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 |
|---|---|---|---|
|
Jose Luis Ayala Rivera
Hima San Pablo |
$0.00 | 12 | 12 |
|
Ivan Enrique Laboy-Ortiz
Ave Las Americas Bs4 Bairoa |
$0.00 | 12 | 12 |
|
Gilberto Rodriguez-Morales
Ave Degetau # 500 |
$49.75 | 12 | 12 |
|
Angelo Rosado Perez
Ave. Munoz Marin, Urb. Mariolga |
$33.08 | 13 | 13 |
|
Jose Ernesto Berrios
32 Calle Acosta |
$0.00 | 13 | 13 |
|
Centro Medico Del Turabo Inc
Hospital Hima San Pablo Caguas |
$16.64 | 13 | 13 |
|
Alexis Rivera Gonzalez
Q8 Ave Chumley |
$39.07 | 13 | 13 |
|
Virgen M Baez Hernandez
Calle 15 N 24 Sta Juana |
$59.74 | 13 | 12 |
|
Ana H Martinez
Las Catalinas Mall |
$57.55 | 13 | 12 |
|
Patricia Rodriguez
Consolidated Mall |
$0.00 | 14 | 14 |
|
Corporacion De Salud Asegurada Por Nuestra Organizacion Solidaria, Inc
Avenida Rafael Cordero Esquina Troche |
$0.00 | 14 | 13 |
|
Dermwatts
C8 Ave. Gautier Benitez |
$68.60 | 14 | 13 |
|
Pedro Jose Colon - Hernandez
Consolidated Mall C-2, Ave. Gautier Benitez |
$55.89 | 14 | 13 |
|
Perinatology Group Psc
Hopital Hima Caguas |
$31.66 | 14 | 12 |
|
Jose M Borras Ramirez
202 Ave Gautier Benitez |
$26.48 | 15 | 15 |
|
Juan Carlos Lopez De Victoria-Rivera
Ave Luis Munoz Rivera A-1 #402 |
$21.83 | 15 | 13 |
|
Berrios Ob-Gyn, P.S.C.
Hima Plaza One, Suite 512 |
$46.13 | 15 | 15 |
|
Gonzalo Falcon
Ave. Jose Villares |
$0.00 | 16 | 12 |
|
Bryan A Santiago Diaz
2.8 Carr 189 |
$0.00 | 21 | 21 |
|
Yadira Ortiz
A7 Ave Degetau |
$0.00 | 23 | 14 |
|
Jesus Daniel Buonomo
Carr 1 Km 33.3 Ralph'S Food Warehouse Local # 3 |
$17.53 | 26 | 26 |
|
Lillian Enid Bezares
V43 Ave Luis Munoz Marin |
$45.17 | 26 | 16 |
|
Briseida Enid Feliciano
V28 Ave Luis Munoz Marin |
$52.26 | 26 | 25 |
|
Daniel Miguel Reyes De Jesus
Hospital Menonita Caguas |
$5.68 | 26 | 16 |
|
Caridad S Vargas
Hima Plaza I |
$0.00 | 27 | 26 |
|
Amarilis J Perez
M36 Calle 13 |
$30.84 | 27 | 25 |
|
Julio Cesar Rodriguez-Colon
100 Ave Luis Munoz Marin |
$19.39 | 27 | 27 |
|
Jonatan Hernandez Rosa
100 Ave Luis Munoz Marin |
$42.15 | 31 | 25 |
|
Josue M Alicea Abreu
Po Box 9809 |
$2.81 | 32 | 30 |
|
Victor J Colon-Vazquez
Torre Hospital Hima Suite 122 |
$25.31 | 33 | 30 |
|
Christian E Rodriguez Rivera
2E 1 Esq Bonaparte |
$13.53 | 34 | 32 |
|
Ricardo M Gomez Carrera
Professional Center |
$4.86 | 37 | 26 |
|
Arnaldo A Nieves Ortiz
100 Ave Luis Munoz Marin |
$0.00 | 38 | 37 |
|
Isis Maria Sanchez-Longo
Urb. Santa Elvira |
$0.00 | 38 | 38 |
|
Pediatrics And Ho Bmt Group
Ave Degetau |
$77.34 | 41 | 40 |
|
Jose Antonio Caballero-Lopez
30 Calle Padial |
$27.79 | 42 | 27 |
|
Jose Francisco Rovira
Av. Gautier Benitez |
$0.00 | 43 | 43 |
|
Alberto Enrique Frias
Avenida Luis Muoz Marin, # 80 |
$35.00 | 43 | 43 |
|
Miguel Palacios-Mercado
Hima Plaza 1 |
$0.00 | 43 | 33 |
|
Jose R Rodriguez Cay
32 Calle Acosta # 312 |
$42.78 | 45 | 44 |
|
Luz Ileana Lebron-Soto
Bl12 Calle 21 |
$0.37 | 49 | 49 |
|
Miguel A De Varona Negron
100 Ave Luis Munoz Marin Hima San Pablo |
$46.82 | 55 | 50 |
|
Dra. Karen Cruz P.S.C.
Plaza Los Prados |
$69.59 | 56 | 52 |
|
Emilo Rafael Gonzalez
201 Calle Gautier Benitez |
$76.25 | 65 | 65 |
|
Myrna Liz Siverio
Consolidated Mall Suite C 06 |
$75.13 | 70 | 69 |
|
Victor Manuel Reyes
Ac7 Calle Rodrigo De Triana |
$0.76 | 74 | 66 |
|
Carlos Omar Rodriguez
C-2 Consolidated Mall Ave. Gautier Benitez |
$19.45 | 75 | 73 |
|
Nitza Noemi Vadi
Carr 183 U9 |
$0.00 | 76 | 75 |
|
Angel Ricardo Maldonado-Soto
Carr 172 De Caguas A Cidra |
$13.22 | 76 | 63 |
|
Antonio R Morales-Lopez
55 Calle Saturno - El Verde |
$44.22 | 77 | 75 |
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