Average Medicaid Office Visit Payments in Cabo Rojo, PR: $3.79
Avg. Paid
$3.79
Range
$0.00 – $123.84
Total Claims
213,588
Providers
47
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 Cabo Rojo, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jorge T. Baez Collado
Carr. 101 Km 16.2 |
$3.74 | 14,609 | 14,064 |
|
Orlando Luciano
Street 311 Kilometer 0.2 |
$0.34 | 13,625 | 10,609 |
|
Ivan Irizarry Arroyo
108 Calle Munoz Rivera |
$0.30 | 13,180 | 11,324 |
|
Vanessa Ramirez Zapata
Urb. Borinquen St Antonio S. Pedreira |
$5.87 | 12,878 | 12,056 |
|
Osvaldo Aviles Vazquez
35 Luis Munoz Rivera |
$3.74 | 12,690 | 9,177 |
|
Jose A Toro Peraza
Calle Labra #2 |
$0.04 | 10,445 | 6,652 |
|
Hernan E. Vega Machal
35 Quinones |
$0.02 | 10,185 | 6,645 |
|
Arlene M. Roman
Calle Rossy #65 |
$0.03 | 10,029 | 6,319 |
|
Delvis Ramirez
Calle Carbonell #67 |
$0.03 | 9,808 | 5,688 |
|
Antonio Noriega Acosta
Calle Labra #2 |
$0.02 | 9,767 | 6,555 |
|
Luis Carlos Ortiz
Baldorioty St 68 |
$0.51 | 9,097 | 7,969 |
|
Jaime R. Aponte Lopez
74 Calle Baldorioty |
$0.02 | 8,780 | 5,911 |
|
Jose R Alemar Ulloa
#38 Santos Ortiz Ave |
$15.12 | 6,176 | 4,509 |
|
Madeline A Asencio-Montalvo
Calle Carbonell 56 |
$2.33 | 5,587 | 4,165 |
|
Nicanor Perez Laguillo
Calle Hostos #47 Esquina Con Brau |
$0.08 | 4,897 | 3,155 |
|
Linnette Santiago Martinez
Carr. 103 Km 12.3 |
$0.08 | 4,764 | 3,640 |
|
Luis A Lozada
64 Munoz Rivera |
$0.02 | 4,605 | 2,647 |
|
Carlos F. Quinones Bodega
Carr 100 Km 6.1 Int. |
$21.13 | 4,530 | 3,948 |
|
Marisol Martinez Medina
Munoz Rivera # 108 |
$0.84 | 4,327 | 3,849 |
|
Wilma Caro Caro
Calle Brau 67 |
$0.00 | 4,226 | 3,579 |
|
Jorge Irizarry Vega
Calle Brau 67 |
$0.01 | 3,834 | 3,349 |
|
Carlos Antonio Ortiz - Soto
38 Calle Carbonell |
$0.07 | 3,832 | 3,100 |
|
Amarilis Hernandez
Carr 311 Km 3.4 Int. |
$0.80 | 3,764 | 3,097 |
|
Humberto Acosta
5 Calle Maceo |
$0.33 | 3,249 | 2,462 |
|
Luis Pagan
66 Calle Salvador Brau |
$42.97 | 3,182 | 2,943 |
|
Yadira Vazquez Rivera
Carr 100 Km 6.6 |
$0.01 | 3,173 | 2,594 |
|
Elba I Negroni
40 Calle Salvador Brau |
$0.04 | 2,534 | 1,655 |
|
Ian Joseph Maya
108 Calle Munoz Rivera |
$0.85 | 2,519 | 2,504 |
|
Miguel Sepulveda
20 Calle Carbonell Apt 1 |
$60.16 | 2,450 | 2,378 |
|
Walter A Banch
Centro Profesional Borinquen O-1 |
$2.07 | 2,292 | 1,966 |
|
Juan Carlos Guzman
46 Calle Salvador Brau |
$0.00 | 1,914 | 940 |
|
Cesar A Vazquez Rodriguez
Carretera Pr 100 Km 3.6 |
$0.35 | 1,632 | 1,473 |
|
Amarilis Rivera Maldonado
24 Calle Barbosa |
$1.09 | 1,252 | 1,166 |
|
Wendel Pagan
I7 Calle Julia De Burgos |
$2.49 | 996 | 796 |
|
Yaniris Garcia Cruz
Km 7.1, Cabo Rojo Town Center |
$123.84 | 853 | 841 |
|
Carmen Negron
Carr 307 Km 2.5 |
$0.95 | 727 | 458 |
|
Raul Antonio Velez Weber
Plaza Del Mercado Lolita Montalvo Cordero |
$0.00 | 343 | 322 |
|
Efren Eduardo Mangual-Cordero
Munoz Rivera Street |
$6.78 | 270 | 268 |
|
Ruben Ruiz
50 Calle Henna |
$0.00 | 147 | 93 |
|
Jose Raul Melendez
25 Calle Ruiz Belvis |
$0.00 | 131 | 78 |
|
Laboratorio Clinico Irizarry Guasch Inc
Carr Pr 308 Km 0.3 |
$0.00 | 131 | 114 |
|
Empresas Colon Ayala Inc
Road 102 Km 18.8 |
$0.00 | 42 | 39 |
|
Omar Torres Cardona
Carr 100 Km 3.2 Int Carr 311 Bo Miradero |
$86.09 | 32 | 24 |
|
Jose Silva-Morales
63 Calle Munoz Rivera |
$0.00 | 27 | 26 |
|
Gladys Del Carmen Ortiz Pagan
44 Calle Rius Rivera |
$0.00 | 24 | 21 |
|
Fausto C Lugo Rodriguez
Calle Ruiz Belvis Esquina Barbosa |
$3.06 | 18 | 16 |
|
Lynnette Ortiz Toro
Carr 308 Km 0.2 # 30 |
$0.00 | 15 | 12 |
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 Cabo Rojo, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cabo Rojo, PR is $3.79 per claim, based on 213,588 claims from 47 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 Cabo Rojo, PR?
There are 47 Medicaid providers offering Office Visit related services in Cabo Rojo, PR according to public payment data.
What is the price range for Office Visit in Cabo Rojo, PR?
Medicaid reimbursement for Office Visit in Cabo Rojo, PR ranges from $0.00 to $123.84 per claim, with an average of $3.79. 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 Cabo Rojo, PR
Blood Work & Lab Tests
Avg $9.65
184,341 claims
Dental Cleaning & Exam
Avg $19.88
77,063 claims
Eye Exam
Avg $27.92
51,963 claims
Urinalysis & Urine Tests
Avg $3.26
39,199 claims
Psychiatric Evaluation
Avg $8.82
14,626 claims
Ultrasound
Avg $98.02
8,343 claims
Dental Filling
Avg $30.27
4,357 claims
Emergency Room Visit
Avg $17.67
3,112 claims