Average Medicaid Office Visit Payments in Hato Rey, PR: $13.99
Avg. Paid
$13.99
Range
$0.00 – $68.86
Total Claims
88,036
Providers
40
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 Hato Rey, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jorge Bertran Pasarell
Ave. Ponce De Leon Stop 37 1/2 |
$26.55 | 12 | 12 |
|
Margarita Bruno-Padilla
Ave Domenech Final |
$35.74 | 13 | 12 |
|
Rodrigo Diaz
Ave Fd Roosevet 400 |
$62.95 | 14 | 13 |
|
Zulma A Gonzalez
Ave Ponce De Leon |
$13.53 | 17 | 17 |
|
Miguel Angel Luis Vazquez Guzman
51 Calle Ponce |
$19.61 | 24 | 24 |
|
Integrate Community Health System
Urb El Vedado #426 |
$2.15 | 46 | 46 |
|
Iniciativa Comunitaria De Investigacion
61 Calle Quisquella |
$43.63 | 59 | 48 |
|
Jorge Arzola Colon
Ave. Ponce De Leon |
$11.06 | 78 | 50 |
|
Ricardo Camayd Aragunde
Ave Domenech 281 |
$0.72 | 125 | 92 |
|
Gishlaine Alfonso
Clinica Las Americas Suite 402 |
$38.29 | 134 | 104 |
|
Alexandra Campis-Valentin
400 Ave Roosevelt |
$36.22 | 198 | 176 |
|
Rv Anesthesia Associates, Psc
435 Ave Ponce De Leon |
$31.04 | 278 | 277 |
|
Adisbeth Morales Burgos
735 Ave Ponce De Leon |
$14.57 | 315 | 264 |
|
Bienvenida Arocho
205 Calle Duarte |
$42.54 | 342 | 305 |
|
Gloria M. Gonzalez - Tejera
Ave. Roosevelt 400 |
$6.55 | 422 | 385 |
|
Alexis Sanchez-Arneilla
Hospital Del Maestro #550 Sergio Cuevas Bustamante |
$50.92 | 453 | 425 |
|
Roberto Oliveras Marquez
#400 Roosevelt Ave Fd |
$24.28 | 580 | 336 |
|
Rafael Pastrana Laborde
735 Ave Ponce De Leon |
$39.97 | 623 | 531 |
|
Zenaida Diaz Rodriguez
Ave Domenech 383 |
$57.45 | 780 | 735 |
|
Arturo Lopez-Negron
Las Americas Professional Center, 400 Domenech Avenue |
$18.95 | 783 | 772 |
|
Miguel Manuel Iturregui
Ponce De Leon #735 |
$68.86 | 835 | 800 |
|
Luis Javier Santos Reyes
Ave. Ponce De Leon #735 |
$43.37 | 1,297 | 961 |
|
Milka Vega Perez
122 Ave Eleonor Roosevelt |
$16.05 | 1,678 | 1,618 |
|
William Arturo Townsend-Pico
735 Ave Ponce De Leon |
$43.38 | 1,825 | 1,357 |
|
Juan L. Romero-Basso
239 Arterial Hostos Suite 806 |
$44.56 | 2,442 | 1,823 |
|
Rhina M Calderon
715 Ave Ponce De Leon |
$0.13 | 2,442 | 2,291 |
|
Raul Roura Arias
285 Ave. Domenech |
$56.95 | 2,452 | 2,224 |
|
Jorge Efrain Rodriguez
525 Fd Roosvelt Torre Plaza Las Americas |
$31.44 | 2,457 | 2,068 |
|
Edwin A Cuevas
Domenech 500 |
$0.37 | 2,611 | 1,843 |
|
Veronica Maria Colon-Falcon
735 Ave Ponce De Leon |
$0.65 | 3,446 | 2,277 |
|
Adanette Wiscovitch
Ponce De Leon Ave Auxilio Mutuo |
$45.48 | 3,472 | 3,173 |
|
Pablo Cruzado Santiago
Ave. Cesar Gonzalez 576 |
$1.12 | 3,579 | 3,178 |
|
Franz Edward Stiehl Betancourt
200 Calle Juan P Duarte |
$2.03 | 4,375 | 3,819 |
|
Gert Harold Wandersleben Mihovilovic
Ipa 513 Calle Mayaguez |
$0.37 | 5,435 | 4,699 |
|
Julissa Laurie Cirilo
715 Ave Ponce De Leon Stop 37.5 |
$0.00 | 6,062 | 3,527 |
|
Jehnsen Carrasquillo
715 Ave Ponce De Leon Stop 37.5 |
$0.23 | 6,479 | 4,351 |
|
Brenda Ojeda
C Guarionez Local 7 |
$0.81 | 7,174 | 6,850 |
|
Herminio J Olivero
Ave Ponce De Leon 431 |
$13.00 | 7,374 | 6,304 |
|
Alexander Lee Segal
239 Ave. Arterial Hostos, Capital Center |
$27.80 | 8,392 | 5,176 |
|
Pascual Merlos
C Guarionez Local 7 |
$0.35 | 8,913 | 8,712 |
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 Hato Rey, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hato Rey, PR is $13.99 per claim, based on 88,036 claims from 40 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 Hato Rey, PR?
There are 40 Medicaid providers offering Office Visit related services in Hato Rey, PR according to public payment data.
What is the price range for Office Visit in Hato Rey, PR?
Medicaid reimbursement for Office Visit in Hato Rey, PR ranges from $0.00 to $68.86 per claim, with an average of $13.99. 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 Hato Rey, PR
Blood Work & Lab Tests
Avg $9.93
141,019 claims
Ultrasound
Avg $78.77
52,490 claims
Mammogram
Avg $74.64
39,081 claims
Urinalysis & Urine Tests
Avg $3.27
32,940 claims
X-Ray
Avg $18.42
24,166 claims
Psychiatric Evaluation
Avg $3.23
23,985 claims
Dental Cleaning & Exam
Avg $20.42
17,058 claims
Pathology & Lab Services
Avg $82.85
13,050 claims