Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Rio Piedras, PR: $26.03

Avg. Paid

$26.03

Range

$0.00 – $87.47

Total Claims

187,350

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 Piedras, PR

Provider	Avg. Paid	Claims	Patients
Frances M Franceschini Diaz Hospital Oncologico Dr. I. Gonzalez Martinez	$31.28	18,544	16,899
Recinto De Ciencias Medicas Centro Comercial Reparto Metropolitano Suite 211	$43.10	16,974	12,045
Glorydela Valle Urb. La Cumbre Calle Caguas 380	$0.51	12,890	10,835
Carmen Perez 1221 Calle Nicolas Aguayo	$0.42	12,031	8,128
Luisa Josefina Mujica Carr 877 K.M 1.6	$2.37	11,457	10,596
Glorymar Ortiz Cordero Bo Monacillo Centro Medico De Puerto Rico	$0.40	11,330	8,042
Juana I. Rivera-Vinas Hospital Universitario De Adultos Mic	$37.67	9,615	6,104
Mayra Rivera Figueroa 497 Ave Emiliano Pol Ste 451	$30.59	9,069	6,345
Antonio Manuel Otero Lopez Clinica De La Escuela De Medicina	$45.27	9,013	6,912
Maritza Trinidad Reyes Veterans Hospital Casia Street	$0.22	6,703	6,151
Luis C Rojas 1056 Calle Ferrocarril	$14.71	5,023	4,530
Carmen D Zorrilla Maternal Infant Studies Center (Cemi)	$41.40	4,106	2,904
Adelaida T. Ortiz - Gomez Clinica De La Escuela De Medicina	$40.23	3,539	2,450
Bonifacio Rivera-Virella Clinicas Externas Asem - Cirugia Oral Y Maxilofacial	$28.70	3,437	2,688
Recinto De Ciencias Medicas Hospital Universitario De Adultos	$51.37	2,947	2,746
Milliette Alvarado-Santiago Clinica De La Escuela De Medicina	$48.75	2,692	1,847
Carlos E. Placer Roman Calle Santa Rosa 1 San Juan Gardens	$0.38	2,509	2,022
Edwin I Lugo Lugo 1 Carr 21	$34.06	2,466	1,814
Artemio Samuel Santiago-Molina Bo. Monacillo #150 Ave. Americo Miranda	$67.63	2,364	2,253
Hector R. Leon-Figueroa Carr 21 U3#2 Las Lomas	$40.60	2,343	2,147
Gisela Gonzalez Hospital Auxilio Mutuo, Ave Ponce De Leon	$0.76	2,143	1,549
Puerto Rico Community For Clinical Services, Research And Health Urb. Garcia Ubarri	$20.90	2,123	1,862
Recinto De Ciencias Medicas Ave. Americo Miranda Centro Medico De Puerto Rico	$29.26	2,109	1,966
Rafael E. Calderon - Rodriguez Cardiovascular Center Of Puerto Rico And The Caribbean	$41.37	1,999	1,722
Recinto De Ciencias Medicas Clinica De La Escuela De Medicina	$49.44	1,955	1,845
Charles Edward Zierenberg Ortopedia Rcm Piso 9 Suite 595	$37.13	1,937	1,523
Centro Pediatrico Metropolitano De Servicios De Habilitacion Hospital Pediatrico Universitario	$60.61	1,925	1,808
Jorge A Perez Dr. I Gonzalez Martinez Oncologic Hospital	$48.56	1,826	1,705
Jorge V. Ortega - Gil Ave Americo Miranda, Esq Centro Medico, Primer Piso	$39.42	1,789	1,524
Yolimar Cotto Centro Mas Salud Calle Pineiro Numero 1Esquina Vallejos	$19.18	1,743	1,574
Angel Tomas Nolasco Hospital San Francisco	$43.77	1,713	1,450
Pedro J Reyes - Martinez Ortopedia Rcm - Escuela De Medicina	$37.07	1,445	1,222
Irene S Villamil - Sanchez Clinica De La Escuela De Medicina	$27.87	1,436	1,030
Mayra Jimenez Rivera State Rd 877 Km 1.6 Cam Las Lomas Capuccino	$4.61	1,157	1,091
Aura Fernanda Delgado-Cifuentes University District Hospital - 3Rd Floor	$51.28	1,112	1,042
Milagros Rivera Hospital Municipal De San Juan	$0.29	1,073	966
Pamela Silen - Rivera Hospital Universitario De Adultos	$46.40	985	604
Pedro Gil Solivan Ortiz 369 Ave Jose De Diego	$64.67	868	607
Enid Rivera - Jimenez Clinica De La Escuela De Medicina	$38.25	810	674
Elisa M. Quintero-Mendez Anesthesiology Department Upr School Of Medicine	$22.33	782	480
Nilka Dejesus - Gonzalez Clinica De La Escuela De Medicina	$72.98	771	655
Pablo Antonio Ortizcerezo 112 Calle Arzuaga	$73.29	704	592
Janice Crespo - Salgado Clinica De La Escuela De Medicina	$84.63	656	530
Hector L. Delgado-Osorio Calle 21	$17.05	630	587
Rafael A Gonzalez-Rosario Clinica De La Escuela De Medicina	$23.83	600	451
Juan Lopez Berrios Centro Comercial Los Flamboyanes	$72.40	554	372
Gloria M. Suau - Sanchidrian Clinica Para Tu Salud Emocional Cem	$5.39	447	390
Brenda L. Deliz Clinica De La Escuela De Medicina	$55.54	415	329
Daniel E Fernandez - Soltero Reparto Metropolitano Shopping, Ave. Americo Miranda	$23.49	389	351
Manuel Antonio Zavala Calle Rvdo. Domingo Marrero Navarro #5	$0.25	304	261

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 Piedras, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rio Piedras, PR is $26.03 per claim, based on 187,350 claims from 75 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 Piedras, PR?

There are 75 Medicaid providers offering Office Visit related services in Rio Piedras, PR according to public payment data.

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

Medicaid reimbursement for Office Visit in Rio Piedras, PR ranges from $0.00 to $87.47 per claim, with an average of $26.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Rio Piedras, PR: $26.03

Providers Offering Office Visit in Rio Piedras, PR

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Rio Piedras, PR

Eye Exam

EKG / ECG (Electrocardiogram)

Blood Work & Lab Tests

Emergency Room Visit

Pathology & Lab Services

Ultrasound

Dental Cleaning & Exam

Speech Therapy