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 |
|---|---|---|---|
|
Oscar Emilio Rodriguez Lopez
Genova Street, G-31 |
$0.87 | 21,790 | 17,641 |
|
Vidal Enrique Ramos
22 St. 1 |
$1.41 | 21,587 | 18,496 |
|
Yvette Lorraine Pacheco
140 Avenida Las Cumbres |
$0.01 | 14,940 | 13,516 |
|
Israel Alejandro Ruiz-Orona
833 Torre San Miguel |
$31.66 | 14,104 | 12,693 |
|
Leonardo Ortiz
140 Ave Las Cumbres |
$0.31 | 13,139 | 10,397 |
|
Yolanda Pagan Rivera
Carreta 2 Km 7.1 |
$0.02 | 12,609 | 9,012 |
|
Ivan Jose Cortes
44 Calle Carazo |
$23.27 | 12,136 | 8,601 |
|
David Joel Aguirre
Plaza Alejandrino #108 |
$33.24 | 11,288 | 7,938 |
|
Laura Rivera
47 Calle Carazo |
$0.14 | 11,023 | 7,178 |
|
Carmen T Vega Ortiz
Cond Santa Ana |
$0.34 | 10,829 | 9,161 |
|
Johanny Hernandez
140 Ave Las Cumbres |
$0.02 | 9,747 | 8,984 |
|
Santa M Merle
Pmb 182 A-9 Calle Tabonuco |
$54.83 | 8,557 | 7,089 |
|
Marcos Perez-Brayfield
2000 Carr 8177 |
$61.71 | 8,411 | 7,169 |
|
Jose Guillermo Pastrana
Carazo #67 |
$0.91 | 7,828 | 6,333 |
|
Zuania Nunez
Cond. Los Arcos En Suchville |
$14.79 | 7,557 | 5,494 |
|
Gustavo A Cuello Diaz
4 Ernesto Ramos Antonini |
$0.29 | 6,878 | 5,503 |
|
Nestor E Perezcardona
100 Calle Carazo |
$0.20 | 6,772 | 5,890 |
|
Ramon Ochoa-Salcedo
O7 Calle Las Aguilas |
$0.05 | 6,530 | 6,094 |
|
Mayra Z Bonnet Alvarez
Capana Mallery Plaza |
$2.40 | 6,118 | 5,539 |
|
Frances T Serra
31 Calle Carazo |
$25.45 | 5,611 | 4,494 |
|
Maria Gonzalez
6 Calle Ramon Cosme |
$38.21 | 5,542 | 4,584 |
|
Luis Francisco Lojo
F13 Calle Eucalipto |
$35.40 | 5,465 | 3,962 |
|
Eduardo Sastre-Martinez
D-79 Zafiro St. |
$0.44 | 5,001 | 4,645 |
|
Luis A Castro Velez
Centro Internacional De Mercadeo |
$51.61 | 4,928 | 4,461 |
|
Aixa M Mariani
31 Carazo St. |
$2.98 | 4,829 | 4,437 |
|
Edgardo Soto Quinones
Ave.R. Rodriguez B-12 |
$0.02 | 4,573 | 4,214 |
|
Angel M Reyes-Alicea
B1 Calle Argentina |
$43.92 | 4,489 | 3,957 |
|
Denis Ruiz-Serrano
107 Gonzalez Giusti Ave |
$3.82 | 4,487 | 4,396 |
|
Norman Javier De La Rosa
1353 Ave. Luis Vigoreaux |
$75.24 | 4,445 | 3,541 |
|
Angel R Chinea
Centro Internacional De Mercadeo |
$59.09 | 4,324 | 3,976 |
|
Julia T Malavet
26 Calle 2 |
$2.25 | 4,193 | 3,957 |
|
France I Larin
C9 Calle Acuarela |
$58.34 | 4,181 | 3,167 |
|
Maria Victoria Garcia Pallas
59 Calle Cerezo |
$49.14 | 4,081 | 3,200 |
|
Vincent Patrick Walsh
Bucare Urb 2102 Turquesa St. |
$38.98 | 3,894 | 2,813 |
|
Wihelma Echevarria
Pmb 509 - 7891 |
$88.86 | 3,845 | 3,154 |
|
Rs Gastroenterology, Llc
Cond La Coruna Carr 177 |
$59.65 | 3,840 | 3,768 |
|
Javier Gonzalez
Villa Caparra |
$54.79 | 3,775 | 3,358 |
|
Carla Aurelia Rossotti
Main St. A-3 |
$1.79 | 3,766 | 3,332 |
|
Lourdes Nieves-Vazquez
14B Calle Vanda |
$45.34 | 3,671 | 3,238 |
|
Gladys Maria Nevarez
600 Calle 1 |
$0.53 | 3,642 | 3,077 |
|
Nilka Y. Alvarez
13 Camino Los Baez |
$0.32 | 3,627 | 3,174 |
|
Julio A Calcano-Perez
Carr. 1 Km 23.7 |
$53.63 | 3,382 | 3,215 |
|
Francisco F Serrano
15 Ave Esmeralda |
$0.73 | 3,017 | 2,474 |
|
Ileana Vazquez Otero
100 Carr 165 Ste 406 |
$75.78 | 3,008 | 2,578 |
|
Maria De Aranzazu Villamil Jarauta
J4 Calle Hucares |
$93.99 | 2,877 | 2,769 |
|
Artemio Torres-Martinez
49 Street 8 |
$37.67 | 2,793 | 2,291 |
|
Lisette Y. Perez Diaz
1510 Ave Fd Roosevelt |
$43.68 | 2,729 | 1,923 |
|
Jose A Baez Cordova
14B Calle Vanda |
$34.38 | 2,421 | 1,909 |
|
Vanessa Santini Hernandez
Ave Gonzalez Guisti #107 |
$1.26 | 2,363 | 2,148 |
|
Joel A. Cardona Ruiz
76 Calle Union Edificio Jaime Rodriguez |
$0.00 | 2,335 | 2,267 |
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