Average Medicaid Office Visit Payments in Aguada, PR: $9.05
Avg. Paid
$9.05
Range
$0.00 – $79.24
Total Claims
206,865
Providers
65
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 Aguada, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mabel M. Bonilla
Edificio Centerplex Carr#2 Km133.5 |
$34.33 | 21,812 | 16,662 |
|
Jose T. Martinez
222 Calle Marina |
$2.16 | 20,461 | 17,617 |
|
Rafael A Machin
93 Calle Colon |
$0.05 | 14,903 | 12,013 |
|
Mireya Perez
#54 Reparto Bonet |
$1.29 | 10,793 | 9,602 |
|
Edgardo Galloza Serrano
204 Calle Marina |
$1.33 | 9,607 | 8,479 |
|
Eduardo Feliciano Aviles
Calle Colon |
$0.31 | 9,566 | 6,898 |
|
Heberto R Diaz-Otero
Cmscooperativo Road115 Km 24.6 |
$5.81 | 9,028 | 7,977 |
|
Jose Carlos Mendoza
76 Calle Estacion |
$0.04 | 8,849 | 5,777 |
|
Solimayli Rivera
251 Calle La Paz |
$0.02 | 7,891 | 5,432 |
|
Miguel Torres Crespo
164 Calle Colon |
$0.18 | 7,689 | 6,033 |
|
Humberto Rivera Paz
Carr. 115 Km. 24.5 |
$0.11 | 5,884 | 4,481 |
|
Adriana Margarita Aguilar
201 Calle La Paz |
$0.03 | 5,014 | 3,899 |
|
Jesus Miguel Ramos Garcia
Carr. 2, Km . 133.5 |
$63.33 | 4,952 | 3,700 |
|
Miriam Hernandez Hernandez
Carr. 417 Km 3.0 Bo. Asomante |
$1.29 | 4,842 | 4,305 |
|
Israel J Villanueva Matos
B5 Urb San Cristobal |
$18.64 | 4,620 | 4,163 |
|
Eduardo Bosques Soto
311 Calle Colon |
$4.53 | 4,231 | 3,958 |
|
Hector Ruben Caban
222 Calle Marina |
$3.36 | 3,930 | 3,816 |
|
Arleen M Rodriguez Ortiz
137 Calle Colon |
$0.00 | 3,522 | 2,111 |
|
Javier Yulfo Ramos
Hc 58 Box 13446 |
$0.29 | 3,222 | 3,017 |
|
Freddy Quinones Caraballo
Calle Marina #168 |
$0.37 | 3,208 | 2,546 |
|
Ruben I Castillo
Road 115 Km 245 |
$0.11 | 3,112 | 2,581 |
|
Jairo David Colon
222 Calle Marina |
$7.93 | 3,099 | 3,023 |
|
Hiram Ortega
Hc 3 Box 39603 |
$0.03 | 3,001 | 2,603 |
|
Vanessa I Ruiz Nunez
Urb San Jose |
$0.35 | 2,867 | 2,233 |
|
Margarita Crespo
201 Calle La Paz |
$0.00 | 2,714 | 2,395 |
|
Advanced Gastroenterology Center, Psc
Carr 115 Km 24.1 |
$53.66 | 2,591 | 2,504 |
|
Centro Gineco-Obstetrico Del Oeste Inc.
Edificio Centerplex |
$39.59 | 2,333 | 1,702 |
|
Mildred Caro Ruiz
Centro Multiservicioscooperativo |
$52.22 | 2,179 | 2,080 |
|
Pedro O. Cabrera-Bonet
Centerplex Carr 2 Km 133.5 |
$58.01 | 2,062 | 1,883 |
|
Nesc22Csp,Serviciosmedicos
Urb. Montemar No. 112 |
$0.00 | 1,830 | 1,521 |
|
Edna L Gonzalez Esclavon
Calle Colon |
$0.01 | 1,799 | 1,369 |
|
Kevin Chaparro
137 Calle Colon Ste 1 |
$0.27 | 1,675 | 1,530 |
|
Tomas Humberto Rivera
251 Calle La Paz |
$0.13 | 1,552 | 1,157 |
|
Gloria E Zeno Calero
Calle Colon |
$0.04 | 1,513 | 1,241 |
|
Costa Salud Community Health Centers, Inc
106 Calle Colon |
$2.75 | 1,430 | 1,285 |
|
Jamil Tareck Diaz Ruiz
2 Calle Colon Ste 9 |
$0.30 | 1,419 | 1,067 |
|
Abel Arnaldo Vazquez Roman
Hc-03 |
$0.39 | 1,371 | 1,284 |
|
Carlos A Muniz Molinero
76 Calle Colon |
$10.82 | 1,365 | 1,250 |
|
Evaristo Quinones
Carr 417 Km 0.2 Ave Nativo Alers |
$0.22 | 1,339 | 1,196 |
|
Yolanda Varela Rosa
Calle Colon 111 |
$0.06 | 677 | 540 |
|
Abelardo E Le Compte Torres
125 Calle Colon |
$0.00 | 640 | 536 |
|
Eduardo Negron
278 Calle Marina |
$0.00 | 287 | 247 |
|
Orthohand Surgery,Psc
9 Riomar |
$36.15 | 240 | 235 |
|
Navid Pour-Ahmadi
Bo. Atalaya Carr.416 Km.8.7 |
$0.00 | 206 | 168 |
|
Ismaly Lorenzo-Matias
1813 Bo Asomante |
$79.24 | 199 | 137 |
|
Prime Medica Psc
Hc 3 Box 39603 |
$0.00 | 168 | 143 |
|
Roberto H Gonzalez
127B Calle Colon |
$0.00 | 161 | 147 |
|
Aguada Medical Center Inc.
Carretera 115 |
$50.83 | 140 | 137 |
|
Jose E. Quintana-Valentin
150 Calle La Paz |
$36.92 | 125 | 75 |
|
Maritsally Santiago Chaparro
2 Calle Colon Ste 7 |
$0.74 | 108 | 96 |
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 Aguada, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Aguada, PR is $9.05 per claim, based on 206,865 claims from 65 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 Aguada, PR?
There are 65 Medicaid providers offering Office Visit related services in Aguada, PR according to public payment data.
What is the price range for Office Visit in Aguada, PR?
Medicaid reimbursement for Office Visit in Aguada, PR ranges from $0.00 to $79.24 per claim, with an average of $9.05. 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 Aguada, PR
Blood Work & Lab Tests
Avg $10.98
159,068 claims
Psychiatric Evaluation
Avg $7.59
72,817 claims
Physical Therapy
Avg $19.49
48,560 claims
Eye Exam
Avg $34.87
38,903 claims
Urinalysis & Urine Tests
Avg $3.44
38,693 claims
Dental Cleaning & Exam
Avg $23.92
29,603 claims
Vaccines & Immunizations
Avg $7.93
21,851 claims
Speech Therapy
Avg $48.25
21,172 claims