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 |
|---|---|---|---|
|
Nestor Alberto Colon Sanchez
#155 Celis Aguilera St |
$0.67 | 21,537 | 17,299 |
|
Efren Rivera Santiago
F4 Ave Principal |
$0.42 | 14,282 | 11,747 |
|
Sarita Montes
Bloque M-1-B, Avenida Conquistador |
$0.18 | 14,066 | 11,523 |
|
Lynda K Torrens Bonano
Ave General Valero 303 |
$0.38 | 13,585 | 11,286 |
|
Costa Este Medical Services Corp
F5 Calle Principal |
$4.45 | 12,979 | 10,564 |
|
Jose Luis Cintron
Ave Osvaldo Molina #151 |
$1.39 | 12,632 | 10,850 |
|
Nydia E Fontanez Reyes
55 Calle Del Carmen W |
$0.85 | 10,731 | 8,783 |
|
Ivette Franceschi Nazario
410 Ave General Valero |
$6.36 | 10,718 | 9,704 |
|
Rosamar Caraballo Lopez
228 Ave B |
$0.67 | 10,620 | 8,162 |
|
Pedro Antonio Pacheco Maldonado
Road 985 Km 4.1 (Box 5323) |
$0.06 | 10,123 | 8,260 |
|
Yma Osorio
Calle Gen Valero |
$42.56 | 9,842 | 7,661 |
|
Alberto Perez Romero
Carretera 987 Hacia Las Croabas, |
$0.01 | 6,311 | 5,348 |
|
Miguel A. De Jesus Ramos
194 Km 2 Hm 4 Ave. General Valero |
$9.94 | 6,249 | 5,736 |
|
Aurora Rodriguez Moran
Calle Munoz Rivera |
$0.37 | 6,196 | 5,092 |
|
Carlos Agapito Fontanez
Ave Osvaldo Molina #151 |
$0.02 | 6,112 | 5,602 |
|
Carmen D Irizarry Ceballos
Celis Aguilera 10B |
$3.25 | 5,748 | 5,076 |
|
Olga Carolina Torres Mendez
410 Ave General Valero Ste 404 |
$21.50 | 4,941 | 4,381 |
|
Arturo Ortiz Ramos
Calle Union #63 |
$0.11 | 4,736 | 3,774 |
|
Julie M Olivencia Sanabria
#55 Calle Del Carmen |
$6.38 | 4,694 | 4,495 |
|
Awilda A Franco-Matta
Ave Conquistador A-45 |
$0.03 | 4,304 | 3,937 |
|
Alexis David Rivera-Davila
General Valero Avenue 410 |
$3.44 | 4,280 | 4,106 |
|
Luis A Perez-Cruz
Conquistador Ave. R-25 |
$3.36 | 3,807 | 2,857 |
|
Mei-Ling Rivera
Garrido Morales #98 Oficina 101 |
$1.44 | 3,292 | 2,530 |
|
Noelia Rodriguez-Perez
Ave. Conquistador Edificio Conquistador Plaza |
$3.37 | 3,224 | 3,131 |
|
Grace Palmer Quinones
#55 Calle Del Carmen |
$1.53 | 2,906 | 2,814 |
|
Jose Ruben Fernandez Brito
311 Ave General Valero |
$3.13 | 2,861 | 2,627 |
|
Jose M Mendez Jiminian
Ave General Valero # 353 |
$0.35 | 2,315 | 2,216 |
|
Dimas J Ferrer Torres
Av. General Valero, Km.2.6 Carr.194, Edificio 404 |
$44.94 | 2,026 | 1,786 |
|
Hildeberto Blasco
Ave Principal Baralt # F4 |
$1.95 | 1,925 | 1,685 |
|
Rafael J Carrillo-Carambot
10 Calle Un E |
$82.94 | 1,849 | 1,430 |
|
Eugenio Gomez Garcia
Avenida Principal |
$5.49 | 1,842 | 1,800 |
|
Jaime Enrique Rodriguez
151 Ave Osvaldo Molina |
$0.16 | 1,422 | 1,342 |
|
Josselyn G Molina Avila
375 Ave General Valero Ste 105 |
$0.00 | 1,388 | 1,187 |
|
Wilfredo R Rivera Esquerdo
Torre San Pablo Del Este Suite 204 |
$6.18 | 1,234 | 1,066 |
|
Benjamin Ricardo Velazquez
Ave Principal G 19 Urb Baralt |
$2.13 | 1,227 | 1,154 |
|
Sonia Enid Ortiz Flores
410 Ave General Valero |
$0.28 | 1,224 | 1,111 |
|
Noosha Baqi
Hospital Hima- San Pablo |
$36.24 | 1,163 | 1,065 |
|
Gerardo Tejedor Gonzalez
#55 Calle Del Carmen |
$1.43 | 1,079 | 1,036 |
|
Costa Este Medical Services Llc
Ave Principal F4 |
$19.14 | 1,008 | 880 |
|
Servicios Medicos Integrados De Fajardo, P.S.C.
I24 Calle Principal |
$0.02 | 861 | 809 |
|
Angel Jose Quesada Alonso
Ave General Valero 303 |
$96.33 | 682 | 612 |
|
Carlos Manuel Tejeda
Ave. General Valero 410 |
$54.09 | 674 | 566 |
|
Ramon Antonio Pastrana Maldonado
Calle Union Num 10 Este |
$0.09 | 542 | 485 |
|
John N Velazquez Rodriguez
404 Ave General Valero |
$2.58 | 452 | 301 |
|
Livia M. Bermudez
303 General Valero Ave |
$15.07 | 428 | 414 |
|
Luz Nilsa Cortes
410 Ave General Valero |
$23.97 | 394 | 356 |
|
Glorimar Santos
410 Ave General Valero |
$60.31 | 337 | 296 |
|
Robert Adeyemi
F5 Calle Principal |
$2.38 | 284 | 253 |
|
Angel Sanchez
Calle General Valero 410 Ofic. 502 |
$37.59 | 219 | 217 |
|
Agapito Fontanez Nieves
55 Calle Del Carmen W |
$3.38 | 203 | 192 |
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