Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Cayey, PR: $24.55

Avg. Paid

$24.55

Range

$0.00 – $159.39

Total Claims

290,420

Providers

110

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 Cayey, PR

Provider	Avg. Paid	Claims	Patients
Jose Julio Correa Carro 55 Calle Jose Celso Barbosa S	$0.00	12	12
Yelitza Bultron Ortiz 5197 Ave. Miguel De Muesas	$44.57	12	12
Emmanuel Ramos Rivera Edificio Jose Piculin Ortiz Rijos	$49.47	13	12
Wilberto Santiago Rodriguez 153 Ave Jose De Diego E	$0.00	15	14
Oscar A Duyos Edificio Profesional	$159.39	16	16
Harold Pola Rodriguez Sector Rincon Lomas Carr. 14 Km. 72.2	$53.16	17	15
Hematology & Oncology Medical Service Pcs Carr 14Interior K 03 Barrio Rincon Sector Lomas	$18.86	17	16
Jose Radames Muniz 10 Ave Miguel Melendez Munoz	$7.74	19	14
Sandra Ivette Vazquez Bo. Rincon Sector Lomas	$0.00	22	12
Arnaldo Jose Otero-Vazquez 110 Nunez Romeu	$0.00	26	25
Alvin Torres 174 Calle Luis Barreras N	$0.00	27	27
Lizvette Hernandez Roman 154 Calle Lucia Vazquez	$0.76	33	27
Carlos H Angel Hoyos Carr 14 # Km72	$25.34	33	26
Rhaisa Miriette Castrodad Molina Centro Medico Menonita Ofc 205	$110.31	40	40
Luis A Tarrats Centro Medico Menonita	$99.96	40	40
Josue Castresana Edificio Profesional Hospital Menonita	$30.16	47	46
Soami Santiago De Snyder Ave Antonio R Barcelo	$22.16	54	39
Andrea Camarena Sainz 7 Ave Baldorioty E	$78.48	60	53
Maralys Nanette Esparra Gonzalez 153 Ave Jose De Diego E	$0.00	69	65
Caroline Ortiz Miguel De Muesas Ave	$0.00	72	62
Felix Mendoza Rosa 22 Heraclio Mendoza St.	$61.98	98	94
Pedro A Granados 174 Calle Luis Barreras S	$11.20	139	129
Francisco J. Vazquez Reillo Hospital Menonita Edificio Profesional 202	$40.61	141	135
Jose Miguel Gonzalez Maclean 7 Calle Baldorioty De Castro	$0.95	146	138
Puerto Rico Cardiac Arrhythmia Management Llc Centro Medico Menonita De Cayey	$80.35	164	164
Jorge Luis Weber Guzman Centro Medico De Cayey	$69.64	171	104
Gremarie Rivera Flores 23007 Carr 743	$0.75	180	168
Luis Roberto Colon Ferreira 174 Calle Luis Barreras S	$6.57	180	102
Ricardo Emilio Jimenez 60 Ave. Betance	$0.00	182	152
Jose Luis Ortiz-Cruz Hospital General Menonita, Bo Rincon	$9.00	190	180
Elena Margarita Iguina Gonzalez Hospital Menonita	$52.06	190	137
Jose R Santiago Rodriguez 186 Roberto Diaz Quintas Las Muesas	$35.11	227	200
David Heredia Sierra Luis Barreras 174 001 Sotano	$59.12	251	199
Jessica Sanchez Hosp. Menonita De Cayey	$24.81	306	253
Adolfo Sanchez Ortiz Antonio R. Barcelo # 5	$34.93	308	286
Gabriel Andres Pereira Torrellas Centro Medico Cayey	$84.32	314	206
Marta R. Ortiz-Pagan Hospital Menonita Cayey Oficina 203	$0.00	349	245
Advanced Ob-Gyn Psc Carr 14 Interior Km 0.3	$51.52	382	324
Victor Rafael Fuentes- Lopez Hospital Municipal Mariano Rivera Ramos	$55.26	390	236
Medical Bariatrics Llc Hospital Menonita De Cayey	$75.53	400	382
Mariela Cristina Rodriguez Suarez Torre Medica Hospital Menonita	$64.60	404	335
Emily Velazquez Gutierrez Pr-738 Km 1.7 Sect Jaguas Bo Montellano	$0.00	431	78
Victor Manuel Hernandez Flores Street 14 Bo. Rincon Sector Lomas	$0.58	477	419
Anardi Augusto Agosto Mujica 109 Ave Jose De Diego E	$69.55	479	417
Miguel J Martin 66 Barbosa St	$39.03	480	419
Rafael F Medina-Prieto 150 Calle Lucia Vazquez S	$91.89	499	235
Jose O. Alvarez Gutierrez 174 Calle Luis Barreras S	$0.74	558	350
Freddy R Mendez Torres Edificio Profesional Suite 211	$7.94	617	600
Anmelys Rivera Valentin 206 Calle 14 Bo. Rincon	$45.73	664	505
Manuel Ramirez-Ariza Miguel Melendez Munoz #9	$52.34	757	635

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 Cayey, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cayey, PR is $24.55 per claim, based on 290,420 claims from 110 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 Cayey, PR?

There are 110 Medicaid providers offering Office Visit related services in Cayey, PR according to public payment data.

What is the price range for Office Visit in Cayey, PR?

Medicaid reimbursement for Office Visit in Cayey, PR ranges from $0.00 to $159.39 per claim, with an average of $24.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Cayey, PR: $24.55

Providers Offering Office Visit in Cayey, PR

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Urinalysis & Urine Tests

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Eye Exam

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