Average Medicaid Office Visit Payments in Santa Isabel, PR: $8.69
Avg. Paid
$8.69
Range
$0.00 – $71.93
Total Claims
121,463
Providers
26
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 Santa Isabel, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Santa Isabel Medical Group
Calle Luis Munoz Rivera |
$0.00 | 25 | 24 |
|
Lorimar Montanez
Jard De Santa Isabel K10 Calle 7 |
$0.00 | 81 | 80 |
|
Elvin Obrien Echevarria Rosa
Centro San Cristobal |
$0.86 | 86 | 84 |
|
Dianabelle Vargas Rodriguez
Paso Seco Rd 153 |
$1.87 | 111 | 100 |
|
Salomon Jose David-Rivera
St Ruiz Belvis #3 |
$25.10 | 186 | 96 |
|
David Rafael Questell Alvarado
2 Calle Ruiz Belvis |
$0.00 | 194 | 181 |
|
Alba I. Rivera Torres
Carretera # 153 Km 6 Hm 9 |
$0.00 | 255 | 215 |
|
Silfredo Silvestrini
Plaza Oasis 909 |
$25.11 | 312 | 300 |
|
Rael Bernier-Soto
Plaza Oasis |
$71.93 | 767 | 635 |
|
Ocmarie Diaz Colon
Urb Hacienda Isabel |
$0.72 | 2,447 | 1,848 |
|
Miguel A Rivera Sanchez
Hacienda Isabel 57 Calle Fortuna |
$0.46 | 2,636 | 2,192 |
|
Maria Del C. Iguina
25 Calle Betances |
$0.16 | 2,942 | 2,405 |
|
Yahaira Pizarro
C12 Brisas Del Prado |
$2.65 | 3,706 | 3,200 |
|
Anthony Agosto
Calle 50 Luis Munoz Rivera |
$0.25 | 4,027 | 3,568 |
|
De Medicos Primarios, Corp.
14 Calle Betances |
$0.06 | 4,266 | 3,191 |
|
Orlando Camacho-Geck
Santa Isabel Professional Building |
$51.81 | 5,711 | 5,283 |
|
Zacarias A Mateo Minaya
Bo Paso Seco Sector Useras Carr 153 Km 7.5 |
$40.20 | 5,806 | 5,258 |
|
Waldemar Paoli Breban
Bo Paso Seco Rd 153 |
$0.74 | 5,986 | 5,078 |
|
Ismael Maldonado Torres
Eugenio Maria De Hostos Street #18 |
$0.13 | 6,406 | 4,724 |
|
Nelson A. Matos-Fernandez
Carretera 153 Km 7.3 Plaza Santa Isabel Suite 15 |
$62.91 | 6,741 | 5,510 |
|
Yanille Belinda Burgos Rivera
Ave. Luis Munoz Rivera Edificio 91 |
$0.47 | 8,638 | 7,353 |
|
David D Heal
Calle Belances |
$0.26 | 9,407 | 7,167 |
|
Gerardo L Toro
14 Calle Betances |
$0.26 | 10,426 | 7,800 |
|
Jose D Quiles
54 Luis Munoz Rivera Street |
$0.21 | 10,924 | 10,327 |
|
Agustin Cayere-Morales
14 Calle Betances |
$0.20 | 11,886 | 9,005 |
|
Maria Carmen Camacho
153 Road #86 Hostos Final St. |
$0.05 | 17,491 | 11,722 |
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 Santa Isabel, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Isabel, PR is $8.69 per claim, based on 121,463 claims from 26 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 Santa Isabel, PR?
There are 26 Medicaid providers offering Office Visit related services in Santa Isabel, PR according to public payment data.
What is the price range for Office Visit in Santa Isabel, PR?
Medicaid reimbursement for Office Visit in Santa Isabel, PR ranges from $0.00 to $71.93 per claim, with an average of $8.69. 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 Santa Isabel, PR
Blood Work & Lab Tests
Avg $8.63
180,468 claims
Urinalysis & Urine Tests
Avg $3.42
40,253 claims
Physical Therapy
Avg $25.48
20,714 claims
Chemotherapy
Avg $62.24
17,307 claims
Eye Exam
Avg $35.20
13,311 claims
Vaccines & Immunizations
Avg $6.29
9,943 claims
Ultrasound
Avg $67.91
9,606 claims
Psychiatric Evaluation
Avg $13.69
8,428 claims