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 |
|---|---|---|---|
|
Laboratorio Clinico Irizarry Guasch Inc
Urb Garcia # 534 Avenida Victoria |
$0.00 | 12 | 12 |
|
Policlinica Dra. Janice Sanchez C.S.P.
703 Belt Road |
$0.00 | 13 | 12 |
|
Carmen M. Rico Ramirez
Carr 107 |
$0.00 | 13 | 13 |
|
Raul E Lopez Verge
0.3 Carr 110 |
$21.89 | 13 | 13 |
|
Clinica De Medicina Fisica Y Electrodiagnostico Inc.
Ave. Kennedy Int. 107 |
$90.99 | 14 | 14 |
|
Angel B, Malave-Gomez
2 Calle Progreso |
$43.81 | 15 | 14 |
|
Elvia Arelis Ayala
Bo Borinquen Carr. 107 |
$59.74 | 16 | 16 |
|
Prevention Medical Services Psc
Carr 2 Km 127.4 Edif Punto Oro |
$0.00 | 16 | 15 |
|
Laboratorio Clinico Irizarry Guaschinc
Carr Pr107 Km3.7 Bo Borinquen |
$0.00 | 17 | 17 |
|
Vanessa Cruz Cruz
Carr 111 Km 2.3 |
$0.00 | 26 | 14 |
|
Clinica De Cancer Y Enfermedades De La Sangre, Csp
Carr 460 Km 0.2 Bo Caimital Bajo |
$45.65 | 27 | 26 |
|
Laboratorio Clinico Bacteriologico San Antonio Ii Inc
2071 Ave Pedro Albizu Campos |
$0.00 | 28 | 27 |
|
Omar David Cardona-Garcia
Carr 111 Km 2.3 |
$59.74 | 32 | 32 |
|
Oscar Caban Badillo
Ave Victoria 486 |
$1.52 | 33 | 32 |
|
Cecile E Navarro Santana
18 Ave Severiano Cuevas Piso 1 |
$25.66 | 36 | 29 |
|
Laboratorio Clinico Isamar, Inc.
Hc 3 Box 39173 |
$0.00 | 40 | 40 |
|
Leisa Velez-Cruz
Avenida Severiano Cuevas #18 |
$0.00 | 46 | 29 |
|
German Rodriguez Rios
Carr 107 Km 0.4 |
$0.00 | 47 | 34 |
|
Josue O Aldarondo Erba
Carr. Est. Pr-460, Km. 0.2, Bo. Caimital Bajo |
$0.00 | 50 | 50 |
|
Oniel Gonzalez Gonzalez
Carr 2 Km 124 Bo. Caimital Alto |
$80.72 | 55 | 55 |
|
Francisco Eugenio Rodriguez
S 19 Severiano Cuevas |
$1.00 | 60 | 46 |
|
Iris A Acevedo-Marty
106 Ave Severiano Cuevas |
$57.78 | 61 | 57 |
|
Jose M. Perez Cardona
Carr 111 Km 1.8 Oficina # 1 |
$45.35 | 72 | 50 |
|
Erick Lopez Javier
Carr #2 Km 127.4 Edif, Ave Punto Oro Suite 9 |
$0.00 | 73 | 37 |
|
Carmen Edeyl Gonzalez Munoz
Calle A #72 |
$80.39 | 74 | 73 |
|
Johans Gonzalez Gonzalez
Calle 2 Ave Severino Cuevas 18 |
$0.00 | 76 | 38 |
|
Sonialy Lugo Ruiz
53 Ave Severiano Cuevas |
$21.34 | 76 | 62 |
|
Mario Luis Roman
Carr. 2 Km 141.7 Bo. Caimaital Bajo |
$2.33 | 77 | 71 |
|
Diana Evelyn Rodon Hernandez
2053 Ave Pedro Albizu Campos |
$0.00 | 79 | 65 |
|
Wilfredo Alonso
Lobby Buen Samaritano |
$6.88 | 80 | 68 |
|
Samuel Anibal Fuentes Flores
Carretera 2 Km 141.1 Avenida Severiano Cuevas 18 |
$0.00 | 92 | 86 |
|
Jesus A Perez Lopez
100 Calle Eloy Torres Lugo |
$0.00 | 96 | 74 |
|
Roberto Daniel Sabater
Ave Severiano Cuevas Bo Caimatal Bajo |
$25.59 | 111 | 83 |
|
Primary Wound And Ulcer Care Center, Inc.
Car 110 Km 0.9 |
$58.67 | 112 | 24 |
|
Gastro Services Psc
23 Ave Severiano Cuevas |
$20.68 | 117 | 96 |
|
Roberto Aldarondo
30 Calle Progreso |
$41.69 | 121 | 94 |
|
Melba Sotomayor
24 Ave Severiano Cuevas |
$81.57 | 126 | 116 |
|
Edwin D Soto Gonzalez
2053 Ave Pedro Albizu Campos |
$0.84 | 140 | 119 |
|
Carlos E. Carbonell
Road 110, Kilometer 0.3 |
$0.00 | 159 | 146 |
|
Jaime J Dasilva Arocho
Severiano Cuevas Ave. Interior Km 141.1 |
$97.24 | 169 | 111 |
|
Francisco Hiram Jaume Boscio
Carr 110 Km 24.2 Edificio San Jose Suite 1 |
$53.55 | 174 | 163 |
|
Fernando Luis Regis-Bonilla
Severiano Cuevas Street Km.141.1 |
$29.20 | 179 | 165 |
|
Bernie Rodriguez-Malpica
180-B Belt Rd Ramey Base |
$0.00 | 189 | 180 |
|
Northwestern Medical Lab Inc
24 Ave Severiano Cuevas Ste 101 |
$0.00 | 195 | 176 |
|
Roberto Alers Fernandez
24 Ave Severiano Cuevas |
$0.00 | 197 | 171 |
|
Hector J Colombany Lorenzo
111 St Km 2.5 Bo Palmar |
$58.15 | 212 | 196 |
|
Luis H Rivera-Carpio
Carr 459 # 7 Barr. Corrales |
$26.14 | 222 | 192 |
|
Alma I Arana Martir
Hwy. 110 Km 0.9 |
$0.00 | 223 | 131 |
|
Carlos R Cardona
Carr 110 Km 0.9 |
$63.07 | 223 | 65 |
|
Jaime Cayetano Ledesma
176 Calle Albizu Campos |
$48.74 | 228 | 160 |
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
8,766,644 claims · 4540 providers
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