Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Rio Grande, PR: $1.84

Avg. Paid

$1.84

Range

$0.00 – $60.82

Total Claims

204,585

Providers

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 Rio Grande, PR

Provider	Avg. Paid	Claims	Patients
Nitza M Bertran Carr. #3 Km. 25.7 Sector Juan Gonzalez	$1.56	24,188	15,214
Carmen Lopez L1 Calle 4	$0.18	19,566	16,281
Jose Rolando Pena K2 Calle 4	$1.80	17,470	15,763
Edmundo Rafael Reyes L2 Calle 6	$0.30	17,270	13,891
Ana I. Figueroa Ca B Aa-20 Alturas De Rio Grande	$0.70	13,911	11,377
Ilia Yahjaira Ortiz-Castro Hc 2 Box 15100	$0.28	13,880	12,715
Ismael Morales Diaz Call Box 3001 Dept 539	$0.22	13,032	11,329
Jennifer E Nieves Santos Carr. #3 Km 28.8	$0.29	11,665	10,353
Silma L. Martinez Calle Pimentel #16	$0.32	10,097	8,697
Franklin Diaz Calle Garcia De La Noseda	$2.49	10,062	9,548
Balbino Ayala-Rosa L2 Calle 6	$0.21	9,916	7,187
Glenda Martinez Villas De Rio Grande Ave Perez Andino B-29	$0.61	7,776	6,470
Luis R Fermin Valdez Calle Main Aa 4	$1.36	6,365	5,493
Roberto Durand Rolon Calle Garcia De La Noceda A4 Villas De	$0.25	5,600	5,027
Francisco P Leal C1 Ave Agustin Perez Andino	$0.20	3,811	2,794
Ruth Mareva Fred Jimenez 15 Calle Pimentel	$0.94	3,796	3,485
Edward Nieves-Roman L2 Calle 6	$2.86	3,545	2,951
Roberto E Mera Lastra A1 Ave Agustin Perez Andino	$60.82	2,672	2,240
Mariela Garcia Calle Pimentel Y Castro Numero 200	$0.71	2,160	1,608
Roberto R Fred Santana Agustin Perez Andino J-1	$4.11	1,760	1,715
Rafael Cruz Mena Calle Garcia De La Nosede	$25.08	1,745	1,546
Meditech Clinical Laboratories Inc Carr Pr 3 Km 31.5 Bo Palmer	$0.02	1,207	1,060
Eduardo Nieves-Olabarrieta L2 Calle 6	$2.84	1,022	891
Gerardo Jose Roberto Allende Ave. Garcia De La Noceda A-3 Villas De Rio Grande	$1.13	871	762
Medicos Aliados Del Noreste Calle 2 J2 Villas De Rio Grande	$0.12	858	802
Mircia Alexandra Vallenilla Marte Calle Pimentel Y Castro 200	$6.06	143	137
Evelyn Matta Fontanet 21 Las Flores	$0.00	125	106
David W Colon-Golderos Calle Main A23	$0.00	39	33
Inspira Behavioral Care Corp. Industrial Park Las Flores	$0.00	20	20
Mayra E. Brea Perez L2 Calle 6	$0.00	13	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 Rio Grande, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rio Grande, PR is $1.84 per claim, based on 204,585 claims from 30 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 Rio Grande, PR?

There are 30 Medicaid providers offering Office Visit related services in Rio Grande, PR according to public payment data.

What is the price range for Office Visit in Rio Grande, PR?

Medicaid reimbursement for Office Visit in Rio Grande, PR ranges from $0.00 to $60.82 per claim, with an average of $1.84. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Rio Grande, PR: $1.84

Providers Offering Office Visit in Rio Grande, PR

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Rio Grande, PR

Blood Work & Lab Tests

Ambulance Transport

Urinalysis & Urine Tests

Physical Therapy

Dental Cleaning & Exam

Psychiatric Evaluation

Eye Exam

Vaccines & Immunizations