Average Medicaid Office Visit Payments in Guayanilla, PR: $4.53
Avg. Paid
$4.53
Range
$0.00 – $35.98
Total Claims
99,623
Providers
14
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 Guayanilla, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Rodriguez Perez
B2 Calle C |
$0.78 | 13,648 | 11,105 |
|
Alfredo Irizarri
136 Munoz Rivera St. |
$0.13 | 13,584 | 10,671 |
|
Anthony Melendez, Berrios
15 Calle Rufina |
$35.98 | 10,295 | 9,403 |
|
Alex J Cedeno Rodriguez
Bda Guaydia Calle Juan Arzola 110 |
$0.43 | 9,418 | 8,973 |
|
Francisco Nieves-Santiago
C1 Calle Santoni |
$0.36 | 8,954 | 8,277 |
|
Anabis Vera Gonzalez
Quebradas Ward Km. 6.2 |
$0.09 | 8,694 | 7,659 |
|
Enid Santos Cintron
C17 Calle Albarroba |
$5.38 | 8,018 | 6,301 |
|
Jose A Lopez Torres
2 Calle Anasco |
$0.24 | 6,264 | 5,335 |
|
Hector J. Irizarry
136 Calle Luis Munoz Rivera |
$0.54 | 5,718 | 4,905 |
|
Glorieli Ghigliotti-Lugaro
136 Calle Luis Munoz Rivera |
$0.73 | 5,250 | 4,633 |
|
Juan R Pillot Costas
135 Calle Luis Munoz Rivera |
$0.94 | 4,524 | 3,859 |
|
Gloria E Coya Villaraos
27 Calle Rufina |
$1.12 | 3,479 | 2,345 |
|
Carmen N Franceschini Pascual
Munoz Rivera #152 |
$0.30 | 1,748 | 1,663 |
|
Ariel Casiano Sanchez
6 Calle Jose De Diego |
$0.00 | 29 | 24 |
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 Guayanilla, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Guayanilla, PR is $4.53 per claim, based on 99,623 claims from 14 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 Guayanilla, PR?
There are 14 Medicaid providers offering Office Visit related services in Guayanilla, PR according to public payment data.
What is the price range for Office Visit in Guayanilla, PR?
Medicaid reimbursement for Office Visit in Guayanilla, PR ranges from $0.00 to $35.98 per claim, with an average of $4.53. 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 Guayanilla, PR
Blood Work & Lab Tests
Avg $9.64
154,496 claims
Urinalysis & Urine Tests
Avg $4.67
43,193 claims
Vaccines & Immunizations
Avg $5.96
16,279 claims
Dental Cleaning & Exam
Avg $20.40
12,069 claims
Eye Exam
Avg $37.16
5,149 claims
Speech Therapy
Avg $53.09
4,768 claims
Emergency Room Visit
Avg $30.65
4,585 claims
Psychiatric Evaluation
Avg $14.47
1,568 claims