Average Medicaid Office Visit Payments in Las Piedras, PR: $7.66
Avg. Paid
$7.66
Range
$0.00 – $77.95
Total Claims
76,625
Providers
29
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 Las Piedras, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Evelyn Rodriguez
Calle Jose Celso Barbosa |
$0.00 | 7,467 | 6,053 |
|
Luisa Estela Rivera-Chinchilla
69 Calle Jesus T Pinero |
$0.00 | 5,865 | 3,872 |
|
Omayra Santory Ortiz
103 Urb. Inmaculada |
$0.00 | 5,864 | 5,240 |
|
Luz Eneida Delgado
10 Calle Leopoldo Figueroa |
$0.00 | 5,840 | 3,879 |
|
Liliana M Guzman-Bicchi
Carre 9921 Km0.3 Ave Anibal Garcia Pena |
$0.48 | 5,387 | 3,855 |
|
Maria Ines Palou
#2 Calle Manuel Garcia |
$77.95 | 5,373 | 4,764 |
|
Steven Abreu Reyes
B.O Montones # 4 Sector Piedra Azul Carr. 917 Km 6.6 |
$0.01 | 4,982 | 4,187 |
|
Rafael A. Ramos
Calle Jose Celso Barbosa Num 60 |
$0.39 | 4,743 | 3,216 |
|
Julio Angel Vergara Cordero
Bo Montones 1 Carr 183 Km 19.3 |
$0.05 | 4,716 | 3,593 |
|
Liz I Vergara Cordero
Bo Montones 1 Carr 183 Km 19.3 |
$0.00 | 3,510 | 2,710 |
|
Nelson Vallejo
Ave Jose C Barbosa |
$19.52 | 3,259 | 2,814 |
|
Angela Nunez Arias
Plaza Del Mercado Juan Velazquez |
$0.00 | 2,724 | 1,835 |
|
Willyson Velazquez Velazquez
Calle Vicente De Leon Num 15 Bo Collores |
$1.40 | 2,544 | 1,554 |
|
Michelle Rivera Resto
14 Calle Cerezo |
$41.92 | 2,128 | 1,811 |
|
Ronald Serrano Ramos
Bo Montones 1 Carr 183 Km 19.3 |
$0.00 | 2,029 | 1,396 |
|
Pablo Del Valle
Calle Jesus T. Pinero A-4 |
$0.34 | 2,000 | 1,467 |
|
Ivan Rosich Capo
Jose Celso Barbosa 16 |
$0.26 | 1,641 | 887 |
|
Julio Santory -Ortiz
Urb. La Inmaculada Calle 1 # 103 |
$0.00 | 1,450 | 1,379 |
|
Juanita Hernandez
Carr, 926 Km. 0.4 |
$0.28 | 1,201 | 1,001 |
|
Gil Angel Nieves
68 Calle Barbosa |
$0.00 | 1,115 | 994 |
|
Vicente Chapa Juan
C Ramos Antonini 4 |
$0.00 | 879 | 768 |
|
Eric Alberto Maldonado
11 Calle Jesus T Pinero |
$0.02 | 759 | 602 |
|
Oscar Kidd
Carr#198 Km 23.6 |
$6.55 | 697 | 669 |
|
Hernandez-Amb Medical Clinic, Llc
Carr. 926 Km. 0.4 |
$0.00 | 132 | 123 |
|
Luis A Catoni
271 Calle Jose Celso Barbasa |
$0.00 | 115 | 67 |
|
Liribeth Ramirez-Martinez
Carr.198 Km 22.0 |
$4.04 | 85 | 61 |
|
Hector R Toro
Calle Vicente De Leon #18 |
$0.00 | 60 | 46 |
|
Betsy Yazmin Perez Serrano
20 Calle Jose C. Barbosa |
$19.04 | 39 | 27 |
|
Julio Santory-Pena
Urb Immaculada Calle 1 |
$0.00 | 21 | 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 Las Piedras, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Las Piedras, PR is $7.66 per claim, based on 76,625 claims from 29 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 Las Piedras, PR?
There are 29 Medicaid providers offering Office Visit related services in Las Piedras, PR according to public payment data.
What is the price range for Office Visit in Las Piedras, PR?
Medicaid reimbursement for Office Visit in Las Piedras, PR ranges from $0.00 to $77.95 per claim, with an average of $7.66. 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 Las Piedras, PR
Blood Work & Lab Tests
Avg $10.09
255,276 claims
Urinalysis & Urine Tests
Avg $3.58
58,274 claims
X-Ray
Avg $17.67
31,758 claims
Dental Cleaning & Exam
Avg $21.28
30,264 claims
Emergency Room Visit
Avg $51.99
22,142 claims
Ultrasound
Avg $67.13
21,775 claims
Physical Therapy
Avg $21.48
20,540 claims
Psychiatric Evaluation
Avg $7.04
19,761 claims