Average Medicaid Office Visit Payments in Aguadilla, PR: $15.14
Avg. Paid
$15.14
Range
$0.00 – $119.65
Total Claims
309,311
Providers
138
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 Aguadilla, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose Ariel Badillo Hernandez
Carr # 2 Km 124.7 |
$0.53 | 14,930 | 11,682 |
|
Janice Sanchez
704 Belt Rd |
$0.25 | 12,469 | 6,936 |
|
Ismael Medina-Agostini
43 Ave Severiano Cuevas |
$5.01 | 11,865 | 11,443 |
|
Carlos E Guevara Munoz
18 Avenida Severiano Cuevas |
$0.04 | 11,675 | 8,058 |
|
Luis A Valle Pena
Hc 3 Box 35303 |
$0.23 | 11,096 | 9,236 |
|
Juan E Hernandez
Carr #2 (Marginal) Km 119.2 |
$1.42 | 10,396 | 9,601 |
|
Francisco Alberto Rodriguez Michel
19 Ave Severiano Cuevas |
$2.08 | 10,109 | 8,947 |
|
Hiram Daniel Ortega
150 Ave Pedro Albizu Campos |
$70.38 | 9,838 | 8,547 |
|
Jose Luis Elias
Ext. Marbella Calle 4 Casa # 348 |
$3.04 | 9,386 | 9,157 |
|
Omar Marrero Mesa
492 Avenida Victoria |
$0.53 | 8,074 | 5,917 |
|
Nisislay Ramos Rodriguez
29 Calle Munoz Rivera |
$0.06 | 8,010 | 5,414 |
|
Michelle J Santiago
Carr #2 Km129.3 |
$1.28 | 7,785 | 6,355 |
|
Yovin Jose Vargas
2 Ave Victoria |
$0.45 | 7,664 | 6,274 |
|
Waleska Nieves
Carr417 Km 0.0 Bo Piedras Blancas |
$0.46 | 7,478 | 6,365 |
|
Adriano H Martinez Rivera
Hospital Buen Samaritano |
$56.74 | 6,055 | 5,141 |
|
Jorge Roman-Deynes
Western Profesional Plaza Suite 321 |
$54.96 | 6,018 | 5,160 |
|
Edwin Portalatin
Carr #2 Km 119.2 |
$75.77 | 5,737 | 3,931 |
|
Jose A Acevedo Acevedo
Urb. Villa Haydee |
$0.60 | 5,624 | 4,265 |
|
Maria Del R Comas Matos
Bo Caimital Alto |
$0.62 | 5,513 | 4,208 |
|
Tasha Marie Soto Colon
Carretera 111 Km 2.4 |
$0.04 | 5,504 | 3,959 |
|
Harry G Lopez
Carr 107 |
$0.03 | 5,208 | 3,382 |
|
William A. Vega-Vivas
Carr.111 Km.0.2 Bo. Victoria |
$0.03 | 5,176 | 3,361 |
|
Luis Francisco Font Bocanegra
2 Calle Villa Isabel |
$0.00 | 4,594 | 2,721 |
|
Wandaliz Rodriguez Guzman
Carr. 459, Km 3.9 |
$0.58 | 4,365 | 3,961 |
|
Waldo Santiago Montalvo
23 Calle Severiano Cuevas |
$60.84 | 4,327 | 4,020 |
|
Wilmayri Pagan Lopez
1 Ave Kennedy |
$0.23 | 4,246 | 2,947 |
|
Wilfredo Cosme-Blanco
47 Ave Severiano Cuevas Ste 1 |
$67.13 | 4,225 | 3,879 |
|
Rosa Luz Michel
19 Severiano Cuevas |
$1.01 | 4,186 | 3,175 |
|
Modesto J Gonzalez
Carr 107 Km 2 9 |
$0.44 | 3,957 | 2,921 |
|
Roberto Gerardo Aldarondo Vargas
2 Calle Progreso |
$8.79 | 3,755 | 2,309 |
|
Frances Marie Catala-Lopez
#378 Calle 1 |
$0.00 | 3,752 | 2,558 |
|
Diana Idalia Santos
Calle Progreso #8 Altos |
$1.51 | 3,680 | 3,097 |
|
Johana Recart
Carr. 107 Km. 2.8 |
$0.00 | 3,606 | 2,588 |
|
Annabelle Lipsett
Hc 3 Box 35675 |
$93.77 | 3,591 | 1,990 |
|
Eduardo Jose Perez Caban
Urb. Jardines De Borinquen C-8 |
$0.00 | 3,531 | 2,476 |
|
Carmen Mercedes Calero-Cerezo
San Carlos Ave. #16 Second Floor |
$0.10 | 3,093 | 1,392 |
|
Cristina M Chaparro Morales
Calle L 118 Base Ramey |
$0.38 | 3,090 | 2,348 |
|
Liza Mariel Paulo Malave
150 Ave Pedro Albizu Campos |
$58.12 | 2,969 | 2,813 |
|
Carlos Roberto Marquez - Toro
Carr. 107 Reparto Lopez |
$22.92 | 2,921 | 2,560 |
|
Yamil Rodriguez Colon
2094B Ave Dr Pedro Albizu Campos |
$0.00 | 2,813 | 2,031 |
|
Francis Beauchamp-Roche
Carr 107 Reparto Lopez |
$22.64 | 2,779 | 2,444 |
|
Noel Jose Vargas-Perez
Carr#2, Km 141.1 |
$63.58 | 2,718 | 2,192 |
|
Zujeily Marie Cruz Gonzalez
Carr 457 Km 5 Bo Camaseyes |
$0.24 | 2,461 | 1,546 |
|
Ivette Maria Perez
113 Jard De Aguadilla |
$0.57 | 2,392 | 2,145 |
|
Japhet Gaztambide
Centro De Salud Conductual De Aguadilla |
$6.16 | 2,223 | 1,557 |
|
Integrate Community Health System
Carr Pr 107 Km 6 Barrio Camaceye |
$52.63 | 2,180 | 2,145 |
|
Samagy Laura Tejada-Flores
703 Belt Road |
$0.67 | 2,144 | 1,817 |
|
Front Sight Anesthesia, Psc
Carr #2 Km 129.3 Bo Victoria |
$33.40 | 2,055 | 1,912 |
|
Giancarlo E Luigi Sanchez
Avenue Pedro Albizu Campos 162 |
$52.41 | 1,948 | 1,704 |
|
Alberto Colomer Montes
# 24 Ave. Severiano Cuevas |
$1.24 | 1,865 | 1,662 |
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 Aguadilla, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Aguadilla, PR is $15.14 per claim, based on 309,311 claims from 138 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 Aguadilla, PR?
There are 138 Medicaid providers offering Office Visit related services in Aguadilla, PR according to public payment data.
What is the price range for Office Visit in Aguadilla, PR?
Medicaid reimbursement for Office Visit in Aguadilla, PR ranges from $0.00 to $119.65 per claim, with an average of $15.14. 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 Aguadilla, PR
Blood Work & Lab Tests
Avg $9.84
268,591 claims
Dental Cleaning & Exam
Avg $20.32
87,769 claims
Urinalysis & Urine Tests
Avg $3.65
55,958 claims
Pathology & Lab Services
Avg $74.79
51,076 claims
Vaccines & Immunizations
Avg $4.47
49,248 claims
Emergency Room Visit
Avg $45.91
48,037 claims
Eye Exam
Avg $39.23
41,322 claims
Psychiatric Evaluation
Avg $4.36
30,750 claims