Average Medicaid Office Visit Payments in Villalba, PR: $4.72
Avg. Paid
$4.72
Range
$0.00 – $46.05
Total Claims
87,518
Providers
17
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 Villalba, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ramon A Schmidt Velazquez
Carr 149 Km 58 2 |
$1.84 | 21,810 | 17,668 |
|
Pedro Gabriel Riega Echevarria
Carr. Estatal #149 Km. 58.5 Bo. Tierra Santa |
$0.10 | 13,899 | 11,780 |
|
Armando Riega-Echevarria
State Rd. 149 Km. 58.5 Bo. Tierra Santa |
$0.10 | 9,445 | 8,416 |
|
Jaime Luis Rodriguez
Hc 2 Box 4948 |
$23.98 | 7,266 | 6,400 |
|
Martin Hernandez
Munoz Rivera Street #40 |
$0.18 | 7,114 | 5,423 |
|
Irma Dennise Rodriguez - Melendez
Hc 1 Box 3594 |
$0.44 | 6,151 | 5,091 |
|
Armando Riega Troya
Carr. 149 Km. 58.9 |
$0.00 | 5,572 | 4,843 |
|
Sara Ivelisse Flores Negron
Urb Villa Alba |
$0.78 | 4,017 | 3,633 |
|
Jesus Antonio Perez Rodriguez
49 Calle Barcelo |
$46.05 | 3,936 | 3,573 |
|
Southern Hospital Service Inc
40 Calle Munoz Rivera |
$0.26 | 3,591 | 2,756 |
|
Pedro A Perez Aybar
Bo Tierra Santa |
$0.12 | 2,271 | 1,882 |
|
Laboratorio Clinico Tierra Santa Inc
507 Carr 149 |
$0.00 | 899 | 833 |
|
Specialty Family Clinic, Inc.
Carr 149 Km 58.9 |
$0.00 | 865 | 724 |
|
Ramon E. Negron Rivera
17 Calle Munoz Rivera |
$0.00 | 256 | 191 |
|
Ana Seda Cordero
149 Road Km 58.0 |
$34.56 | 208 | 155 |
|
Southern Hospital Services
40 Calle Munoz Rivera |
$0.00 | 174 | 105 |
|
Nelson Rivera Rivera
1 Calle Figueroa |
$0.00 | 44 | 34 |
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 Villalba, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Villalba, PR is $4.72 per claim, based on 87,518 claims from 17 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 Villalba, PR?
There are 17 Medicaid providers offering Office Visit related services in Villalba, PR according to public payment data.
What is the price range for Office Visit in Villalba, PR?
Medicaid reimbursement for Office Visit in Villalba, PR ranges from $0.00 to $46.05 per claim, with an average of $4.72. 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
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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
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Other Procedures in Villalba, PR
Blood Work & Lab Tests
Avg $8.39
233,525 claims
Urinalysis & Urine Tests
Avg $3.59
56,407 claims
Psychiatric Evaluation
Avg $29.25
35,935 claims
Eye Exam
Avg $9.00
26,436 claims
Dental Cleaning & Exam
Avg $18.38
15,526 claims
Vaccines & Immunizations
Avg $10.83
11,987 claims
Culture & Microbiology Tests
Avg $7.04
1,948 claims
Dental Filling
Avg $26.63
1,675 claims