Average Medicaid Office Visit Payments in Gurabo, PR: $6.62
Avg. Paid
$6.62
Range
$0.00 – $84.74
Total Claims
146,688
Providers
48
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 Gurabo, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julio D Cordero
Carr 931 Km 5.4 |
$0.07 | 18,321 | 13,725 |
|
William Fred
Lopez Sanches #100 |
$0.30 | 10,799 | 8,895 |
|
Jose A. Nieves Ramirez
3 Calle Matadero Sur |
$0.00 | 10,551 | 9,117 |
|
Provimely Alvarez
Plaza Gurabo |
$0.04 | 9,872 | 6,895 |
|
Miguel Ali Velazquez Valle
Calle San Antonio Final #941 Salida Barrio Jaguas |
$4.23 | 7,907 | 6,706 |
|
Arminda Iguina Goitia
Carr 941 |
$6.75 | 7,838 | 6,593 |
|
Ketsy Pagan Mercado
Carr 941 |
$0.01 | 7,692 | 5,353 |
|
Jose David Santos
Calle San Jose 52 |
$0.00 | 6,115 | 5,295 |
|
Paquita Lee Moya
Calle Andres Aruz Rivera #166 |
$0.22 | 6,044 | 5,756 |
|
Francisco Rodriguez Ramos
Street 3 D4 Urb Villa Del Carmen |
$10.37 | 5,282 | 4,691 |
|
Rafael Rivera
Gran Vista Ii |
$0.09 | 4,844 | 3,400 |
|
Edgardo L Febo Salgado
Calle Santiago Bajos |
$1.94 | 4,404 | 3,536 |
|
Keydi Nicole Betancourt Gonzalez
Carr. 941 Salida Bo. Jaguas Calle San Antonio Final |
$2.74 | 4,388 | 3,498 |
|
Jesus Manuel Santos Elosegui
Carr 189 Km 7.8 |
$59.04 | 3,421 | 3,092 |
|
Fausto Boria
Carr 189 Km 3.5 |
$47.05 | 3,413 | 2,986 |
|
Hector A Correa Colon
Calle Santiago Norte #104 |
$0.01 | 3,348 | 2,648 |
|
Felix M Acosta
Calle 1, Urb El Vivero D-12 |
$0.36 | 3,225 | 2,048 |
|
John Michael Danet
Los Altos 202 |
$34.29 | 3,139 | 2,968 |
|
Luis Raul Santos Lopez
Los Maestros 3 |
$10.13 | 2,969 | 2,537 |
|
Minela Colon
Villas Del Golf 85 |
$0.00 | 2,823 | 858 |
|
Michelle Moringlane
Hc 2 Box 13066 |
$0.07 | 2,638 | 2,176 |
|
Ricardo M Calderon Ortiz
Calle 66 # 694 |
$56.95 | 2,148 | 1,831 |
|
Tanya Judith Ocasio Franco
Urb Sabanera Del Rio 464 |
$0.00 | 1,970 | 886 |
|
Julio Cesar De Jesus De La Rosa
Urb. Sabanera Del Rio 62, Camino De Los Cedros |
$0.00 | 1,859 | 1,673 |
|
Hermes R. Garcia
#2 Angel C. Morales |
$19.85 | 1,566 | 1,342 |
|
Zelibeth M Gutierrez Arocho
941 Salida Bo. Jaguas Calle San Antonio Final |
$0.12 | 1,464 | 850 |
|
Pedro Sanabria
1 D12 El Vivero |
$0.00 | 1,340 | 1,173 |
|
Sara Yanett Torres
Sabanera Del Rio Mango#287 |
$51.23 | 1,213 | 1,113 |
|
Ana H Vazquez Figueroa
Eugenio Sanchez Lopez |
$41.75 | 861 | 799 |
|
Iliana Alicea
Hc 3 Box 8911 |
$0.00 | 804 | 707 |
|
Lourdes M Correa
104 Calle Santiago N |
$0.00 | 770 | 217 |
|
Neomed Center, Inc
941 San Antonio Final St Rt |
$24.03 | 760 | 625 |
|
Ishell Y. Calzada
149, Veredas |
$0.33 | 732 | 580 |
|
Tania Marie Oyola Rosario
941 Salida Bo. Jaguas Calle |
$13.50 | 581 | 474 |
|
Marisel Vazquez Delgado
800 Carr 189 |
$0.27 | 337 | 57 |
|
Victor M Montes
Marina Plaza # 12 Carr. 189 Km 6.3 |
$0.00 | 326 | 241 |
|
Reinaldo Juan Reyes
Guayacan 222 |
$56.49 | 227 | 196 |
|
Jose A Curet Ramos
Street Andres Aruz Rivera 155 |
$1.97 | 167 | 139 |
|
Hector Jose Rodriguez Medina
Carr. 941 Salida Bo. Jaguas |
$0.00 | 126 | 13 |
|
Antonio Rodriguez Perez
Plaza Marina Suite #13 |
$84.74 | 95 | 94 |
|
Nydia L. Perez
111 Calle Malagueta |
$2.62 | 91 | 84 |
|
Carlos Acevedo Vila
Carretera 941 |
$5.62 | 64 | 59 |
|
Ana Yaris Ortiz-Merino
Urb Veredas |
$0.00 | 41 | 35 |
|
Neo Med Center, Inc
Carr 941 Salida |
$0.00 | 36 | 34 |
|
Mediko Red Aliado Corp
Calle Matadero Sur # 3 |
$0.00 | 33 | 17 |
|
Nestor R Ortiz
Calles Andres Aruz Rivera |
$0.00 | 17 | 14 |
|
Emanuel Resto
Hc 1 Box 8033 |
$0.00 | 14 | 13 |
|
Cardio View And Vascular Center Csp
Calle 189 Km 7.8 |
$71.45 | 13 | 12 |
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 Gurabo, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gurabo, PR is $6.62 per claim, based on 146,688 claims from 48 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 Gurabo, PR?
There are 48 Medicaid providers offering Office Visit related services in Gurabo, PR according to public payment data.
What is the price range for Office Visit in Gurabo, PR?
Medicaid reimbursement for Office Visit in Gurabo, PR ranges from $0.00 to $84.74 per claim, with an average of $6.62. 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 Gurabo, PR
Vaccines & Immunizations
Avg $4.65
141,658 claims
Blood Work & Lab Tests
Avg $8.26
140,133 claims
Physical Therapy
Avg $26.95
49,523 claims
Speech Therapy
Avg $45.97
39,567 claims
Urinalysis & Urine Tests
Avg $2.78
30,600 claims
Dental Cleaning & Exam
Avg $21.14
29,030 claims
Eye Exam
Avg $34.26
20,517 claims
Psychiatric Evaluation
Avg $4.31
16,582 claims