Average Medicaid Office Visit Payments in Bayamon, PR: $18.30
Avg. Paid
$18.30
Range
$0.00 – $150.25
Total Claims
1,369,233
Providers
414
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 Bayamon, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose Aviles Munoz
Calle Santa Cruz #64 |
$0.00 | 12 | 12 |
|
Jorge Rey Martinez
Bayamon Medical Plz |
$59.74 | 12 | 12 |
|
Centro Gastroenterologia Avanzada Del Norte Csp
Instituto San Pablo Suite 502 |
$104.15 | 12 | 12 |
|
Ariana C Alvarado-Lopez
66 Calle Santa Cruz Ste 307 |
$60.00 | 12 | 12 |
|
Horacio Fernando Daubon Del Valle
73 Calle Santa Cruz |
$37.00 | 12 | 12 |
|
Mariangie Franceschi
C27 Calle Via San Juan |
$54.26 | 12 | 12 |
|
Felix G Del Rio
100 Paseo San Pablo |
$49.28 | 12 | 12 |
|
Juan Toledo Diaz
Bayamon Medical Center |
$44.23 | 13 | 13 |
|
Ada L Delgado Mateo
Bayamon Medical Plz |
$0.00 | 13 | 12 |
|
Cesar Rafael Rivera Reveron
O29 Calle 19 |
$0.00 | 13 | 13 |
|
Pedro A Serrano-Ojeda
11-25 Carr 174 |
$67.60 | 13 | 12 |
|
Rene Sanchez-Borrero
505 Instituo San Pablo |
$53.76 | 13 | 12 |
|
Ivan Jose Llado Gonzalez
Calle Santa Cruz # 66 |
$32.17 | 13 | 13 |
|
Energetiks Chiropractic Center, Psc
J13 Calle 2 |
$25.00 | 13 | 13 |
|
Univ Central Del Caribe
Avenida Laurel |
$48.96 | 14 | 14 |
|
Gerardo Quevedo-Bonilla
73 Calle Santa Cruz |
$32.16 | 14 | 13 |
|
Lee R Gonzalez
100 Ave Laurel |
$0.00 | 14 | 13 |
|
Ana I Rivera De La Vega
100 Paseo San Pablo |
$75.12 | 14 | 14 |
|
Rafael S. Campos
Santa Cruz St., Edif. Arturo Cadilla |
$0.00 | 15 | 13 |
|
Maritza Helena Loinaz
Calle J Edificio Medico Hermanas Davila |
$53.42 | 15 | 13 |
|
Jaime Alejandro Busquets
70 Calle Santa Cruz |
$7.13 | 15 | 15 |
|
Jose Antonio Ayala
100 Paseo San Pablo |
$0.00 | 15 | 12 |
|
George Venero
Bayamon Medical Plaza |
$0.00 | 16 | 16 |
|
Hiram Antonio Ruiz Santiago
1845 Carr 2 Ste 907 |
$24.98 | 16 | 15 |
|
Varmed Health Center Llc
Calle Manuel F Rossy |
$9.06 | 16 | 16 |
|
Adriana Isabel Tormos Abadia
100 Ave Laurel |
$29.37 | 17 | 17 |
|
Metro Pavia Healthcare Centers
Carr 167 Urb Bella Vista Marginal Ad-10 |
$76.80 | 17 | 17 |
|
Ruben Diaz Vazquez
Calle San Cruz Num 66 |
$45.68 | 17 | 17 |
|
Jonathan Caldera Colon
100 Laurel Ave., Santa Juanita |
$0.00 | 17 | 17 |
|
Fernando L Longo
Torre San Pablo Suite 201 |
$46.46 | 18 | 15 |
|
Caribbean Shoulder And Elbow Institute
Calle 1 Marginal Carr#2 |
$78.03 | 18 | 17 |
|
Alejandro Rivera-Rodriguez
1 Ave Casa Linda |
$22.30 | 18 | 18 |
|
Alex Concepcion Ruiz
3H-8B Ave Lomas Verdes |
$0.00 | 18 | 16 |
|
Roberto Jose Santiago Mendez
Marginal #2, Esquina 3B, Suite G1 |
$15.69 | 18 | 17 |
|
Mario Espinosa Garcia
66 Calle Santa Cruz |
$44.02 | 19 | 19 |
|
Carmen Brito Medina
Edificio Medico Santa Cruz #73 |
$0.00 | 20 | 17 |
|
Isabel Teresa Matos-Llovet
I32 Calle 8 |
$15.38 | 21 | 13 |
|
Carlos A Acosta
Edif Medico Hnas Davila Suite 207 |
$0.00 | 22 | 22 |
|
Dr Salvador Mercado Mercado Csp
1995 #2 Street Torre A Suite 001 |
$93.43 | 22 | 12 |
|
Ismael Rodriguez-Rivera
64 Calle Santa Cruz |
$0.00 | 24 | 23 |
|
Grisselle Perez Santiago
J16 Calle 2 Ste 110 |
$70.29 | 25 | 25 |
|
Luis Pio Sanchez Caso
66 Calle Santa Cruz |
$59.38 | 25 | 25 |
|
Edgard Marin
68 Calle Santa Cruz Torre De San Pablo |
$0.69 | 26 | 25 |
|
Laboratorio Clinico Miraflores Inc
Ave Los Dominicos Bloque 14 # 6 Urb Miraflores |
$0.00 | 26 | 25 |
|
Guillermo H Jordan Diaz
68 Calle Santa Cruz Ste 601 |
$53.74 | 27 | 24 |
|
Norberto Pellot
Gallardo Towers |
$0.00 | 27 | 27 |
|
Brenda Liz Loubriel-Rivera
Ramos Ee-25 Van Scoy |
$55.31 | 27 | 26 |
|
Ramon Suarez
66 Santa Cruz Instituto San Pablo |
$0.00 | 27 | 24 |
|
Clinica De Terapia Fisica Flamingo Terrace
A9 Calle Marginal |
$53.38 | 28 | 25 |
|
Angel L. Arizmendi
Carretera Numero 2 |
$0.00 | 28 | 28 |
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 Bayamon, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bayamon, PR is $18.30 per claim, based on 1,369,233 claims from 414 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 Bayamon, PR?
There are 414 Medicaid providers offering Office Visit related services in Bayamon, PR according to public payment data.
What is the price range for Office Visit in Bayamon, PR?
Medicaid reimbursement for Office Visit in Bayamon, PR ranges from $0.00 to $150.25 per claim, with an average of $18.30. 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 Bayamon, PR
Blood Work & Lab Tests
Avg $10.90
880,654 claims
Dental Cleaning & Exam
Avg $20.42
320,813 claims
Urinalysis & Urine Tests
Avg $3.85
212,403 claims
Eye Exam
Avg $30.22
176,798 claims
Vaccines & Immunizations
Avg $7.38
172,718 claims
Emergency Room Visit
Avg $52.66
130,431 claims
X-Ray
Avg $8.69
124,303 claims
Psychiatric Evaluation
Avg $5.48
117,045 claims