Average Medicaid Office Visit Payments in Guaynabo, PR: $21.25
Avg. Paid
$21.25
Range
$0.00 – $138.08
Total Claims
393,125
Providers
147
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 Guaynabo, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maribelle Gonzalez
Carr. 2 M-239 |
$0.00 | 13 | 13 |
|
Jose Manuel Morales
35 Calle Juan C Borbon |
$68.20 | 13 | 13 |
|
Salvador Pabon Cortes
107 Gonzalez Guisti Ave |
$0.00 | 14 | 14 |
|
Wilmer H Valentin Gonzalez
8 Ave Las Cumbres |
$59.74 | 14 | 14 |
|
Antolin J Padilla
67 Carazo St |
$0.00 | 19 | 19 |
|
Lionel Fernandez-Lopez
5 Calle Crisalida |
$0.00 | 19 | 16 |
|
Daniel Arzola-Castaner
8 Ave Las Cumbres # 205 |
$14.78 | 21 | 12 |
|
Grupo De Servicios Especializados En Psicologia E Intergativos Corp
Bucare 2100, Calle Esquina Turquesa |
$0.00 | 24 | 16 |
|
Hand Specialized Psc
50 Ave Lopategui |
$73.62 | 27 | 27 |
|
Ppluis Echegaray
Maramar Plaza 1250 |
$101.20 | 27 | 26 |
|
Eilyn De Jesus Gonzalez
Cond Los Arcos Suchville |
$0.00 | 30 | 26 |
|
Jonathan Torres-Luna
Torre Medica Auxilio Mutuo |
$3.74 | 37 | 25 |
|
Edgardo Jose Adorno-Fontanez
Cond Vista De Los Frailes 150 Carr 873 |
$91.16 | 40 | 40 |
|
Centro Medico Diagnostico Munoz Rivera
59 Ave Esmeralda |
$1.34 | 40 | 38 |
|
Miriam E. Rios Motta
Centro Internacional De Mercadeo Suite 306 |
$85.16 | 42 | 40 |
|
Franchesca Fiorito-Torres
59 Ave Esmeralda |
$67.10 | 44 | 39 |
|
Melissa Maite Ruiz Rodriguez
101 Ave San Patricio Ste 1260 |
$64.25 | 45 | 38 |
|
Jorge L Suria-Colon
C1 Calle Nogal |
$2.24 | 49 | 17 |
|
Luis Raul Echevarria Arroyo
17 Calle San Jose Apt 702 |
$32.31 | 52 | 52 |
|
Angela Mendez De Guzman
14 Calle G |
$15.45 | 57 | 56 |
|
Carlos A. Bujosa
112 Calle Carazo |
$0.00 | 58 | 56 |
|
Alvaro U Aranda- Rodriguez
101 Ave San Patricio Ste 1240 |
$94.23 | 61 | 53 |
|
Luis Ambert
Cond El Bosque Apt 1608 |
$56.02 | 61 | 60 |
|
Wilfredo Rodriguez Arboleda
C2 Ave Alejandrino |
$42.72 | 69 | 66 |
|
Karla C Alejandro
101 Ave San Patricio |
$24.02 | 70 | 68 |
|
Alina Pradere Alonso
58 Ave Esmeralda |
$0.00 | 70 | 70 |
|
Milciades Mercedes Maldonado
140 Ave Las Cumbres |
$20.82 | 73 | 73 |
|
Gerald C Mazo
B9 Calle Isabel La Catolica |
$33.55 | 74 | 74 |
|
Laboratorio Clinico Las Colinas Inc.
Centro Comercial Jardines Reales |
$0.00 | 79 | 61 |
|
Frank H. Benitez
C9 Calle Acuarela |
$4.17 | 80 | 78 |
|
Jimmy J Julia-Martinez
101 Ave San Patricio |
$51.00 | 82 | 59 |
|
Advanced Cardiology, Psc
35 Calle Juan C. Borbon |
$73.58 | 82 | 79 |
|
Cristina Maria Cabret Aymat
101 Ave San Patricio Ste 1010 |
$138.08 | 82 | 78 |
|
Marina Torres Torres
Guaynabo Medical Mall, 140 Las Cumbres Ave |
$106.45 | 83 | 47 |
|
Luis Francisco Acevedo Rodriguez
Calle - E, Plaza Guaynabo |
$0.00 | 87 | 87 |
|
Rocio Feliu Dominguez
101 Ave San Patricio Ste 1050 |
$57.85 | 87 | 84 |
|
Miguel Velazquez-Villanueva
140 Ave Las Cumbres Suite 202 |
$34.07 | 88 | 78 |
|
Paola Mansilla-Letelier
22 Calle Gonzalez Giusti Ste 220 |
$82.00 | 108 | 100 |
|
Maria L Miranda Cruz
Urb Tintillo Gardens |
$0.00 | 121 | 115 |
|
R&H Pediatric Epilepsy , Llc
Maramar Plaza , Ave San Patricio 101 |
$82.88 | 125 | 121 |
|
Felix Daniel Schmidt
Cond. Plaza Esmeralda |
$0.00 | 143 | 95 |
|
Iris E. Rodriguez-Delgado
1509 Ave Fd Roosevelt Ste 310 |
$0.00 | 157 | 42 |
|
Rene E Velez Rodriguez
2122 Calle Onfala |
$0.00 | 162 | 123 |
|
Jorge A. Aldrich
101 Ave San Patricio |
$26.22 | 181 | 121 |
|
Edwin Geordy Perez
C/4 A-17 |
$0.71 | 195 | 188 |
|
Municipio Autonomo De Guaynabo
Las Cumbres Avenue, 199 Street |
$0.00 | 203 | 134 |
|
Carlos Juan Perez Lopez
V4 Monte Del Estado |
$73.26 | 228 | 203 |
|
Ccs Psc
Ave Palma Real |
$63.65 | 233 | 212 |
|
Msa Corp.
B2 Dr. Ramos Mimoso Street |
$28.24 | 238 | 235 |
|
Patricia Rosa Moreno
59 Ave Esmeralda |
$0.29 | 277 | 213 |
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 Guaynabo, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Guaynabo, PR is $21.25 per claim, based on 393,125 claims from 147 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 Guaynabo, PR?
There are 147 Medicaid providers offering Office Visit related services in Guaynabo, PR according to public payment data.
What is the price range for Office Visit in Guaynabo, PR?
Medicaid reimbursement for Office Visit in Guaynabo, PR ranges from $0.00 to $138.08 per claim, with an average of $21.25. 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 Guaynabo, PR
Non-Emergency Medical Transportation
Avg $40.66
697,457 claims
Dental Cleaning & Exam
Avg $21.63
194,536 claims
Ambulance Transport
Avg $81.10
127,596 claims
Blood Work & Lab Tests
Avg $9.72
107,991 claims
X-Ray
Avg $9.23
71,981 claims
Emergency Room Visit
Avg $74.74
60,878 claims
Speech Therapy
Avg $42.99
52,734 claims
Eye Exam
Avg $30.30
50,793 claims