Average Medicaid Office Visit Payments in Hormigueros, PR: $17.23
Avg. Paid
$17.23
Range
$0.00 – $85.95
Total Claims
68,532
Providers
21
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 Hormigueros, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rafael Acevedo
Urb. Monte Bello C-55 |
$52.75 | 17,597 | 14,534 |
|
Rosanna Ramos Martell
6 Ave Luis Munoz Marin |
$2.78 | 10,048 | 7,817 |
|
Ingrid Gonzalez
8 Calle Luis Munoz Marin |
$0.97 | 6,804 | 6,357 |
|
Juan E Mendez Servera
St.7 Urb.La Monserrate H-6 |
$0.58 | 6,173 | 4,841 |
|
Carl Nelson Cruz
Mateo Fajardo 8 |
$0.18 | 5,166 | 3,850 |
|
Jose A Carrero
Sg8 Calle Azalea |
$0.07 | 4,664 | 2,997 |
|
Carmen Elizabeth Rodriguez-Gonzalez
Carr 2 Km 365 Plaza Monserrate 3 Local 4 |
$0.22 | 4,171 | 3,066 |
|
Maria C Perez Marrero
Calle Mateo Fajardo 8 |
$0.52 | 3,260 | 2,727 |
|
Sports And Pain Interventions Psc
C55 Calle 4 |
$59.33 | 2,803 | 2,646 |
|
Luz M Jimenez Morales
Carr. #2 Int. Carr. 345 Km. 164.4 |
$0.58 | 2,738 | 2,325 |
|
Jorge L Negron Baez
Julio Perez Irizarry 18 |
$0.04 | 1,411 | 955 |
|
Simon Enrique Carlo
Valle Hermoso Shopping Center |
$0.84 | 1,356 | 716 |
|
Luis Alfredo Alvarez-Arroyo
26 Calle General Duverge |
$0.00 | 679 | 510 |
|
Xavier J Alers-Cardona
Plaza Monserrate 3 Road 2 Km 365 |
$0.62 | 561 | 385 |
|
Efrain Ricardo Vidal Cabanas
Urb Valle Hermoso Arriba C/Tito N1 |
$47.39 | 297 | 236 |
|
Jeannette S. Troche
Plaza Monserrate 345 Rd. Km. 2.1 |
$0.00 | 287 | 276 |
|
Melissa Collado Mercado
Plaza Monserrate Shopping Center B-1 |
$85.95 | 250 | 151 |
|
Gold Star Medical Llc
2 Ave Luis Munoz Marin |
$3.05 | 149 | 125 |
|
Nancy Ortiz-Camacho
Calle 345 Km 4.6 Int |
$31.15 | 63 | 55 |
|
Edward A Perez
510 Plaza Constancia |
$70.39 | 41 | 41 |
|
Francisco F Noel Irizarry
Jardines #3 |
$0.00 | 14 | 13 |
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 Hormigueros, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hormigueros, PR is $17.23 per claim, based on 68,532 claims from 21 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 Hormigueros, PR?
There are 21 Medicaid providers offering Office Visit related services in Hormigueros, PR according to public payment data.
What is the price range for Office Visit in Hormigueros, PR?
Medicaid reimbursement for Office Visit in Hormigueros, PR ranges from $0.00 to $85.95 per claim, with an average of $17.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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Avg $81.86
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Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Hormigueros, PR
Physical Therapy
Avg $19.86
171,639 claims
Blood Work & Lab Tests
Avg $9.83
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Avg $19.34
16,056 claims
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Avg $3.21
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Avg $5.08
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Avg $36.61
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Avg $26.75
2,330 claims
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Avg $30.87
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