Average Medicaid Office Visit Payments in Orocovis, PR: $2.22
Avg. Paid
$2.22
Range
$0.00 – $107.39
Total Claims
62,375
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 Orocovis, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose Sabino Aponte Pagan
4 Calle Pedro Arroyo |
$0.00 | 16,241 | 6,708 |
|
Javier A Rivera
Ave Luis Munoz Marin |
$0.96 | 15,851 | 12,682 |
|
Carmen Pizarro-Skerrette
Ave. Hospital # 15 |
$10.75 | 9,102 | 8,108 |
|
Luis Esteban Velez Lozada
Carr 155 |
$0.12 | 5,669 | 4,928 |
|
Afortunado Feliciano Maldonado
16 Calle 4 De Julio |
$0.00 | 5,211 | 3,143 |
|
Jaime Alberto Rivera Cartagena
24 Calle Pedro Arroyo |
$0.14 | 5,094 | 2,749 |
|
Charlene Fernandez-Camacho
Ave Luis Munoz Marin |
$4.36 | 2,784 | 2,410 |
|
Servicios Medicos Orocovis Inc
Ave Luis Munoz Marin 16 |
$0.08 | 1,396 | 1,223 |
|
Salud Integral En La Montana, Inc
Ave Luis Munoz Marin Carr 155 Sector El Desvio |
$12.32 | 702 | 607 |
|
Laboratorio Clinico Mercado Inc
Calle Ramos Antonini #2 |
$0.00 | 125 | 111 |
|
Luis F Rodriguez
Oro Office Center Building |
$1.66 | 72 | 66 |
|
Mennonite General Hospital Inc.
15 Calle Hospital Carretera 155 |
$0.00 | 51 | 50 |
|
Carlos E Rodriguez Velazquez
5 Calle Luis M Alfaro |
$0.00 | 44 | 31 |
|
Orliany Ortiz Torres
Calle 4 De Julio #35 |
$107.39 | 21 | 19 |
|
Coral Del Mar Ortiz Martinez
Carr. 155, Km. 32.8 Interior P 2 Apt, Bo. Gato |
$76.96 | 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 Orocovis, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Orocovis, PR is $2.22 per claim, based on 62,375 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 Orocovis, PR?
There are 15 Medicaid providers offering Office Visit related services in Orocovis, PR according to public payment data.
What is the price range for Office Visit in Orocovis, PR?
Medicaid reimbursement for Office Visit in Orocovis, PR ranges from $0.00 to $107.39 per claim, with an average of $2.22. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Orocovis, PR
Blood Work & Lab Tests
Avg $7.58
173,079 claims
Vaccines & Immunizations
Avg $7.54
45,069 claims
Urinalysis & Urine Tests
Avg $2.87
37,962 claims
Eye Exam
Avg $28.44
35,378 claims
Dental Cleaning & Exam
Avg $20.44
21,084 claims
Physical Therapy
Avg $19.82
17,261 claims
Ambulance Transport
Avg $117.88
9,384 claims
Psychiatric Evaluation
Avg $1.76
4,264 claims