Average Medicaid Office Visit Payments in Lajas, PR: $0.36
Avg. Paid
$0.36
Range
$0.00 – $2.13
Total Claims
120,804
Providers
26
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 Lajas, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rafael E Escabi
Avenue Flamboyan No. 237 |
$0.00 | 17 | 16 |
|
Ruben Dario Rosario Castillo
Carr. 116 Km 2.0 Bo Sabana Yeguas |
$2.13 | 56 | 38 |
|
Andres Ivan Gutierrez
316 Rd Km 0.9 Candelaria |
$0.00 | 70 | 63 |
|
Laboratorio Clinico Irizarry Guasch Inc
65 Infanteria Esquina Concordia |
$0.00 | 120 | 100 |
|
Ausberto Gonzalez
117 St. Km 5.5 Lajas Arriba |
$0.00 | 137 | 127 |
|
Laboratorio Clinico Irizarry Guasch Inc
Carr 116 Km8.6 |
$0.00 | 158 | 152 |
|
Liza M Ramos Figueroa
237 Calle Flamboyan |
$0.00 | 311 | 250 |
|
Jose Alberto Flores
Carr. 306 Km. 0.5 Interior |
$0.00 | 467 | 297 |
|
Lizmary Nazario Irizarry
Hc 1 Box 7365 |
$0.30 | 877 | 573 |
|
Luis Saul Cruz-Garcia
Calle Union #15 |
$0.47 | 1,411 | 1,054 |
|
Lilybeth Figueroa Acosta
Carr 306 Km 4.2 |
$0.00 | 1,546 | 984 |
|
Juan Luis Ocasio Rodriguez
Carr 101 Km 6.1 |
$0.00 | 1,804 | 1,247 |
|
Ramon Perez-Perez
1 Calle Victoria |
$0.16 | 2,597 | 1,967 |
|
Frances Colon Vega
Rd. # 116 Km. 0.5 |
$0.00 | 3,481 | 2,729 |
|
Pablo J Robles Cortes
237 Calle Flamboyan |
$0.13 | 3,844 | 3,065 |
|
Dennis Joel Gonzalez
116 St. Km 6.3 Apt. 1B |
$0.10 | 3,952 | 2,666 |
|
Jaime A Figueroa Sosa
237 Ave Los Veteranos |
$0.59 | 4,408 | 3,445 |
|
Nariely Nazario
Carr 315 Km 1.2 Bo Sabana Yeguaz |
$0.89 | 5,074 | 4,195 |
|
Luis A Arizmendi Pineiro
Calle 5 B #89 Urb Jardines De Lajas |
$0.39 | 5,907 | 4,688 |
|
Pablo E Pons Damiani
Carr. 116 Km. 0.5 |
$1.29 | 7,458 | 5,463 |
|
Jose Velez
Calle Amistad # 38 |
$0.53 | 10,985 | 9,836 |
|
Orlando J Llavona Gonzalez
Calle 65 Infanteria 76 Sur |
$0.01 | 11,555 | 7,662 |
|
Walter F. Irizarry/Campero
65 Infanteria # 7 |
$0.15 | 12,206 | 8,868 |
|
Veronica Ortiz Rodriguez
Migrant Health Center, Inc |
$0.83 | 12,815 | 10,780 |
|
Edison Velez
65 De Infanteria #23 North |
$0.09 | 13,596 | 9,705 |
|
Wilmer A Sanchez
Carr 117 Km 1.0 Bo Santa Rosa |
$0.14 | 15,952 | 12,344 |
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 Lajas, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lajas, PR is $0.36 per claim, based on 120,804 claims from 26 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 Lajas, PR?
There are 26 Medicaid providers offering Office Visit related services in Lajas, PR according to public payment data.
What is the price range for Office Visit in Lajas, PR?
Medicaid reimbursement for Office Visit in Lajas, PR ranges from $0.00 to $2.13 per claim, with an average of $0.36. 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 Lajas, PR
Blood Work & Lab Tests
Avg $8.45
260,438 claims
Urinalysis & Urine Tests
Avg $3.27
49,680 claims
Dental Cleaning & Exam
Avg $20.49
34,323 claims
Eye Exam
Avg $23.69
5,403 claims
Vaccines & Immunizations
Avg $5.14
3,436 claims
Psychiatric Evaluation
Avg $5.44
1,858 claims
Emergency Room Visit
Avg $13.31
1,527 claims
Dental Filling
Avg $41.86
722 claims