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 |
|---|---|---|---|
|
Anardi Agosto-Mujica
109 Jose De Diego |
$51.20 | 27,846 | 18,151 |
|
Ana Isabel Motta Velez
Street 14 Bo. Rincon Sec. Lomas |
$0.03 | 20,786 | 17,316 |
|
Sonia M Correa Marra
Carr 1 Km 58.9 |
$0.00 | 19,642 | 9,735 |
|
Luis Cesar Suarez Almedina
Calle Jose Celso Barbosa |
$0.31 | 14,376 | 7,559 |
|
Ferdinand C. Menendez Morales
174 Calle Luis Barreras S |
$0.30 | 11,632 | 6,773 |
|
Edward A. Gomez-Torres
Carr 14 Interior Km 0.3 |
$48.46 | 11,586 | 8,667 |
|
Carlos A Quiles Aponte
Ave Antonio R Barcelo # Km716 |
$0.85 | 10,392 | 9,461 |
|
Jose M Figueroa Robles
55 Calle Manuel Corchado |
$0.12 | 9,862 | 8,278 |
|
Wilfredo De Jesus Rojas
Centro Medico Menonita Cayey |
$59.10 | 8,415 | 7,049 |
|
Maria A Martinez
104 Ave Emerito Betances |
$0.00 | 7,873 | 4,324 |
|
Samuel Vazquez
23 Heraclio Mendoza Street |
$4.01 | 7,306 | 4,465 |
|
Ivan Guzman-Ortiz
Edif Prof Hospital Menonita |
$36.31 | 7,229 | 4,982 |
|
Luis Cesar Fernandez
Nunez Romeu |
$0.01 | 6,433 | 3,139 |
|
Sonia Ortiz-Pagan
Advanced Breast Center, Carr 14 Km 72.2 |
$49.10 | 5,867 | 5,128 |
|
Jose Antonio Rodriguez
Carr 14 |
$34.41 | 5,711 | 4,438 |
|
Victor A. Ortiz
162 Sur Munoz Rivera Street |
$0.00 | 5,558 | 3,254 |
|
Gloria Lymari Colon Martinez
5 Ave Jose De Diego E |
$0.09 | 5,508 | 4,946 |
|
Floren E Perez
Edificio Oficinas Medicas Menonita |
$38.14 | 4,948 | 3,633 |
|
Ana Teresa Santos
Hospital Menonita |
$66.93 | 4,597 | 3,272 |
|
Omayra Reyes Santiago
Carr 14 Km 71.9 |
$58.96 | 4,255 | 3,499 |
|
Luis F. Garcia - Lopez
12 Calle Barbosa N |
$48.86 | 4,019 | 3,495 |
|
Claudino Arias
Centro Fisiatnzo Del Plata Calle Luis Bevieras |
$54.16 | 3,591 | 2,853 |
|
Julio Cesar Fernandez Rodriguez
Calle Nunez Romeu |
$0.11 | 3,516 | 1,611 |
|
Hector A Santos Rivera
7, Baldorioty Ave. |
$14.44 | 3,492 | 3,096 |
|
Marie D Gonzalez
Ave Jose De Diego 165 Oeste |
$0.00 | 3,440 | 2,185 |
|
Isamuel J. Santos Roales
10 Calle Baldorioty |
$64.93 | 3,417 | 3,026 |
|
Wilfredo Adorno
Bo Beatriz Km 49 1 Carretera Num 1 |
$0.10 | 3,251 | 1,849 |
|
Juan Alberto Delgado Rodriguez
Centro Pediatrico Cayey |
$0.21 | 3,021 | 1,936 |
|
James George Wagner
8000 Ave. J.T. Pinero |
$28.86 | 2,854 | 2,272 |
|
Jose M. Marcial Suarez
Centro Medico Menonita De Cayey |
$54.86 | 2,630 | 2,230 |
|
Angel E. Diaz Serrano
60A Ave Miguel Melendez Munoz |
$0.82 | 2,593 | 2,256 |
|
Marielba Agosto
109 Ave Jose De Diego E |
$66.27 | 2,278 | 2,009 |
|
Jose L. Colon-Dueno
12 Calle Heradio Mendoza E |
$42.30 | 2,263 | 2,067 |
|
Eric Gilberto Hernandez-Ortiz
Liberty Office Plaza Suite 2 |
$53.24 | 2,258 | 1,877 |
|
Nicolas Betancourt-Gomez
174 Calle Luis Barreras S |
$31.90 | 2,121 | 1,648 |
|
Fernando Lopez
Hospital Menonita- Cayey |
$36.86 | 2,030 | 1,876 |
|
Orlando J. Carrasquillo-Navarro
Highway #1 Bo. Monte Lllano Km 55.2 |
$48.57 | 2,011 | 1,759 |
|
Luis Alberto Sanchez-Colon
5 Ave Jose De Diego E |
$54.31 | 1,987 | 1,539 |
|
Luisa Fernanda Angel Buitrago
Barrio Montellano Carr 14 Km 72 |
$151.97 | 1,922 | 1,164 |
|
Haydee Rodriguez
162 Sur Munoz Rivera Street |
$0.00 | 1,875 | 1,202 |
|
Juan Carlos Rivera-Concepcion
Carr 14 Interior Km 0.3 |
$52.62 | 1,840 | 1,128 |
|
Zulmari Campos Santiago
Pr14 Km72.0 Bo Rincon Sector Lomas |
$43.60 | 1,820 | 1,604 |
|
Angel D. Nazario-Rodriguez
Carr 14 Interior Km 0.3 |
$51.53 | 1,755 | 1,287 |
|
Ricardo Diaz Torres
29 Ave Roberto Diaz |
$0.27 | 1,643 | 976 |
|
Agosto Allergy And Immunology Csp
109 Ave Jose De Diego E |
$58.85 | 1,599 | 1,303 |
|
Eurgilia Ovalles
174 Calle Luis Barreras S |
$0.02 | 1,589 | 1,436 |
|
Miriam Martinez-Torres
Hospital Area De Cayey |
$42.83 | 1,496 | 1,358 |
|
Felix R Roque Velazquez
Hospital Menonita De Cayey |
$48.30 | 1,463 | 1,302 |
|
Arnaldo Luis Rosario
Luis Barreras 174 |
$1.62 | 1,431 | 1,207 |
|
Edgar Israel Rodriguez Rivera
52 Calle Salvador Brau |
$35.63 | 1,399 | 1,165 |
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.
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 Cayey, PR
Blood Work & Lab Tests
Avg $10.68
239,693 claims
X-Ray
Avg $6.65
86,059 claims
Dental Cleaning & Exam
Avg $20.72
72,462 claims
Urinalysis & Urine Tests
Avg $3.72
54,572 claims
Physical Therapy
Avg $19.81
38,824 claims
Vaccines & Immunizations
Avg $6.11
36,153 claims
Eye Exam
Avg $24.72
33,924 claims
CT Scan (Computed Tomography)
Avg $51.57
33,232 claims