Average Medicaid Office Visit Payments in Fajardo, PR: $5.92
Avg. Paid
$5.92
Range
$0.00 – $96.33
Total Claims
237,185
Providers
69
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 Fajardo, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Departamento De Salud Oficial
Hospital Himma San Pablo |
$63.93 | 13 | 13 |
|
Maria M. Wiscovitch
Carretera 194 Cc21 Fajardo Gardens |
$57.08 | 14 | 13 |
|
Luis Armando Arraut-Ramirez
G5 Calle Principal |
$0.00 | 14 | 14 |
|
Sebastian Alexis Bonilla Benitez
404 Ave General Valero |
$0.00 | 17 | 16 |
|
Maria L Perez
52 Calle Celis Aguilera N |
$0.00 | 27 | 26 |
|
Miguel J Morales -Vales
98 Calle Garrido Morales E |
$0.00 | 45 | 38 |
|
Jose E Otero Garcia
410 Ave General Valero |
$64.21 | 46 | 46 |
|
Integrate Community Health System
Carr # 3, Km 43.8 |
$70.92 | 57 | 55 |
|
Wanda Ivette Vidal
Ave. General Valero #404 |
$0.00 | 68 | 65 |
|
Pablo E. Monserrate
G1 Calle San Mateo |
$1.05 | 77 | 71 |
|
Adeliz Figueroa Maldonado
Urb Baralt I 20 |
$6.96 | 103 | 88 |
|
Francisco J Vizcarrondo
305 Ave General Valero |
$80.76 | 104 | 82 |
|
Leonel Enrique Guerrero Rodriguez
Torre San Pablo Del Este, Suite 401 |
$38.93 | 129 | 109 |
|
Jamil Abouelhossen
Torre San Pablo Del Este |
$0.00 | 131 | 113 |
|
Jettie Danilsa Alvarez Suero
375 Ave. Osvaldo Molina Esq. General Valero |
$0.00 | 132 | 86 |
|
Steven Rivas
#410 Ave. General Valero |
$32.44 | 137 | 131 |
|
Jose R Alvarez-Ruiz
Hosp. Hima-San Pablo, Fajardo |
$75.39 | 158 | 126 |
|
Iolani Garcia
404 Ave General Valero |
$0.00 | 168 | 153 |
|
Maritza Melendez Nieves
302 Ave General Valero |
$0.31 | 191 | 162 |
|
Agapito Fontanez Nieves
55 Calle Del Carmen W |
$3.38 | 203 | 192 |
|
Angel Sanchez
Calle General Valero 410 Ofic. 502 |
$37.59 | 219 | 217 |
|
Robert Adeyemi
F5 Calle Principal |
$2.38 | 284 | 253 |
|
Glorimar Santos
410 Ave General Valero |
$60.31 | 337 | 296 |
|
Luz Nilsa Cortes
410 Ave General Valero |
$23.97 | 394 | 356 |
|
Livia M. Bermudez
303 General Valero Ave |
$15.07 | 428 | 414 |
|
John N Velazquez Rodriguez
404 Ave General Valero |
$2.58 | 452 | 301 |
|
Ramon Antonio Pastrana Maldonado
Calle Union Num 10 Este |
$0.09 | 542 | 485 |
|
Carlos Manuel Tejeda
Ave. General Valero 410 |
$54.09 | 674 | 566 |
|
Angel Jose Quesada Alonso
Ave General Valero 303 |
$96.33 | 682 | 612 |
|
Servicios Medicos Integrados De Fajardo, P.S.C.
I24 Calle Principal |
$0.02 | 861 | 809 |
|
Costa Este Medical Services Llc
Ave Principal F4 |
$19.14 | 1,008 | 880 |
|
Gerardo Tejedor Gonzalez
#55 Calle Del Carmen |
$1.43 | 1,079 | 1,036 |
|
Noosha Baqi
Hospital Hima- San Pablo |
$36.24 | 1,163 | 1,065 |
|
Sonia Enid Ortiz Flores
410 Ave General Valero |
$0.28 | 1,224 | 1,111 |
|
Benjamin Ricardo Velazquez
Ave Principal G 19 Urb Baralt |
$2.13 | 1,227 | 1,154 |
|
Wilfredo R Rivera Esquerdo
Torre San Pablo Del Este Suite 204 |
$6.18 | 1,234 | 1,066 |
|
Josselyn G Molina Avila
375 Ave General Valero Ste 105 |
$0.00 | 1,388 | 1,187 |
|
Jaime Enrique Rodriguez
151 Ave Osvaldo Molina |
$0.16 | 1,422 | 1,342 |
|
Eugenio Gomez Garcia
Avenida Principal |
$5.49 | 1,842 | 1,800 |
|
Rafael J Carrillo-Carambot
10 Calle Un E |
$82.94 | 1,849 | 1,430 |
|
Hildeberto Blasco
Ave Principal Baralt # F4 |
$1.95 | 1,925 | 1,685 |
|
Dimas J Ferrer Torres
Av. General Valero, Km.2.6 Carr.194, Edificio 404 |
$44.94 | 2,026 | 1,786 |
|
Jose M Mendez Jiminian
Ave General Valero # 353 |
$0.35 | 2,315 | 2,216 |
|
Jose Ruben Fernandez Brito
311 Ave General Valero |
$3.13 | 2,861 | 2,627 |
|
Grace Palmer Quinones
#55 Calle Del Carmen |
$1.53 | 2,906 | 2,814 |
|
Noelia Rodriguez-Perez
Ave. Conquistador Edificio Conquistador Plaza |
$3.37 | 3,224 | 3,131 |
|
Mei-Ling Rivera
Garrido Morales #98 Oficina 101 |
$1.44 | 3,292 | 2,530 |
|
Luis A Perez-Cruz
Conquistador Ave. R-25 |
$3.36 | 3,807 | 2,857 |
|
Alexis David Rivera-Davila
General Valero Avenue 410 |
$3.44 | 4,280 | 4,106 |
|
Awilda A Franco-Matta
Ave Conquistador A-45 |
$0.03 | 4,304 | 3,937 |
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 Fajardo, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fajardo, PR is $5.92 per claim, based on 237,185 claims from 69 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 Fajardo, PR?
There are 69 Medicaid providers offering Office Visit related services in Fajardo, PR according to public payment data.
What is the price range for Office Visit in Fajardo, PR?
Medicaid reimbursement for Office Visit in Fajardo, PR ranges from $0.00 to $96.33 per claim, with an average of $5.92. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Fajardo, PR
Blood Work & Lab Tests
Avg $2.85
427,587 claims
Urinalysis & Urine Tests
Avg $1.01
98,710 claims
Vaccines & Immunizations
Avg $4.99
87,855 claims
Dental Cleaning & Exam
Avg $21.36
58,702 claims
Hearing Test (Audiometry)
Avg $24.03
57,148 claims
Eye Exam
Avg $29.92
44,704 claims
Psychiatric Evaluation
Avg $5.78
31,753 claims
Emergency Room Visit
Avg $69.27
29,936 claims