Average Medicaid Office Visit Payments in Guanica, PR: $3.94
Avg. Paid
$3.94
Range
$0.00 – $23.98
Total Claims
24,000
Providers
12
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 Guanica, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nancy R Seda Melendez
Bo Montalva 23 Ensenada |
$0.75 | 6,931 | 5,992 |
|
Waleska Cintron Rodriguez
Bo Montalva 23 Ensenada |
$0.14 | 5,556 | 4,659 |
|
Maria Del R. Suarez
50 Calle San Miguel |
$0.00 | 3,701 | 2,816 |
|
Pascual Muniz
13 Calle Yaguer |
$23.98 | 3,589 | 1,540 |
|
Nestor R. Frontera-Tacoronte
44 Calle 25 De Julio |
$0.23 | 2,333 | 2,124 |
|
Lucas Jorge Riossantoni
12 Calle Yaguer |
$0.44 | 954 | 642 |
|
Jorge Rivera
26 Calle Yaguer |
$0.00 | 519 | 441 |
|
Amilcar Morales Prado
Carr 116 Km 24-7 |
$0.00 | 218 | 175 |
|
Pascual Muniz Ob Gyb Group C.S.P.
13 Calle Yaguer |
$10.27 | 157 | 74 |
|
Ismael Enrique Jusino-Mcdougall
13 De Marzo St |
$0.00 | 14 | 14 |
|
Benjamin Alejandro Vega
10 Calle 25 De Julio |
$0.00 | 14 | 14 |
|
Norman Torres Ortiz
15 Calle Buenaventura Quinones |
$0.00 | 14 | 14 |
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 Guanica, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Guanica, PR is $3.94 per claim, based on 24,000 claims from 12 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 Guanica, PR?
There are 12 Medicaid providers offering Office Visit related services in Guanica, PR according to public payment data.
What is the price range for Office Visit in Guanica, PR?
Medicaid reimbursement for Office Visit in Guanica, PR ranges from $0.00 to $23.98 per claim, with an average of $3.94. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Guanica, PR
Blood Work & Lab Tests
Avg $9.87
37,145 claims
Urinalysis & Urine Tests
Avg $3.69
10,843 claims
Psychiatric Evaluation
Avg $4.48
2,054 claims
Dental Cleaning & Exam
Avg $20.76
1,510 claims
Vaccines & Immunizations
Avg $3.84
1,154 claims
Eye Exam
Avg $24.49
613 claims
Culture & Microbiology Tests
Avg $7.53
431 claims
Emergency Room Visit
Avg $13.30
132 claims