Average Medicaid Office Visit Payments in Caguas, PR: $21.20
Avg. Paid
$21.20
Range
$0.00 – $120.92
Total Claims
1,042,078
Providers
363
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 Caguas, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Francisco Javier Rosado Garcia
1# Zaragoza |
$2.18 | 30,695 | 26,368 |
|
Vivian J. Rodriguez
2 Calle Munoz Rivera |
$0.08 | 18,882 | 13,573 |
|
Julio C De Jesus Carrion
B2 Calle Lope Flores |
$0.00 | 17,659 | 13,208 |
|
Jose M Rodriguez Benitez
Medico Express |
$0.05 | 16,975 | 13,525 |
|
Luis A Jimenez Reyes
100 Ave Luis Munoz Marin Ste 305 |
$48.25 | 16,078 | 12,258 |
|
Vanessa Reyes Polanco
Luis Munos Marin Av. 4980 |
$0.17 | 15,993 | 14,185 |
|
Edgardo Franco
Calle Munoz Rivera Esq. Lopez Flores Suite 3 |
$0.01 | 14,696 | 11,371 |
|
Angel Manuel Velazquez
Ave. Munoz Marin Ave. |
$0.00 | 13,428 | 10,576 |
|
Carmen Lydia Reyes
Cond Bonneville |
$0.29 | 13,344 | 8,714 |
|
Hildamary Diaz Rozett
Carr 189 Km 2.0 |
$0.23 | 13,176 | 9,059 |
|
Rafael A. Nieves Alicea
Calle #3 Aragon Terralinda |
$0.01 | 13,056 | 9,316 |
|
Sonia Figueroa-Rosario
50Ave Luis Munoz Marin Suite 307 |
$0.35 | 13,015 | 9,435 |
|
Benigno Lopez
Edif. Hima San Pablo Cirugia Ambulatoria |
$66.21 | 12,746 | 10,085 |
|
Turabo Medical Primary Group
Avenida Rafael Cordero Final |
$0.09 | 12,287 | 10,779 |
|
Amy Norma Aramburu
Calle Jazmin 115 Altos Oficina 201 |
$0.14 | 12,230 | 10,853 |
|
Renato Rivera
Ave Degetau |
$75.23 | 11,724 | 9,970 |
|
Justo Luis Torres
Calla Corchado #3 A1 |
$0.10 | 11,698 | 8,892 |
|
Juan M Torres Hurtado
J1 Calle Jesus Fernandez |
$0.00 | 11,692 | 8,340 |
|
Augusto Felix Pintor-Martinez
Centro Ambulatorio Hima-San Pablo |
$0.02 | 11,508 | 9,254 |
|
Nannette L. Santiago Betancourt
3 Munoz Rivera |
$0.03 | 11,132 | 7,480 |
|
Aracelis Serrano
Ave Regimento Infanteria 295 |
$0.08 | 11,078 | 8,407 |
|
Osvaldo Caro
305 Quadrangle Medical Center |
$2.53 | 11,006 | 10,022 |
|
Francisco Javier Vazquez
Luis Munoz Marin Ave. Esq. Urb Mariolga |
$0.00 | 10,641 | 7,971 |
|
Jesus M Salgueiro
500 Ave Degetau Suite 404 |
$47.68 | 10,554 | 6,533 |
|
Leslie Ann Quiles
Q43 Calle Santa Rosa |
$3.05 | 10,290 | 8,297 |
|
Julio Manuel Baez Suarez
Calle Munoz Rivera Num 2 |
$48.80 | 10,231 | 9,318 |
|
Nilsa Marie Rivera Lezcano
1014 Calle Caonilla |
$0.01 | 9,979 | 7,401 |
|
Joanny Cruz
Calle 8 H 15 Condado Moderno |
$0.18 | 9,887 | 7,396 |
|
Rafael Figueroa
114 Suite L Munoz Marin |
$74.14 | 9,800 | 7,314 |
|
Jorge R Matta Gonzalez
50 Ave Luis Munoz Marin |
$9.41 | 9,680 | 9,110 |
|
Blas Delgado Ortiz
50 Ave Munoz Marin |
$0.29 | 9,409 | 7,145 |
|
Ana Colon
Caguas Regional Hospital St # 172 |
$0.01 | 9,383 | 6,337 |
|
Brenda Baiz Falcon
Plaza Del Carmen |
$0.01 | 9,273 | 6,879 |
|
Jaime Carazo
Hospital San Juan Bautista Carretera 172 |
$0.03 | 8,951 | 6,576 |
|
Fernando J. Ysern Borras
50 Ave Munoz Marin |
$0.21 | 8,824 | 6,566 |
|
Lourdes Aixa Melendez
Turabo Gardens |
$0.01 | 8,768 | 6,458 |
|
Juitxa Baez
172St Local 24 |
$0.53 | 8,668 | 6,368 |
|
Centro Medico Del Turabo Inc
Hima San Pablo Caguas |
$43.24 | 8,615 | 7,803 |
|
Jose Manuel Perez Yordan
Carr 172 Caguas A Cidra Urb Turabo Gardens |
$111.27 | 8,592 | 5,852 |
|
Aurelio Benes Martinez
500 Ave Degetau Suite 404 |
$40.82 | 8,575 | 6,272 |
|
Ivelisse Montalvo Carrion
Carr 172 Urb Turabo Gardens |
$0.08 | 8,343 | 6,670 |
|
Hector Manuel Cortes-Santos
Centro Comercial Los Prados |
$57.24 | 8,102 | 6,651 |
|
Aida L. Nieves Vazquez
K3 Calle Aleli |
$0.01 | 8,045 | 5,376 |
|
Antonio Yulian Valentin
Ave Luis Munoz Marin Hima Plaza 1 |
$55.12 | 7,928 | 6,448 |
|
Angel Manuel Velazquez-Fernandez
O24 Ave Luis Munoz Marin |
$0.01 | 7,695 | 5,676 |
|
Maria Isabel Gomez
Plaza Del Carmen Mall # 24 Carr. # 172 |
$0.23 | 7,493 | 6,110 |
|
Evy Marie Monge-Ortiz
Ave. Rafael Cordero Final Esquina Troche |
$0.00 | 7,478 | 5,872 |
|
Shirley Perez-Lopez
X2 Ave Luis Munoz Marin |
$3.66 | 7,352 | 5,977 |
|
Angela A Cabral Hidalgo
Calle Munoz Rivera #2 |
$0.10 | 7,314 | 5,504 |
|
Roberto Gracia Ramis
Luis Munoz Marin Ave. Esq Degetau |
$46.87 | 7,314 | 5,342 |
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 Caguas, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Caguas, PR is $21.20 per claim, based on 1,042,078 claims from 363 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 Caguas, PR?
There are 363 Medicaid providers offering Office Visit related services in Caguas, PR according to public payment data.
What is the price range for Office Visit in Caguas, PR?
Medicaid reimbursement for Office Visit in Caguas, PR ranges from $0.00 to $120.92 per claim, with an average of $21.20. 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 Caguas, PR
Blood Work & Lab Tests
Avg $11.44
2,098,760 claims
Urinalysis & Urine Tests
Avg $3.91
476,787 claims
Dental Cleaning & Exam
Avg $21.93
267,151 claims
Emergency Room Visit
Avg $47.91
266,962 claims
Speech Therapy
Avg $48.16
215,812 claims
X-Ray
Avg $13.75
162,747 claims
Eye Exam
Avg $35.93
153,676 claims
Ultrasound
Avg $75.63
147,542 claims