Average Medicaid Office Visit Payments in Salinas, PR: $4.28
Avg. Paid
$4.28
Range
$0.00 – $72.53
Total Claims
142,080
Providers
28
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 Salinas, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arturo Cayere Morales
16 Calle Rafael Ocasio |
$0.06 | 21,627 | 18,340 |
|
Pedro Ortiz-Lara
3 Calle Segundo Diaz |
$0.00 | 20,776 | 12,050 |
|
Juan D. Ortiz Rivera
31 Calle Monserrate |
$5.95 | 19,791 | 14,275 |
|
Miguel Angel Santiago Vega
C70 Bo Playita |
$0.03 | 19,480 | 11,874 |
|
Yamil Mateo
74 Calle Monserrate |
$0.04 | 11,551 | 6,696 |
|
Manuel Vizcarrondo
59 Baldorioty |
$2.75 | 9,130 | 7,475 |
|
Amarilys Santiago Rolon
Porto Fino Local 2 |
$50.33 | 8,405 | 7,597 |
|
Jorge Luis Torres-Martinez
16 Calle Rafael Ocasio |
$0.04 | 7,376 | 6,427 |
|
Julio C Menendez
Jose C Barbosa Street |
$4.94 | 5,097 | 2,710 |
|
Hector Luis Ruiz
Calle Munoz Rivera #21 |
$0.00 | 3,166 | 2,150 |
|
Ferdinand Marin
25 Calle Monserrate |
$0.01 | 2,810 | 2,054 |
|
Jose O Rodriguez Zayas
43 Calle Monserrate |
$0.16 | 2,797 | 2,013 |
|
Cristina Castellanos Portela
Jorlis Medical Center |
$0.46 | 1,828 | 1,282 |
|
Alex Joel Nieves
Calle Baldorioty # 56 |
$0.39 | 1,799 | 1,239 |
|
Carlos Francisco Scarano
31 A San Miguel St |
$0.41 | 1,580 | 1,300 |
|
Francisco L Mendez
Street Union 25 |
$0.18 | 1,555 | 1,393 |
|
Grupo Medico Sur-Med
8 Calle Colon Pacheco |
$0.00 | 521 | 241 |
|
Centro Medico Salinas
Calle Union #25 |
$0.98 | 478 | 415 |
|
Karyssa Joandis Rosa
Baldorioty St 56 |
$0.00 | 408 | 320 |
|
Laboratorio Clinico Salimar Llc
12 Calle Palmer |
$0.06 | 362 | 322 |
|
Salimed Rod, Inc
43 Calle Monserrate |
$0.06 | 314 | 235 |
|
Virgen Y Planas Santiago
8 Calle Colon Pacheco |
$0.00 | 302 | 273 |
|
Angel C Reyes Vargas
8 Calle Colon Pacheco |
$0.00 | 263 | 215 |
|
Shirley Pagan
St Jose C Barbosa #62 |
$0.00 | 248 | 219 |
|
Felipe Diaz Delgado
52 Baldorioty |
$0.00 | 148 | 92 |
|
Abelardo Quinones Martinez
142 Calle Martin Luther King |
$72.53 | 141 | 126 |
|
Salinas Family Medical Services, P.S.C.
16 Calle Rafael Ocasio |
$0.00 | 100 | 93 |
|
Sur-Med Medical Center
8 Colon Pacheco St |
$24.44 | 27 | 24 |
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 Salinas, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Salinas, PR is $4.28 per claim, based on 142,080 claims from 28 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 Salinas, PR?
There are 28 Medicaid providers offering Office Visit related services in Salinas, PR according to public payment data.
What is the price range for Office Visit in Salinas, PR?
Medicaid reimbursement for Office Visit in Salinas, PR ranges from $0.00 to $72.53 per claim, with an average of $4.28. 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 Salinas, PR
Blood Work & Lab Tests
Avg $7.81
186,146 claims
Urinalysis & Urine Tests
Avg $3.01
40,920 claims
Dental Cleaning & Exam
Avg $19.55
25,161 claims
Vaccines & Immunizations
Avg $5.28
20,825 claims
Emergency Room Visit
Avg $39.12
19,715 claims
Eye Exam
Avg $10.74
15,837 claims
Psychiatric Evaluation
Avg $12.09
10,353 claims
Dental Filling
Avg $26.53
3,913 claims