Average Medicaid Office Visit Payments in Trujillo Alto, PR: $6.45
Avg. Paid
$6.45
Range
$0.00 – $76.47
Total Claims
164,476
Providers
39
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 Trujillo Alto, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aileen Ginorio Hernandez
Cond Montebello R 635 |
$7.22 | 27,529 | 25,597 |
|
Joel Corchado
638 Calle Larrinaga |
$19.87 | 21,845 | 20,098 |
|
Zoe Ortiz Pedraza
N42 Calle U |
$1.52 | 16,034 | 13,765 |
|
Mayra De La Cruz
Encantada # Pg1 Pacifica |
$1.66 | 14,343 | 12,746 |
|
Carmen A Vazquez Ortiz
Rio Cristal Encantada |
$4.43 | 13,811 | 13,120 |
|
Julisa Paredes
130 Calle Carite |
$0.70 | 9,622 | 8,248 |
|
Zulmary Rivera
Ciudad Universitaria |
$2.73 | 8,830 | 6,939 |
|
Carmen Diana Otero
27 Calle Munoz Rivera |
$0.08 | 7,555 | 6,886 |
|
Audrey Muriel
Rk- 19 Via Cristal Encantada |
$0.24 | 7,221 | 6,532 |
|
Cibeles Cotto
1 Ave. Periferal Cond. Ciudad Universitaria |
$0.42 | 5,818 | 5,430 |
|
Felix X Villar Hernandez
Carr 852 Km 1.2 |
$0.05 | 4,470 | 3,420 |
|
Vanessa Vega Hernandez
Plaza San Miguel Ste. 207 |
$0.25 | 4,044 | 3,654 |
|
Marines Quinones Rosado
R25 Calle 16 |
$0.00 | 3,822 | 3,097 |
|
Maite Ferrer Rodriguez
Condominio Plaza Del Parque |
$0.47 | 3,658 | 2,680 |
|
Luis E Correa
Calle-4 E-3 Terrazas De Cupey |
$0.18 | 3,332 | 2,983 |
|
Maria F Pardo
130 Calle Carite |
$0.24 | 3,093 | 2,521 |
|
Daisy Milagros Mercado Domacasse
2 Ave Periferal Apt 1402 |
$0.86 | 1,466 | 1,297 |
|
Gastroenterology And Cardiac Arrhythmia Service Psc
93 Paseo Herradura |
$75.05 | 1,391 | 1,329 |
|
Jose I Maysonet
Pg121 Via Arcoiris |
$25.07 | 1,118 | 836 |
|
Perez- Betancourt Medical, P.S.C
Carr. 848 Km 0.0 |
$4.86 | 930 | 888 |
|
Paula Veronica Jeffs-Gonzalez
Calle La Cruz |
$64.32 | 848 | 727 |
|
Rosana Mejia-Leon
Ro11 Calle Corrientes |
$4.95 | 797 | 696 |
|
Jesse R. Aleman-Ortiz
Hc 645 |
$49.52 | 701 | 626 |
|
Eric Quintero
A4 Calle Aniceto Diaz |
$0.00 | 405 | 222 |
|
Quality Gastroenterology Llc
Carr 181 Km 2.1 |
$76.47 | 368 | 326 |
|
Cristina Jimenez Aponte
530 Camino Los Aquino |
$0.00 | 360 | 308 |
|
Diana Betancourt-Aleman
220 Plaza Western Auto |
$30.48 | 179 | 166 |
|
Rafael Angel De Cos
J-2, D East St. Ciudad Universitaria |
$0.25 | 143 | 139 |
|
Aids Healthcare Foundation
State Rd 848 Km 1.0 |
$60.26 | 140 | 118 |
|
Priscilla Gayol
28 Calle Munoz Rivera |
$0.45 | 120 | 114 |
|
Laboratorio Clinico Plaza Encantada Inc
Carr 181 C4 Ave Encantada |
$0.00 | 101 | 94 |
|
Eileen Bravo-Cuevas
Coop Ciudad Universitaria |
$58.17 | 83 | 82 |
|
Luis A Irizarry
4G17 Calle 205 |
$0.33 | 76 | 66 |
|
Renal Health & Research Management, Llc
807 Aniceto Diaz |
$0.00 | 69 | 49 |
|
Denysse E Talavera
Policlinica Dr. Talavera |
$0.00 | 60 | 58 |
|
Hector Mercado
Villas De Carraizo Calle 48 R-9 |
$0.00 | 30 | 26 |
|
Janet Perez Chiesa
Edificio Centro 4 |
$25.54 | 24 | 24 |
|
Ernesto Rafael Laboy Figueroa
Carr 181 Km.2.1 |
$0.00 | 23 | 16 |
|
Linda S Cruz Montes
N14 Calle Aa |
$0.00 | 17 | 17 |
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 Trujillo Alto, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Trujillo Alto, PR is $6.45 per claim, based on 164,476 claims from 39 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 Trujillo Alto, PR?
There are 39 Medicaid providers offering Office Visit related services in Trujillo Alto, PR according to public payment data.
What is the price range for Office Visit in Trujillo Alto, PR?
Medicaid reimbursement for Office Visit in Trujillo Alto, PR ranges from $0.00 to $76.47 per claim, with an average of $6.45. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Trujillo Alto, PR
Blood Work & Lab Tests
Avg $6.13
206,572 claims
Speech Therapy
Avg $50.45
104,155 claims
Urinalysis & Urine Tests
Avg $2.40
47,211 claims
Physical Therapy
Avg $22.80
32,045 claims
Dental Cleaning & Exam
Avg $20.07
30,722 claims
Eye Exam
Avg $5.66
15,684 claims
Emergency Room Visit
Avg $47.38
15,605 claims
Vaccines & Immunizations
Avg $5.82
12,821 claims