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 |
|---|---|---|---|
|
Gastroenterology Centre C.S.P.
A3 Ave Pedro Albizu Campos |
$23.33 | 12 | 12 |
|
Southeastern Healthcare Holdings Llc
1 Palmer Street Esq Vicente Pales |
$0.00 | 13 | 13 |
|
Sigfredo Santana Morales
Calle Palmer 22 Norte |
$17.25 | 16 | 14 |
|
Jose Miguel Fors Carbonell
Commerce Plaza |
$0.00 | 17 | 12 |
|
Centro Obstetrico Area Sur Este
Ave. Pedro Albizu Campos |
$59.20 | 20 | 14 |
|
Juan Antonio Davila-Lopes
46 Calle Vicente Pales Oeste |
$67.48 | 21 | 12 |
|
Hernandez Buitrago & Sons Inc
47 Calle Baldorioty W |
$0.00 | 26 | 18 |
|
Jose Anglero Ramos
47 Calle Derkes W |
$0.00 | 28 | 28 |
|
Inspira Behavioral Care Corp.
706 La Fuente Town Center Marginal |
$0.00 | 30 | 30 |
|
Angela M Miranda-Rivas
128 Calle Ashford S Ste 104 |
$0.00 | 38 | 31 |
|
Jose Lucas Pimentel Fernandez
#62 Baldorioty Street |
$0.64 | 47 | 47 |
|
Manuel Alberto Fernos Suarez
Hospital Episcopal San Lucas Guayama |
$2.50 | 63 | 57 |
|
David T Sicard Figueroa
44 Calle Santiago Palmer S |
$0.00 | 67 | 55 |
|
Carlos J. Gonzalez Degro
La Fuente Towncenter |
$0.77 | 71 | 71 |
|
Armando Luis Perez De Jesus
128 Calle Ashford S |
$0.00 | 90 | 89 |
|
Ausberto Alejandro Benitez
Calle Ashford |
$1.06 | 93 | 79 |
|
Esteban Linares Martin
La Fuente Town |
$71.83 | 97 | 95 |
|
Carlos M Acevedo Rego
#34 Duque Street |
$0.00 | 98 | 73 |
|
Omayra Caballero
Urb Rexmanor Calle 3 A15 |
$0.00 | 110 | 104 |
|
Southern Health Care Group, Inc.
Southern Medical Plaza |
$2.78 | 110 | 95 |
|
Juan German Miranda
92 Calle Duque |
$32.14 | 113 | 98 |
|
Vision 2000 Guayama, Psc
Commerce Plaza Suite 301 |
$0.52 | 132 | 125 |
|
Hernandez Buitrago & Sons Inc
47 Calle Baldorioty W |
$0.00 | 186 | 96 |
|
Juan C Buitrago
128 South, Ashford Street |
$37.37 | 187 | 178 |
|
Caribbean Health Alliance Psc
La Fuente Town Center |
$40.85 | 199 | 166 |
|
Pedro M Lopez Lopez
Edificio Commerce Plaza |
$0.00 | 292 | 266 |
|
Jesus Zayas
#3 Carretera |
$0.00 | 297 | 141 |
|
Sheila Marie Sustache De Leon
Urb La Pradera 1002 Armadillo Street |
$0.00 | 323 | 299 |
|
Roque Cesar Nido Lanausse
3 Callejon Los Veteranos |
$37.41 | 326 | 267 |
|
Alexis Duprey Colon
22 Ashford |
$38.31 | 329 | 301 |
|
Nestor J. Flores
La Fuente Town Center Suite 211 |
$28.44 | 359 | 335 |
|
Geraldine Enid Batista Irizarry
109 Ave Pedro Albizu Campos |
$13.31 | 364 | 337 |
|
Roque A Nido Nylund
Ave. Los Veteranos #3 |
$7.50 | 376 | 349 |
|
Maria Delcarmen Miranda
Hospital Santa Rosa, Ave. Veteranos, Carr. 33 |
$2.53 | 416 | 395 |
|
Joel J. De Jesus
Marginal Ave. Pedro Albizu Campos |
$63.28 | 444 | 379 |
|
Juliana I Correa Vazquez
El Molino Shopping Center |
$40.46 | 563 | 450 |
|
Ramon C Rivera Morales
Calle Dugues #5 |
$43.71 | 571 | 469 |
|
Jose A Cebollero Marcucci
Hospital San Lucas Guayama Suite 101 |
$55.78 | 575 | 487 |
|
Reymond Feliciano
80 Calle 3 Sur |
$4.59 | 584 | 402 |
|
Luis A Vazquez Moyet
Ave. Pedro Albizu Campos Urb. La Hacienda |
$96.67 | 598 | 528 |
|
Aurelio Santiago Fortier
26 Calle Ashford N |
$0.02 | 657 | 592 |
|
Jose V Rivera Irizarry
83 Calle Esteban B Cruz Ste 3 |
$0.73 | 818 | 672 |
|
Liz Marie Ortiz Lopez
Urb. Jardines De Monte Olivo |
$3.42 | 916 | 846 |
|
Edwin Bannacek Lopez
Calle Francisco G Bruno #48 Oeste Esquina San Antonio |
$0.00 | 1,030 | 733 |
|
Alexis Valentin Rodriguez
B-10 Calle Magnolia |
$77.49 | 1,129 | 918 |
|
Jens Suero - Lora
Hospital Menonita De Guayama Suite 208 |
$44.20 | 1,463 | 1,333 |
|
Cristina Elizabeth Lorenzo Puesan
128 S Calle Ashford |
$0.04 | 1,465 | 1,052 |
|
Jose G Fourquet
Calle 1#1 |
$0.99 | 1,710 | 1,529 |
|
Migdalia Polanco
Enrique Gonzalez Street #2 |
$0.00 | 1,731 | 1,194 |
|
Angel M Quinones Rodriguez
3 Ave Los Veteranos |
$28.53 | 1,805 | 1,437 |
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