Average Medicaid Office Visit Payments in Lares, PR: $3.71
Avg. Paid
$3.71
Range
$0.00 – $47.94
Total Claims
119,117
Providers
43
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 Lares, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Centro De Salud De Lares, Inc.
Road 111 Km 1.9 |
$7.48 | 49,149 | 45,053 |
|
Carlos Francisco Planell Dosal
129 Mariana Bracetti Km 25.0 |
$0.13 | 10,363 | 6,624 |
|
Baltazar Rodriguez Cruz
Lares Medical Center Hospitales |
$0.18 | 8,439 | 5,992 |
|
Yaralin Planell
45 Calle Pedro Albizu Campos |
$0.65 | 5,531 | 3,718 |
|
Yadira Rodriguez Cruz
Carr. 129 Km. 10.8 |
$0.11 | 5,515 | 3,907 |
|
Carlos Alberto Morales
Hc 2 Box 6244 |
$0.00 | 4,426 | 2,639 |
|
Daylin Guerrero Caballero
Carretera 129, Km 23.4, Sector Arroyo, Barrio Piletas |
$0.11 | 4,149 | 2,402 |
|
Ivette Lebron
Carr 129 Km 23.5 |
$0.29 | 3,314 | 2,049 |
|
Nermari Irizarry
Street 111, Km 1.9 |
$0.44 | 3,177 | 2,608 |
|
Camila E Jusino
Road 111 Km 1.9 |
$1.10 | 3,119 | 2,362 |
|
Jose Oscar Ramos
Edif Insurance Plaza 389 |
$0.05 | 2,628 | 1,779 |
|
Francisco Ball-Rosa
Road 111 Km 1.9 |
$1.70 | 2,562 | 1,937 |
|
Cristina Jimenez
Hc 03 9888 |
$0.16 | 1,874 | 1,473 |
|
Magdalena Rodriguez Cordero
Hc 3 Box 9846 |
$4.01 | 1,445 | 1,042 |
|
Jose Javier Lopez Lopez
Ave Los Patriotas 600 |
$0.17 | 1,441 | 901 |
|
Juan B Jimenez
15 Munoz Rivera St |
$0.00 | 1,367 | 1,009 |
|
Willie Nelson Malave
Carretera 129 Km 21.8 |
$0.25 | 1,228 | 948 |
|
Waleska Gonzalez Nieves
Calle 111 Km 1.9 |
$2.22 | 1,222 | 1,175 |
|
Idamaris Alicea
Carr. 111 Km 22.2 |
$0.12 | 1,117 | 404 |
|
F.T. Clinical Laboratories,Csp
Carr 129 Km 21.8 |
$0.00 | 1,082 | 1,001 |
|
Frances C Baerga
Road 111, Km. 1.9 |
$10.57 | 789 | 662 |
|
Hjalmar Zambrana
Los Patriotas Ave. |
$0.11 | 780 | 694 |
|
Hector R Cintron
Los Patriotas Ave. |
$0.10 | 620 | 569 |
|
Geraldo Gonzalez
Carr 129 Km 21.2 |
$38.06 | 583 | 419 |
|
Juan Pablo Ruiz-Valle
Carr 111 Km 1.9 Ave. Los Patriotas |
$0.98 | 450 | 425 |
|
Wanda I Nieves
Callejones |
$0.00 | 358 | 205 |
|
Alberto Angulo Johnson
Haciendas De Borinquen Ii |
$0.00 | 354 | 304 |
|
Edgardo Perez
Carr 111 Km 22.9 Bo. Lares |
$0.21 | 313 | 190 |
|
Juan Carlos Chaparro
Carr 129 Km 21.8 Bo Callejones |
$47.94 | 262 | 175 |
|
Juan Matias
Carr 111 Km 1.9 |
$1.63 | 255 | 251 |
|
San Lazargerd Medical Center, Csp
Carr. 129 Km 27.3 |
$0.17 | 225 | 177 |
|
Alba M Rios Vega
Bo Espino Ceiba 436 |
$0.00 | 176 | 100 |
|
Cesar H Medina Quinones
Road 111 Km 1.9 |
$8.19 | 167 | 132 |
|
San Lazargerd Medical Ii Csp
Carr. 129 Km 21.2 |
$0.25 | 157 | 130 |
|
Edgar Soto Perez
Carr 129 Km 13.7 |
$0.00 | 98 | 68 |
|
Jose Alberto Rios Battistini
Aue Los Patriotas #502 |
$0.00 | 98 | 87 |
|
Shirley Ramos
Carr 111 Km 32.9 |
$13.56 | 59 | 40 |
|
Ft Clinical Laboratories Inc
Carr 129 Km 21.8 |
$0.00 | 55 | 53 |
|
Jorge Jaime Ballester Echegaray
Carr 129 Bo Callejones |
$0.00 | 38 | 32 |
|
Sandra L. Amador Perez
7 Calle Munoz Rivera |
$0.00 | 36 | 34 |
|
Fernando Echeandia Fuster
Carr 111 Km 4.2 |
$0.00 | 33 | 33 |
|
Juan T Hernandez
Urb. Montebello #101 |
$0.00 | 32 | 29 |
|
F.T. Clinical Laboratories,Inc
Carr 129 Km 24.6 |
$0.00 | 31 | 30 |
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 Lares, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lares, PR is $3.71 per claim, based on 119,117 claims from 43 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 Lares, PR?
There are 43 Medicaid providers offering Office Visit related services in Lares, PR according to public payment data.
What is the price range for Office Visit in Lares, PR?
Medicaid reimbursement for Office Visit in Lares, PR ranges from $0.00 to $47.94 per claim, with an average of $3.71. 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 Lares, PR
Blood Work & Lab Tests
Avg $9.09
428,917 claims
Urinalysis & Urine Tests
Avg $3.59
85,804 claims
Dental Cleaning & Exam
Avg $20.64
37,570 claims
Vaccines & Immunizations
Avg $5.39
14,688 claims
Dental Filling
Avg $38.07
9,277 claims
X-Ray
Avg $10.48
7,117 claims
Ultrasound
Avg $58.90
5,761 claims
Speech Therapy
Avg $63.49
5,577 claims