Average Medicaid Office Visit Payments in Isabela, PR: $1.26
Avg. Paid
$1.26
Range
$0.00 – $73.19
Total Claims
201,625
Providers
47
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 Isabela, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edison Javier Toro Nieves
8A Calle Eduardo Quevedo |
$1.24 | 25,793 | 23,927 |
|
Gail Vanesa Gonzalez Corchado
Ave Agustin Ramos Calero Carr 112 |
$1.05 | 15,752 | 15,035 |
|
Mariela Stacholy
24 Calle Coronel |
$0.34 | 14,671 | 9,160 |
|
Arbel Velez-Corchado
254 Calle Las Vegas |
$2.75 | 13,603 | 12,660 |
|
Ethel C Lamela
5 Calle Barbosa |
$2.64 | 13,013 | 11,205 |
|
Yanila Mendez-Pietri
99 Calle Emilio Gonzalez |
$0.51 | 12,635 | 10,592 |
|
Jose A. Lopez
65 Calle Otero |
$0.95 | 12,223 | 10,953 |
|
Rutilio Hernandez Cerezo
Ave Agustin Ramos Calero |
$0.77 | 10,223 | 8,605 |
|
Jose Luis Mercado Santiago
Carr. #2 K.M 106.4 |
$0.34 | 9,720 | 8,160 |
|
Juan Carlos Melon-Velez
Carr 459 Km 14.6 |
$0.35 | 8,066 | 6,502 |
|
Santiago Rivera Ortega
Carr 113 Km 1.2 Bo. Guayabo |
$1.02 | 7,226 | 6,599 |
|
Charlene Rivera
Carr 474 Km 2.2 |
$0.46 | 6,191 | 5,687 |
|
Huber A Tavarez Gonzalez
Carr 474 Km 2.2 |
$2.17 | 5,838 | 5,264 |
|
Maria De Lourdes Gonzalez
Ave Agustin Ramos Calero |
$1.63 | 5,614 | 5,463 |
|
Joselito Romero Lopez
8494 Ave Jobos |
$0.01 | 5,460 | 3,493 |
|
Jose A Mora
7342 Ave Agustin Ramos Calero |
$0.01 | 5,433 | 3,773 |
|
Aracelio Camacho Vega
Ave Agustin Ramos Calero |
$2.31 | 5,420 | 3,642 |
|
Cima Hmo Corp
Ave. Agustin Ramos Km 1.4 |
$0.28 | 3,459 | 3,158 |
|
Juan B Liceaga Sanchez
7124 Avenida Agustin Ramos Calero |
$0.35 | 3,386 | 2,262 |
|
Xiomara Lopez
35A Calle Cofre |
$0.44 | 2,722 | 2,494 |
|
Carmen Anna Perez
Carr. 474 Barrio Galateo Bajo |
$0.00 | 2,415 | 2,044 |
|
Sharon N Gonzalez Barbosa
300 Ave Noel Estrada |
$0.24 | 2,220 | 1,770 |
|
Hector Noel Vega Vega
Carr. 2 Int Km 112.6 |
$0.77 | 2,125 | 1,840 |
|
Anibal Rodriguez Santana
1401 Ave Felix Aldarondo |
$0.17 | 1,728 | 1,545 |
|
Julio Kike Soler-Villanueva
24 Calle Coronel |
$9.86 | 1,461 | 1,418 |
|
Willnelsa Rey Robles
Hospital Cima Isabela |
$0.05 | 1,254 | 687 |
|
Pedro L Velez Gonzalez
Carr 2 Km 112 Bo Mora |
$7.28 | 900 | 884 |
|
B.M.Laboratory,Inc.
Carr. 4477 K.M 1.1 |
$0.00 | 632 | 608 |
|
Marco Antonio Corchado Barreto
7260 Ave Agustin Ramos Calero |
$0.84 | 454 | 399 |
|
Luis Rafael Nieves Gonzalez
Carretera 2 Km 112.2 |
$0.11 | 422 | 323 |
|
Audeliz Rodriguez
Calle Eduardo Quevedo #8A |
$0.00 | 310 | 259 |
|
Pedro J. Cruz-Quiles
3106 Ave Juan Hernandez Ortiz |
$0.00 | 280 | 238 |
|
Amarilis Corchado Perez
Carr #2, Calle Marginal, Km 112.4 |
$73.19 | 279 | 235 |
|
Laboratorio Clinico La Familia
Carretera 113, Km 2.3 |
$0.00 | 116 | 91 |
|
Ivan H. Velazquez Munoz
12 Calle Jesus T Pinero Suite 3 |
$0.00 | 107 | 80 |
|
Ildaly Maldonado Aviles
Carr 113 Esq Carr 474 Km 0 Barrio Coto |
$0.00 | 102 | 100 |
|
Laboratorio Cardona Lamela, Inc.
94A Calle San Antonio |
$0.00 | 84 | 80 |
|
Pedro J Rodriguez Benitez
Centro Isabelino De Medicina Avanzada |
$36.22 | 56 | 54 |
|
Aileen M Cordero Soto
5 Calle Barbosa |
$0.00 | 50 | 27 |
|
Cristina Margarita Benero Font
Carr#2 K.M. 106.4 |
$0.00 | 43 | 42 |
|
Benyvette Aldarondo Rosado
4850 Ave Militar |
$0.00 | 40 | 39 |
|
Carmen I. Altiery Ruiz
Carr. 4494 Km 1.2 Int Calle La Cumbre # 360 |
$0.00 | 28 | 26 |
|
Miguel Angel Frontera-Philippi
1356 Ave Felix Aldarondo Santiago |
$63.71 | 17 | 12 |
|
Jorge Rodriguez
115 Calle Emilio Gonzalez |
$0.00 | 16 | 13 |
|
West Pcp
Carr 113 Km 1.2 Bo Guayabo |
$0.00 | 13 | 13 |
|
Roberto Hans Hau
68 Calle Dr Gonzalez |
$0.00 | 13 | 13 |
|
Felix Martinez Fortier
79 Calle Manuel Corchado Juarbe |
$53.76 | 12 | 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 Isabela, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Isabela, PR is $1.26 per claim, based on 201,625 claims from 47 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 Isabela, PR?
There are 47 Medicaid providers offering Office Visit related services in Isabela, PR according to public payment data.
What is the price range for Office Visit in Isabela, PR?
Medicaid reimbursement for Office Visit in Isabela, PR ranges from $0.00 to $73.19 per claim, with an average of $1.26. 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 Isabela, PR
Blood Work & Lab Tests
Avg $10.08
207,097 claims
Dental Cleaning & Exam
Avg $19.93
102,370 claims
Vaccines & Immunizations
Avg $5.89
55,834 claims
Urinalysis & Urine Tests
Avg $3.45
45,460 claims
Dental Filling
Avg $33.90
20,411 claims
Psychiatric Evaluation
Avg $8.49
18,114 claims
Physical Therapy
Avg $24.96
12,451 claims
Tooth Extraction
Avg $103.73
11,940 claims