Average Medicaid Office Visit Payments in Penuelas, PR: $2.44
Avg. Paid
$2.44
Range
$0.00 – $41.85
Total Claims
137,315
Providers
21
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 Penuelas, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ruben Galarza
Luis Munoz Rivera |
$1.34 | 21,241 | 15,096 |
|
Patricia E Matos Moquete
604 Calle Munoz Rivera |
$0.83 | 18,240 | 15,906 |
|
Daisy Quiros
Bo. Cuevas |
$0.41 | 16,292 | 11,598 |
|
Kiyomi M Santos Onoda
602 Calle Jose V Rodriguez |
$0.15 | 11,252 | 9,528 |
|
Luis Oscar Camacho
921 B Luis Munoz Rivera |
$0.20 | 10,013 | 8,288 |
|
Elba Velazquez
959 Calle Munoz Rivera |
$0.67 | 8,983 | 5,458 |
|
Jose A Santiago Santiago
602 Calle Jose V Rodriguez |
$0.09 | 8,636 | 7,313 |
|
Wilson Franqui
703 Amalia Marin Street |
$0.23 | 6,880 | 5,457 |
|
Kelynette Feliciano
10 Mansiones Del Sur |
$0.64 | 6,685 | 6,091 |
|
Sandra I Toucet
Street 7 U-7 Urbanizacion Alturas De Penuelas Ii |
$0.39 | 5,567 | 4,417 |
|
Lenny G Pagan Rodriguez
628 Calle Pedro Velazquez |
$41.85 | 4,587 | 3,624 |
|
Centro Ceski C S P
602 Calle Jose V Rodriguez |
$0.25 | 4,186 | 3,822 |
|
Virgilio Aritidy Polonio
Pedro Velazquez Diaz 628 Suite A 4 |
$0.42 | 3,977 | 3,127 |
|
Orlando Rodriguez Cales
Centro De Emergencias Y Cuidado Medico Del Sur |
$1.26 | 3,225 | 1,921 |
|
Jose Edwin Quinones Vazquez
Calle Luis Munoz Rivera 718 |
$0.02 | 2,744 | 2,428 |
|
Instituto De Ginecologia Y Obstetricia Del Sur
628 Calle Pedro Velazquez A 2 A 3 |
$34.17 | 1,948 | 1,694 |
|
Vladimir Soto Rivera
Street 5 C-20 Urb. Rio Sol |
$0.93 | 1,161 | 1,091 |
|
Frances Mary Rodriguez Matos
Oficina Medica Williams, Street Luis Munoz Rivera 404 |
$0.00 | 1,130 | 918 |
|
Amedee Lefebre- Fernandez
503 Calle Munoz Rivera |
$0.00 | 393 | 311 |
|
Samuel Cruz Estrada
Urb Penuelas Valley |
$2.47 | 161 | 146 |
|
Vidal A Febles
Pedro Velazquez Diaz |
$0.00 | 14 | 13 |
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 Penuelas, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Penuelas, PR is $2.44 per claim, based on 137,315 claims from 21 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 Penuelas, PR?
There are 21 Medicaid providers offering Office Visit related services in Penuelas, PR according to public payment data.
What is the price range for Office Visit in Penuelas, PR?
Medicaid reimbursement for Office Visit in Penuelas, PR ranges from $0.00 to $41.85 per claim, with an average of $2.44. 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 Penuelas, PR
Blood Work & Lab Tests
Avg $9.37
161,534 claims
Urinalysis & Urine Tests
Avg $4.40
40,649 claims
Dental Cleaning & Exam
Avg $21.10
28,008 claims
Vaccines & Immunizations
Avg $3.43
19,896 claims
Psychiatric Evaluation
Avg $15.01
10,148 claims
Dental Filling
Avg $35.33
5,452 claims
Emergency Room Visit
Avg $38.76
3,315 claims
Ambulance Transport
Avg $135.22
1,704 claims