Average Medicaid Office Visit Payments in Dorado, PR: $24.06
Avg. Paid
$24.06
Range
$0.00 – $94.76
Total Claims
120,340
Providers
49
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 Dorado, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Oscar Gonzalez
Paseo Las Olas |
$5.76 | 11,052 | 9,616 |
|
Evans Jayson Ortiz Santana
Quintas De Dorado |
$1.98 | 8,685 | 6,942 |
|
Jose Luis Lopez
Sardinera Beach Building, Urb. Costa De Oro, C/Marginal |
$0.11 | 8,222 | 7,125 |
|
William Andres Ramirez-Cacho
Calle Palma Real 31 |
$41.96 | 7,037 | 4,723 |
|
Carlos Robles
Calle Mendez Vigo |
$0.20 | 6,699 | 5,221 |
|
Mary T Chacon Crespo
Bo. Mameyal 698 |
$0.02 | 6,166 | 4,691 |
|
Luis Antonio Pagan
Calle Mendez Vigo |
$1.64 | 6,054 | 4,156 |
|
Johnny Ongay Rullan
349 Calle Mendez Vigo |
$2.35 | 5,502 | 4,002 |
|
Axel Torres
Sabanera Dorado |
$52.31 | 5,353 | 3,601 |
|
Margarita Aurelia Mankus
900 Pr-696 |
$56.96 | 5,146 | 4,208 |
|
Yamil E. Castillo Beauchamp
Manati Medical Center Professional Plaza Suite 504 |
$47.60 | 4,163 | 3,783 |
|
Alberto J Ramirez
Dorado Beach East 341 |
$79.42 | 3,540 | 2,811 |
|
Jose Puig Rivera
410 Calle Mendez Vigo |
$54.15 | 3,404 | 3,274 |
|
Julio C Zuniga Hidalgo
Urb Dorado Del Mar |
$3.03 | 2,931 | 2,326 |
|
Alberto Zamot Carmona
Carr 693, Esquina Ave. Jose Efrain |
$55.96 | 2,725 | 2,376 |
|
Maga Martinez-Vazquez
Plaza Dorada Shopping |
$51.69 | 2,523 | 2,467 |
|
Dr. Javier O. Perez P.S.C
845 Carr 693 Ste 24 |
$46.10 | 2,377 | 2,182 |
|
Carmelo A Crespo
338 Calle Mendez Vigo |
$0.57 | 2,347 | 1,976 |
|
Laura C Mejia
338 Calle Mendez Vigo |
$0.30 | 2,213 | 1,772 |
|
William Jose Ruiz-Vale
349 Calle Mendez Vigo |
$31.52 | 2,207 | 1,360 |
|
Melanie Marie Torres Gonzalez
Carretera 696 |
$69.54 | 2,155 | 1,799 |
|
Ivan Cerezo
410 Calle Mendez Vigo Ste 201 |
$59.15 | 2,107 | 1,638 |
|
Maga Martinez Psc
845 Carr 693 |
$48.60 | 2,093 | 2,006 |
|
Blanca I Plaza
Carr. 695 Km. 0.4 |
$0.36 | 1,967 | 1,733 |
|
Northen Orthopedic
425 Carr 693 Pm325 |
$46.33 | 1,930 | 1,777 |
|
Oscar Marrero Ortiz
716 C/Cocatier Montebello |
$0.10 | 1,856 | 1,592 |
|
Lydiaris Gonzalez Reyes
Golden Hills C/Los Astros #5 |
$0.01 | 1,601 | 1,267 |
|
Ricardo Plaud
377 Calle Mendez Vigo |
$0.27 | 1,499 | 1,286 |
|
I & C Psc
772 Calle Mar Negro |
$24.62 | 964 | 916 |
|
Norman Enrique Colon-Casasnovas
Carr 693 Esquina Ave Jose Efrain |
$69.49 | 935 | 640 |
|
Carlos Miguel Robles
Doctor Center Hospital |
$69.94 | 884 | 828 |
|
Samayra Miranda Rodriguez
Doctors Center Clinics Plaza Dorada Shopping Mall |
$55.57 | 784 | 735 |
|
Healthcloud Llc
Carr 693 Esquina Ave Jose Efrain |
$56.69 | 548 | 471 |
|
Sandra N Maldonado-Rivera
Paseo Los Corales Ii |
$5.45 | 541 | 375 |
|
Solalba Bueno-Orengo
478 Camino De La Vega |
$68.31 | 514 | 367 |
|
Rigoberto Gonzalez Jimenez
Street 695 Km 2.0, Urb. Doraville Office 2 |
$0.00 | 367 | 235 |
|
Xavier Sanchez Flores
D80 Calle C |
$59.67 | 241 | 177 |
|
Jose Alberto Rodriguez Diaz
900 Carr 696 |
$94.76 | 212 | 168 |
|
Carlos N Montalvo
50 Calle Arrecife |
$20.92 | 179 | 134 |
|
Josue Canales Torres
88 Calle Francisco Escude |
$0.00 | 156 | 76 |
|
Luis E Rodriguez
503 Calle Ext S |
$56.88 | 146 | 84 |
|
Samah M Shehadeh
Ave Los Astros 1766 |
$57.60 | 92 | 79 |
|
Javier Lorenzo Tirado Manzano
Mendez Vigo 316 |
$0.00 | 81 | 48 |
|
Javier Lopez Araujo
140 Dorado Bch E |
$13.29 | 44 | 39 |
|
Mario Roberto Gonzalez-Torres
332 Calle Mendez Vigo |
$0.00 | 29 | 27 |
|
Nidia Camacho Padilla
410 Calle Mendez Vigo |
$57.73 | 26 | 26 |
|
Juan Rojas
Road 696 Interseccion |
$26.63 | 15 | 14 |
|
Carlos Romero Santana
Calle Sur # 88 Estacion |
$0.00 | 15 | 12 |
|
Cdt Dorado Medical Complex, Inc.
349 Calle Mendez Vigo |
$0.00 | 13 | 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 Dorado, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dorado, PR is $24.06 per claim, based on 120,340 claims from 49 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 Dorado, PR?
There are 49 Medicaid providers offering Office Visit related services in Dorado, PR according to public payment data.
What is the price range for Office Visit in Dorado, PR?
Medicaid reimbursement for Office Visit in Dorado, PR ranges from $0.00 to $94.76 per claim, with an average of $24.06. 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 Dorado, PR
Blood Work & Lab Tests
Avg $10.79
61,304 claims
Eye Exam
Avg $42.96
48,936 claims
Speech Therapy
Avg $54.82
27,311 claims
Vaccines & Immunizations
Avg $5.67
27,214 claims
Urinalysis & Urine Tests
Avg $3.13
17,804 claims
Psychiatric Evaluation
Avg $4.16
15,711 claims
Dental Cleaning & Exam
Avg $19.97
9,839 claims
Ultrasound
Avg $66.88
9,612 claims