Average Medicaid Office Visit Payments in Utuado, PR: $10.87
Avg. Paid
$10.87
Range
$0.00 – $73.13
Total Claims
46,860
Providers
24
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 Utuado, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Centro De Salud Familiar San Miguel Arcangel Inc
Calle San Miguel #2 |
$2.19 | 9,384 | 8,284 |
|
Astrid L Arce Ramos
Hc 5 Box 28450 |
$0.04 | 7,612 | 4,698 |
|
Tomas Alberto Narvaez
Calle Fernando Luis Garcia #340 |
$0.09 | 4,862 | 3,739 |
|
Maria Alejandra Cuautli Rodriguez
Pr-111 Km 1.8 |
$0.11 | 3,599 | 2,617 |
|
Meredid Sigmar Maldonado- Santiago
8 Villas Del Rio |
$68.97 | 3,537 | 2,291 |
|
Karla Cristina Rodriguez
83 Calle Dr Cueto |
$0.14 | 3,002 | 1,964 |
|
Juan A Alicea-Rolon
Calle Dr Isaac Gonzalez Esquina Ledesma |
$49.07 | 2,614 | 2,437 |
|
Carlos R Laguillo
29 Calle Betances |
$28.63 | 2,153 | 1,758 |
|
Centro Diagnostico Y Tratamiento Dr Caparros Inc.
Calle Betances 2 |
$0.20 | 1,779 | 1,501 |
|
Rafael Ongay Rullan
17 Calle Barcelo |
$0.16 | 1,687 | 883 |
|
Juan Ernesto Figueroa Torres
Carr 111 Km 52.7 |
$0.01 | 1,193 | 558 |
|
Tomas Narvaez Rodriguez
340 Calle Fernando L Garcia |
$0.07 | 1,053 | 727 |
|
Rafael Cruz-Tirado
340 Calle Fernando L Garcia |
$0.53 | 937 | 821 |
|
Jose Antonio Cortes Santiago
80 Calle Nuevo Londres |
$0.06 | 880 | 599 |
|
Ipar Llc
Anexo Hospital Metropolitano De La Montana |
$73.13 | 458 | 370 |
|
Laboratorio Clinico Bacteriologico Santiago Inc
Calle Dr. Cueto |
$0.00 | 422 | 389 |
|
Carlos Francisco Benitez Rios
A2 Urb Cabrera |
$0.00 | 403 | 332 |
|
Quijano Arana Llc
5 Calle T Jordan Correa |
$0.00 | 377 | 347 |
|
Flores Ivan Caraballo
7 Calle Dr Cueto |
$50.34 | 371 | 228 |
|
Juan L Rosado De Jesus
Hc 4 Box 9216 |
$0.00 | 167 | 152 |
|
Alberto H Torres Hernandez
Urb. Perez Matos Calle Las Palmas #66 |
$0.47 | 127 | 102 |
|
Rafael Angel Delvalle Torres
17 Dr Cueto St. |
$0.00 | 116 | 110 |
|
Diana De La Paz
107 Dr.Cueto St |
$0.00 | 107 | 85 |
|
Laboratorio Clinico El Vivi
53 Calle Betances |
$0.00 | 20 | 20 |
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 Utuado, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Utuado, PR is $10.87 per claim, based on 46,860 claims from 24 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 Utuado, PR?
There are 24 Medicaid providers offering Office Visit related services in Utuado, PR according to public payment data.
What is the price range for Office Visit in Utuado, PR?
Medicaid reimbursement for Office Visit in Utuado, PR ranges from $0.00 to $73.13 per claim, with an average of $10.87. 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 Utuado, PR
Blood Work & Lab Tests
Avg $9.01
196,203 claims
Urinalysis & Urine Tests
Avg $3.36
41,285 claims
Physical Therapy
Avg $21.46
30,602 claims
Dental Cleaning & Exam
Avg $20.88
26,115 claims
Speech Therapy
Avg $50.57
13,366 claims
Dental Filling
Avg $34.45
6,128 claims
Psychiatric Evaluation
Avg $2.83
5,727 claims
Tooth Extraction
Avg $35.96
2,336 claims