales Del Monte |
$0.38 | 1,547 | 1,351 |
|
Jose Roberto Ramirez-Martinez
513 Calle Castilla |
$36.28 | 1,566 | 1,435 |
|
Alejandro Anibal Rivera
Hospital San Cristobal Carr. 506 |
$0.04 | 1,583 | 1,423 |
|
Kermith Rafael Ayala
Torre San Cristobal |
$80.47 | 1,989 | 1,585 |
|
Centro Medico Central Coto Laurel, Inc
103 Calle Central |
$1.89 | 2,107 | 1,732 |
|
Jaime Luis Ortiz
Torre San Cristobal |
$44.07 | 2,281 | 2,106 |
|
Rafael Antonio Vasquez Pelyhe
Torre Medica San Cristobal, Suite 401 |
$6.34 | 2,472 | 1,933 |
|
Juan Carlos Torres Velazquez
Torre San Cristobal |
$0.03 | 2,577 | 2,017 |
|
Hector Silva Rivera
Carr. 506 Km 1.0 |
$58.80 | 2,854 | 2,594 |
|
Andres Dario Bermudez Caba
Torre San Cristobal Suite 303 |
$27.99 | 2,875 | 2,682 |
|
Sabato Ortiz Laracuente
304 Torre San Cristobal |
$69.61 | 3,654 | 3,090 |
|
Jose Augusto Roman Ramos
407 Torre San Cristobal |
$63.62 | 3,990 | 3,299 |
|
Richard Soler Santiago
Carr 506 San Critobal Avenue |
$66.34 | 4,824 | 3,731 |
|
Maria Del C Padilla Rodriguez
206 Torre San Cristobal |
$0.26 | 6,308 | 5,472 |
|
Mauro M Fernandez-Gonzalez
Hospital San Cristobal, Carretera P.R. 506, Km. 1.0 |
$47.88 | 7,468 | 6,828 |
|
Jose L Torres-Silva
Urb Santa Rita Iii Calle Santa Maria 1430 |
$1.47 | 8,155 | 6,877 |
|
Ahmed Morales Jorge
Carr #506 Plaza San Cristobal Local #3 |
$62.40 | 8,156 | 6,836 |
|
Martha Denise Reyes
Torre San Cristabal |
$0.11 | 9,906 | 8,179 |
|
Victor M Cruz Lopez
Carr # 506 |
$8.44 | 10,004 | 8,591 |
|
Nelson R Medina
311 Torre San Cristobal |
$40.34 | 11,853 | 11,165 |
|
Gloribelle Ramos Natal
1800 Carr 14 Ste 115 |
$0.02 | 19,784 | 17,770 |
|
Neiza Milagros Dominguez
Road 506 Hospital San Cristobal |
$7.90 | 39,183 | 35,082 |
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 Coto Laurel, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Coto Laurel, PR is $20.78 per claim, based on 165,544 claims from 40 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 Coto Laurel, PR?
There are 40 Medicaid providers offering Office Visit related services in Coto Laurel, PR according to public payment data.
What is the price range for Office Visit in Coto Laurel, PR?
Medicaid reimbursement for Office Visit in Coto Laurel, PR ranges from $0.00 to $84.82 per claim, with an average of $20.78. 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 Coto Laurel, PR
X-Ray
Avg $8.76
51,942 claims
Dental Cleaning & Exam
Avg $19.47
20,807 claims
EKG / ECG (Electrocardiogram)
Avg $18.69
19,660 claims
Ultrasound
Avg $31.03
9,482 claims
Colonoscopy
Avg $312.66
7,263 claims
Psychiatric Evaluation
Avg $12.50
7,202 claims
Upper Endoscopy (EGD)
Avg $279.22
6,232 claims
CT Scan (Computed Tomography)
Avg $64.09
6,199 claims