Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Vega Alta, PR: $9.41

Avg. Paid

$9.41

Range

$0.00 – $103.42

Total Claims

88,873

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 Vega Alta, PR

Provider	Avg. Paid	Claims	Patients
Kareen T. Tirado 3 Luis Munoz Rivera	$0.28	12,772	9,160
Centro Medicina Primaria Vega Alta Carr 2 Km 31.9	$1.09	10,576	8,136
Katherine I Mercado-Nazario Km 31.7 Carr #2	$7.97	6,377	6,184
Gerardo Jose Lopez-Cepero Calle Munoz Rivera #3	$0.79	6,064	3,667
Sandra Idanis Rios Calle Munoz Rivera	$0.05	5,527	4,677
Nylmaris Munoz Negron Calle Luis Muoz Rivera #3	$0.77	5,390	3,808
Vivian Lopez Lorenzo 3 Calle Luis Munoz Rivera	$0.46	4,868	3,775
Jose Efrain Colon Ave. Luis Munos Rivera	$1.20	3,649	3,094
Edwin F Girau Emilio Giboyeaux	$0.62	3,422	2,662
Claribel Oquendo B25 Calle 12	$14.40	3,395	2,821
Jose Melendez 2 Centro Gran Caribe	$78.22	3,324	3,165
Marisol Santiago Arce Carr 2 Km 30	$3.37	3,308	3,015
Saul L Rivera Ortega 3 Calle Luis Munoz Rivera	$0.76	3,238	2,801
Ariel Rivera 350 Carr 2	$45.62	2,981	2,471
Nelida Aguiar Figueroa Carr. #2 Km 29.7	$1.19	2,705	2,179
Morovis Community Health Center Inc Bo. Espinosa	$1.12	2,436	2,136
Pablo E Vega The Gallery At Gran Caribe	$38.17	2,384	1,881
Jose C Rodriguez Portela Caribe Medical Plaza Suite 201	$51.86	2,124	1,753
Ulises Lopez Caribe Medical Plaza Marginal Santa Rita	$55.01	1,145	1,000
Quality Care Physicians, L.L.C. Carretera 2 Km 31.9	$1.42	848	699
Laboratorio Clinico Caribe Medical Plaza,Inc. Carr#2,Marginal#1,Urb.Santa Rita	$0.00	543	496
Laboratorio Teresita 40 Calle Munoz Rivera	$0.00	462	442
Melissa V Almeida Cruz Edificio Brisas Del Mar Local #1	$0.00	331	324
Juan G. Soto 53 Calle Georgetti	$0.00	156	149
Maria C Cruz-Lartigaut Urb Santa Rita Marginal 1	$62.84	142	130
Maria I Perez Del Rio Calle Gorgtti #11	$0.00	132	88
Yasdel Oliveras Vazquez Carr 690 Km 2.2 Cerro Gordo	$0.13	98	88
Iris Oquendo Negron Urb Las Palmas De Cerro Gordo	$0.00	95	89
Milton E Morales 11 Calle Jaime Acosta Velarde	$60.07	67	66
Arelis M. Santana Marrero Vega Alta Professional Center	$103.42	66	66
Jerry Solis-Gonzalez Carretera 693 Num. 279	$0.00	59	43
Elliot Melecio Edif. Caribe Medical Plaza Marginal Santa Rita 1	$1.22	45	31
Luz Nereida Marrero Maldonado 2 Carr Km 30.4 Suite 101	$0.00	43	42
Luis A. Acosta Street 693 Brenas, Lot. 259	$46.13	35	14
Fisioterapia Del Norte, Psc 350 Carr 2	$57.65	24	24
Wilson Torrens Peterson H39 Calle Marginal	$0.00	15	12
Rafael E Resto Vazquez Bo Santa Rosa, Calle Faisan Interior #12	$0.00	15	15
Madeline Garcia Arroyo Calle Colon 51 Bajos	$0.00	12	12

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 Vega Alta, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vega Alta, PR is $9.41 per claim, based on 88,873 claims from 38 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 Vega Alta, PR?

There are 38 Medicaid providers offering Office Visit related services in Vega Alta, PR according to public payment data.

What is the price range for Office Visit in Vega Alta, PR?

Medicaid reimbursement for Office Visit in Vega Alta, PR ranges from $0.00 to $103.42 per claim, with an average of $9.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Vega Alta, PR: $9.41

Providers Offering Office Visit in Vega Alta, PR

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Vega Alta, PR

Blood Work & Lab Tests

Dental Cleaning & Exam

Urinalysis & Urine Tests

Vaccines & Immunizations

Eye Exam

Emergency Room Visit

Psychiatric Evaluation

Physical Therapy