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 |
|---|---|---|---|
|
Access Medical Group Corp
E7 Calle Santa Cruz |
$3.66 | 101,790 | 83,699 |
|
Access Medical Group Corp
E7 Calle Santa Cruz |
$3.79 | 38,977 | 32,442 |
|
Edwin Baez Montalvo
Ave Aguas Buenas |
$16.61 | 33,885 | 22,642 |
|
Esam A Hussein
Ext Hermanas Davila |
$2.19 | 29,834 | 22,520 |
|
Jose Daniel Jimenez Rivera
Calle 6 Esquina 13 Bloque H-1 Oficina |
$1.24 | 26,544 | 24,026 |
|
Rafael Vazquez
167 Road Km 11 |
$0.11 | 26,372 | 17,721 |
|
Maria Yarina Robles Barreto
Santa Rosa 35-32 Calle 25 |
$0.17 | 19,032 | 16,735 |
|
Gilmarie Cumba Llavona
Instituto San Pablo |
$1.54 | 17,493 | 14,936 |
|
Rafael Rodriguez
Pmb Suite 145 |
$0.01 | 16,815 | 11,974 |
|
Maxuel E. Genao Encarnacion
Za1 Calle 36 |
$0.13 | 16,473 | 14,231 |
|
Vanessa Cortes Torres
Calle Dr. Veve #51 Esq. Marti |
$0.21 | 15,108 | 12,570 |
|
New Vision Medical Diagnostic Llc
Calle Barbosa #36 |
$0.63 | 15,000 | 13,496 |
|
Lourdes Garriga
Ave Aguas Buenas |
$1.43 | 14,997 | 11,523 |
|
Maria D. Perez
Calle 2 J-20 |
$25.11 | 14,912 | 9,848 |
|
William Garcia
Carr. 831 Km. 4.7 |
$0.34 | 14,363 | 9,551 |
|
Lucrecia Ortega
Calle 70 Bloque 84 Num. 11 |
$0.52 | 14,342 | 12,058 |
|
Karla M Rosario
Marginal Santa Cruz C17 Urb. Santa Cruz |
$0.24 | 14,159 | 12,494 |
|
Guillermo Ponce Paredes
B7 Calle Santa Cruz |
$0.26 | 13,540 | 11,632 |
|
Ruben Diaz - Rodriguez
Bayamon Medical Plaza |
$52.54 | 12,959 | 11,761 |
|
Ruben Brignoni Serrano
41 Calle Santa Cruz |
$0.00 | 12,839 | 11,982 |
|
Jorge L Torres Sanchez
74 Calle Esteban Padilla |
$0.01 | 12,036 | 9,314 |
|
Brenda Monserrate Jimenez Rivera
12 V-11 Alturas De Flamboyan |
$0.82 | 11,801 | 10,469 |
|
Madeline Santos-Carlo
Carr #2 Km 119 |
$0.16 | 11,580 | 11,226 |
|
Raquel Bosch
Ave. Santa Ana 260 |
$0.00 | 11,068 | 7,927 |
|
Jose M. Cantellops
65 Calle Santa Cruz |
$0.28 | 10,361 | 8,078 |
|
Luis Rosario-Vargas
Calle I #49 |
$21.82 | 10,280 | 7,825 |
|
Janet Pizam Ortiz
Avenida Castighoni K 5 Bayamon Gardens |
$0.01 | 10,272 | 8,437 |
|
Samuel A. Fernandez Lopez
Carimed Plz |
$50.65 | 10,220 | 8,937 |
|
Edilberto Martinez
73 Calle Santa Cruz |
$41.57 | 9,936 | 8,432 |
|
Dorcas Cid
Metro Medical Center Torre B |
$8.29 | 9,864 | 9,482 |
|
Angel L. Collazo Bonilla
Bayamon Medical Plaza Bld #2 Ave. |
$28.28 | 9,748 | 6,374 |
|
Esther Morales
Calle 7 F-19 |
$0.05 | 9,735 | 8,584 |
|
Rebeca Villegas
Ave Main #11-54 |
$0.45 | 9,673 | 7,881 |
|
Pedro Piquer
66 Calle Santa Cruz |
$48.61 | 9,620 | 8,993 |
|
Jesus M. Seda Ramirez
Bayamon Medical Plz Suite 508 |
$35.90 | 9,479 | 5,427 |
|
Renier J Mendez
E22 Calle Santa Cruz |
$58.91 | 9,322 | 5,050 |
|
Eduardo Rodriguez Vazquez
68 Calle Santa Cruz |
$74.20 | 9,179 | 6,544 |
|
Nestor Luis Carmona-Torres
1845 Carr 2 Ste 304 |
$33.01 | 9,167 | 6,567 |
|
Edwin Encarnacion Kuilan
Bayamon Shopping Center |
$0.52 | 8,992 | 7,682 |
|
Aurea Mercado
Calle C Bb13 Bayamon Gardens |
$0.01 | 8,819 | 5,929 |
|
Pedro Luis Parrilla Padilla
Calle Santa Cruz #70 |
$10.29 | 8,576 | 5,872 |
|
Richard Valentin Blasini
Metro Medical Center Torre B Suite 301 |
$52.62 | 8,059 | 6,945 |
|
Juan Enrrique Negron
59 Calle Santa Cruz |
$0.10 | 7,972 | 7,303 |
|
Community Health Foundation Of Puerto Rico, Inc.
Marginal Santa Cruz C-17 |
$1.54 | 7,731 | 7,191 |
|
Angel Luis Lopez Perez
M12 Calle 12 |
$4.92 | 7,730 | 5,612 |
|
Dr Joaquin Balaguer Group Psc
#100 Paseo San Pablo |
$54.07 | 7,665 | 6,753 |
|
Juan Pagan Rodriguez
Calle Dr Veve 51 |
$0.00 | 7,625 | 6,905 |
|
Patricia Rivera Santana
61 Calle 4 |
$0.16 | 7,337 | 6,506 |
|
Guillermo Emilio Martinez Rios
Edificio Medico Hermanas Davila |
$52.96 | 7,223 | 6,620 |
|
Rafael A Cepeda Lara
Ave. Rio Bayamon Za-1 Blq. 36 |
$0.20 | 7,218 | 6,381 |
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