Average Medicaid Office Visit Payments in Hatillo, PR: $6.54
Avg. Paid
$6.54
Range
$0.00 – $86.63
Total Claims
243,488
Providers
61
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 Hatillo, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clinica Quiropractica Vertebras, Csp
272 Calle Marginal |
$49.61 | 12 | 12 |
|
Wanda Liz Hernandez
116 Ave Dr Susoni |
$0.00 | 13 | 12 |
|
Maria De Los Angeles Figueroa
116 Ave Dr Susoni |
$0.00 | 13 | 13 |
|
Laboratorio Clinic Omaris Inc
Carr Pr-2 Km 86 Hm 2 Calle Marginal |
$0.00 | 13 | 13 |
|
Laboratorio Clinico Plaza Del Norte Inc.
Calle La Militar No 517 |
$0.00 | 15 | 15 |
|
Samuel Rivera
Policlinica Bayaney Carr 129 Km. 15.1 |
$34.97 | 28 | 27 |
|
Laura C Rios Carrion
137 Calle Vidal Felix |
$56.40 | 45 | 40 |
|
Centro Pediatrico De Hatillo Csp
Carr 493 Km 0.5 Bo. Carrizales |
$0.00 | 60 | 31 |
|
Angel R Delvalle Torres
189 Ave Dr Susoni |
$0.00 | 63 | 49 |
|
Jaquelin Colon Marin
Ave. Dr. Susoni 284 B |
$0.25 | 105 | 89 |
|
Robindranath Perez
Carretera 130 K.M.11.6 |
$0.00 | 116 | 113 |
|
Jeannette Toledo Rodriguez
Carr 492 Km 0.1 |
$0.00 | 154 | 151 |
|
Cesar M Cubano
# 2 Marginal |
$0.00 | 164 | 163 |
|
Nicola Foti
Hc 3 Box 52361 |
$0.00 | 173 | 79 |
|
Yoel Cruz
131 Munoz Rivera |
$0.00 | 190 | 163 |
|
Isamarys Acevedo Gonzalez
Carr 493 Km 0.5 |
$55.39 | 191 | 125 |
|
Gabriel G Torres
Carretera 129 Km 15.0 Hatill P.R.00659 |
$0.00 | 194 | 166 |
|
Raphy Alexis Gonzalez
Carr #130 Km 5.4 Bo Naranjito Sector Lechuga |
$0.00 | 199 | 89 |
|
Lisandra Alcaide Molina
272 Calle Marginal |
$48.05 | 207 | 205 |
|
Adrian Arroyo
Barrio Pajuil |
$30.59 | 238 | 229 |
|
Ismael Gonzalez Arce
137 Calle B |
$0.00 | 300 | 192 |
|
Hermes Manuel Gonzalez Rodriguez
Carretera #2 Km86.6 |
$0.00 | 345 | 185 |
|
Adrian Perez Medina
Corp. Servicios Medicos Calle Dr. Susoni Num. 121 |
$7.80 | 388 | 330 |
|
Rhina Elizabeth Benavides Martinez
116 Ave Dr Susoni |
$12.36 | 532 | 355 |
|
Ferdinando Maldonado Terron
Carr. 129 K.M. 15.1 |
$0.00 | 627 | 349 |
|
Tatiana M Morell Colberg
Carr 490 Km 4.5 |
$0.07 | 642 | 545 |
|
Miguel A. Roman Villanueva
Carr #2 Km 86.6 Int Marginal Norte |
$0.72 | 668 | 415 |
|
Pablo J Baez Chao
Carr 129 Km 8-5 |
$38.20 | 671 | 630 |
|
Ricardo Lopez Lopez
Carretera 492 Km 2.9 |
$6.27 | 676 | 462 |
|
Miguel Angel Garcia Santiago
116 Ave Dr Susoni |
$0.30 | 687 | 406 |
|
Victor M Delgado-Torrado
Barrrio Capaez Carr.130 Km 2.5 |
$0.37 | 757 | 485 |
|
Yadira Santiago Nieves
Carr 129 Km 15.1 |
$0.06 | 771 | 676 |
|
Liz Annette Romero-Perez
Franklin D. Roosevelt #122 |
$66.32 | 828 | 792 |
|
Rr Laboratory Services, Inc
Carr 129 Km 15.1 |
$0.00 | 837 | 742 |
|
Alicia Guilloty Rivera
Pr- 129 Km 9.2 |
$0.87 | 1,034 | 816 |
|
Ferdy Maldonado Adames
Carr 129 Km 15.0 De Arecibo A Lares |
$0.72 | 1,145 | 748 |
|
Johannie Gonzalez
Bo Bayaney Carr 129 Km 13.6 |
$0.10 | 1,378 | 1,068 |
|
Francisco Barrios Romacho
Road Number 2 Km 86.3 Bo. Pueblo |
$0.64 | 1,378 | 1,122 |
|
Loida Lopez-Rosario
Carr.130 Km.11.6 Bo. Campo Alegre |
$0.13 | 1,530 | 1,200 |
|
Jose Manuel Betancourt
Hc 06 Box 14280 |
$45.39 | 1,588 | 1,526 |
|
William Davila Muntaner
Calle Marginal Kmm 859 Carr #2 |
$0.48 | 1,768 | 1,408 |
|
Hector Juarbe
Rd.493 K0.5 Carrizales |
$1.25 | 1,814 | 1,172 |
|
Hatillo Cardiovascular Inc
Carr 128 Bo Bayaney |
$22.36 | 1,896 | 1,874 |
|
Jose Rafael Del Rio-Cordero
Carr. 130 Km 11.6 Bo. Campo Alegre |
$0.26 | 1,922 | 1,367 |
|
Alberto G Grana
Carr. 130, Km. 9.7 |
$0.06 | 2,117 | 1,724 |
|
Kimberlyn Eileen Rios Arce
Hc 7 Box 33270 |
$0.00 | 2,226 | 1,902 |
|
Jose G Vivaldi Pico
Carr 130 Km 9.9 |
$0.00 | 2,242 | 1,562 |
|
Juan Antonio Rodriguez
Carret. #2 Km 86.7 |
$65.88 | 2,378 | 2,284 |
|
Gisela Rivera Vazquez
Hatillo Cdt Csp #55 |
$0.03 | 2,413 | 1,628 |
|
Yerianig M Perez-Rodriguez
56 Urbanizacion Colinas De Hatillo |
$1.46 | 2,427 | 1,546 |
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 Hatillo, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hatillo, PR is $6.54 per claim, based on 243,488 claims from 61 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 Hatillo, PR?
There are 61 Medicaid providers offering Office Visit related services in Hatillo, PR according to public payment data.
What is the price range for Office Visit in Hatillo, PR?
Medicaid reimbursement for Office Visit in Hatillo, PR ranges from $0.00 to $86.63 per claim, with an average of $6.54. 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 Hatillo, PR
Blood Work & Lab Tests
Avg $9.85
362,144 claims
Urinalysis & Urine Tests
Avg $3.41
73,658 claims
Dental Cleaning & Exam
Avg $22.30
66,971 claims
Vaccines & Immunizations
Avg $4.97
36,774 claims
Eye Exam
Avg $19.81
33,087 claims
Physical Therapy
Avg $22.05
28,443 claims
Speech Therapy
Avg $62.04
15,179 claims
Emergency Room Visit
Avg $42.37
12,807 claims