Average Medicaid Office Visit Payments in Guayama, PR: $20.93
Avg. Paid
$20.93
Range
$0.00 – $96.67
Total Claims
295,105
Providers
89
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 Guayama, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alberto Corica Guinle
Hospital Episcopal Cristo Redentor |
$48.07 | 34,632 | 29,782 |
|
Harold S Bastian
Carretera Num 3 |
$6.53 | 20,442 | 18,693 |
|
Harold William Bastian Vega
El Legado Golf Resort |
$5.23 | 17,050 | 14,944 |
|
Jose A Morales
Los Veteranos Avenue Guayama Medical Center |
$0.00 | 15,897 | 9,980 |
|
Myrta Dennisse Munet
Villa Rosa Iii Pedro Albizu Campos Ave. A-3 |
$0.13 | 15,433 | 12,746 |
|
Lorenzo Emilio Ross Rivera
Urb. Jard. De Monte Olivo |
$0.18 | 14,093 | 12,211 |
|
Nelia Yejo Vega
Calle 3 Num 80 Sur |
$0.42 | 10,977 | 9,355 |
|
Edward Hernandez
Calle Bade Perez 25 Este |
$44.31 | 10,847 | 8,668 |
|
Rafael O. Rendon
7 Parq Interamericana |
$0.96 | 8,003 | 7,146 |
|
Dalvin Olivero
Calle Enrique Glez #2 Esq Calimano |
$0.06 | 7,135 | 4,444 |
|
Alvin Romero-Cales
45 Calle Palmer N |
$0.14 | 6,842 | 5,377 |
|
Rafael Caballero-Torres
Ave Los Veteranos Esq Calle 2 Urb Villa Rosa I |
$78.12 | 6,836 | 6,281 |
|
Samuel A Gonzalez
La Fuente Town Center |
$60.72 | 6,501 | 5,583 |
|
Apcg Urology C S P
Hospital Episcopal Cristo Redentor |
$47.86 | 6,416 | 6,075 |
|
Robexi Del R. Angeli Velazquez
Ave. Pedro Albizu Campos |
$45.46 | 6,273 | 5,518 |
|
Ruben Lugo Zambrana
A-3 Villa Rosa Iii |
$57.45 | 5,284 | 4,662 |
|
Luis R Miranda-Iglesias
Avda Ashford #128 |
$34.79 | 5,125 | 4,498 |
|
Jeffrey Quinones
La Fuente Town Ctr |
$0.57 | 5,038 | 4,280 |
|
Juan A Tosado Polanco
Urb La Hacienda Avenida Albizu Campos |
$52.03 | 5,025 | 4,388 |
|
Luis A Lugo Medina
7 Calle Baldorioty E |
$1.06 | 4,824 | 4,185 |
|
Jessica Colon
Hospital Episcopal San Lucas |
$0.55 | 4,728 | 3,856 |
|
Luke Nelson
Num 80 Calle 3 Sur |
$0.74 | 4,618 | 3,872 |
|
Jorge J Lopez Del Pozo
80 Calle 3 S |
$0.80 | 4,530 | 4,091 |
|
Olga W. Bermudez Ramirez
Hospital Menonita, Guayama |
$55.65 | 4,420 | 4,100 |
|
Zinnia Enid Picart
Ave. Los Veteranos B-4 Villa Rosa 1 |
$0.01 | 4,375 | 3,237 |
|
Gustavo R Sanchez
23 Oeste Calle Baldorioty |
$64.53 | 4,001 | 3,460 |
|
Juan Jose Rivera
Hospital Episcopal Cristo Redentor |
$47.03 | 3,982 | 927 |
|
Helios A Zeno
Albizu Campos Esq. La Hacieda |
$0.00 | 3,906 | 2,784 |
|
Jorge L Robles
Avenida Pedro Albizu Campos |
$46.77 | 3,392 | 3,245 |
|
Nilsa M. Vizcarrondo
Street 5 |
$26.28 | 3,334 | 2,861 |
|
Pedro N Cadiz Miranda
Urb El Dorado Calle Magnolia B7 |
$2.05 | 2,762 | 2,425 |
|
Lysander Borrero
Ave. Ashfort-Urb. Gibraltar #1 Oficina-3(Bajos) |
$0.26 | 2,667 | 2,033 |
|
Luis Antonio Melendez
41 Calle San Jose W |
$0.00 | 2,480 | 2,070 |
|
Leroy A Perez
Ave Los Veteranos |
$0.22 | 2,213 | 2,011 |
|
Mildred Torres
Street 9 #379 |
$1.75 | 2,132 | 1,933 |
|
Alberto L Candelario Pieve
La Fuente Town Ctr |
$22.09 | 2,070 | 1,126 |
|
Jose Luis Lebron Velazquez
Calle Francisco G. Bruno #106 Oeste |
$0.00 | 1,968 | 1,552 |
|
Ramphis Alexis Morales Lopez
Urb. La Hacienda |
$30.67 | 1,965 | 1,180 |
|
Raul Del Valle Arroyo
110 Calle Luis Venegas N |
$1.10 | 1,864 | 1,404 |
|
Angel M Quinones Rodriguez
3 Ave Los Veteranos |
$28.53 | 1,805 | 1,437 |
|
Migdalia Polanco
Enrique Gonzalez Street #2 |
$0.00 | 1,731 | 1,194 |
|
Jose G Fourquet
Calle 1#1 |
$0.99 | 1,710 | 1,529 |
|
Cristina Elizabeth Lorenzo Puesan
128 S Calle Ashford |
$0.04 | 1,465 | 1,052 |
|
Jens Suero - Lora
Hospital Menonita De Guayama Suite 208 |
$44.20 | 1,463 | 1,333 |
|
Alexis Valentin Rodriguez
B-10 Calle Magnolia |
$77.49 | 1,129 | 918 |
|
Edwin Bannacek Lopez
Calle Francisco G Bruno #48 Oeste Esquina San Antonio |
$0.00 | 1,030 | 733 |
|
Liz Marie Ortiz Lopez
Urb. Jardines De Monte Olivo |
$3.42 | 916 | 846 |
|
Jose V Rivera Irizarry
83 Calle Esteban B Cruz Ste 3 |
$0.73 | 818 | 672 |
|
Aurelio Santiago Fortier
26 Calle Ashford N |
$0.02 | 657 | 592 |
|
Luis A Vazquez Moyet
Ave. Pedro Albizu Campos Urb. La Hacienda |
$96.67 | 598 | 528 |
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 Guayama, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Guayama, PR is $20.93 per claim, based on 295,105 claims from 89 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 Guayama, PR?
There are 89 Medicaid providers offering Office Visit related services in Guayama, PR according to public payment data.
What is the price range for Office Visit in Guayama, PR?
Medicaid reimbursement for Office Visit in Guayama, PR ranges from $0.00 to $96.67 per claim, with an average of $20.93. 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 Guayama, PR
Blood Work & Lab Tests
Avg $8.32
152,320 claims
Eye Exam
Avg $36.56
80,519 claims
Emergency Room Visit
Avg $64.35
70,012 claims
Dental Cleaning & Exam
Avg $18.75
48,347 claims
Urinalysis & Urine Tests
Avg $3.15
37,793 claims
Physical Therapy
Avg $29.55
36,683 claims
Psychiatric Evaluation
Avg $19.50
36,199 claims
Ultrasound
Avg $68.88
33,449 claims