Average Medicaid Office Visit Payments in Loiza, PR: $1.39
Avg. Paid
$1.39
Range
$0.00 – $53.00
Total Claims
96,357
Providers
15
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 Loiza, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Concilio De Salud Integral De Loiza, Inc.
Carretera #187 Int.#188 Loiza, Pr, 00772 |
$1.49 | 41,964 | 34,682 |
|
Gabriel Delgado
Concilio De Salud Integral Apartado 509 Carr188 - 187 |
$1.21 | 16,801 | 14,440 |
|
Karla Teresa Medina-Resto
Carr 188 # Int.187 |
$0.56 | 7,433 | 6,432 |
|
Maria A. Rodriguez
#188 187 St |
$0.18 | 6,342 | 5,063 |
|
Debora Teresa Reyes-Aguilera
Carr 188 Int 187 |
$0.27 | 5,523 | 4,887 |
|
Yanniris Cajigas
Carr 188 # Int187 |
$0.02 | 3,052 | 2,629 |
|
Damaris Delgado-Merced
Concilio De Salud Integrad De Loiza |
$0.24 | 2,998 | 2,590 |
|
Milagros Gonzalez
Carr 188 |
$0.93 | 2,455 | 1,958 |
|
Astrid Morales-Ralat
Box 509 188 St. Int. 187 |
$0.51 | 2,409 | 2,288 |
|
Hector Juan Rodriguez-Serrano
Carretera 187 Int 188 |
$1.42 | 2,110 | 1,886 |
|
Blanca I Davila-Monero
Carr 187 Km. 7.0 Mediania Alta |
$0.00 | 1,549 | 1,127 |
|
Glorilee Delgado
Concilio De Salud Integral De Loiza |
$0.98 | 1,507 | 1,341 |
|
Mayra E. Fernandez Amarat
Carr 188 # Int187 |
$1.36 | 1,487 | 1,153 |
|
Georgina Arroyo Zengotita
Carr 188 # C41 |
$53.00 | 486 | 445 |
|
Jose Francisco Rivera Viera
Street 1 Lot B-1 |
$32.69 | 241 | 225 |
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 Loiza, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Loiza, PR is $1.39 per claim, based on 96,357 claims from 15 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 Loiza, PR?
There are 15 Medicaid providers offering Office Visit related services in Loiza, PR according to public payment data.
What is the price range for Office Visit in Loiza, PR?
Medicaid reimbursement for Office Visit in Loiza, PR ranges from $0.00 to $53.00 per claim, with an average of $1.39. 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
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Las Vegas, NV
Avg $54.47
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Other Procedures in Loiza, PR
Blood Work & Lab Tests
Avg $8.76
138,020 claims
Vaccines & Immunizations
Avg $8.32
66,836 claims
Urinalysis & Urine Tests
Avg $3.27
30,401 claims
Dental Cleaning & Exam
Avg $18.28
17,887 claims
Psychiatric Evaluation
Avg $0.76
5,043 claims
Ultrasound
Avg $0.00
1,233 claims
Culture & Microbiology Tests
Avg $7.00
1,001 claims
Dental Filling
Avg $27.94
815 claims