Average Medicaid Office Visit Payments in Humacao, PR: $14.01
Avg. Paid
$14.01
Range
$0.00 – $100.33
Total Claims
474,658
Providers
151
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 Humacao, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Facilidades Medicas Asociadas Corp.
150 Ave Font Martelo |
$0.78 | 66,691 | 58,566 |
|
Gumet, Inc.
55 Esq. Ulises Martinez |
$0.68 | 62,740 | 53,084 |
|
Arse Inc.
100 Calle Munoz Marin |
$3.10 | 20,145 | 17,934 |
|
Ruben Guadalupe
Urb. San Antonio |
$46.68 | 14,286 | 10,368 |
|
Leyda Meleny Roman Nieves
Urbanizacion El Recreo |
$1.24 | 12,068 | 7,249 |
|
Wilfred Webster
Padre Rivera St #51 |
$26.27 | 9,650 | 7,683 |
|
Jessenia Marrero
#13 Camino Del Miradero |
$0.00 | 8,893 | 5,567 |
|
Sharon Millan- Aponte
V11 Calle 30 |
$0.00 | 8,793 | 7,194 |
|
Zaida I. Davila
Dufresne #6 |
$0.00 | 8,513 | 7,163 |
|
Carlos Pacheco
Calle Rafael Arroyo Rios #7 |
$10.45 | 8,501 | 7,383 |
|
Griselle Pastrana Rodriguez
355 Font Martelo |
$0.00 | 7,575 | 5,882 |
|
Carlos Eugenio Carrion
55 Calle Ulises Martinez N |
$0.00 | 7,470 | 5,739 |
|
Melvin Enrique Ortiz-Acevedo
57 Calle Font Martelo W |
$0.88 | 7,259 | 5,997 |
|
Hector Luis Sanchez Rivera
158 Font Martelo |
$43.94 | 7,221 | 5,666 |
|
Graciany Miranda
Dufresne Street No.7 |
$62.94 | 7,000 | 5,233 |
|
Ramon Sepulveda-Abreu
108 Calle Font Martelo E |
$15.03 | 6,871 | 6,207 |
|
Lynneth Mercado Rodriguez
Ave. Font Martello |
$0.25 | 6,849 | 5,529 |
|
Lesliane Enid Castro-Santana
3 Calle Font Martelo E |
$49.28 | 6,258 | 5,492 |
|
Monique Adorno Monet
150 Calle Font Martelo |
$0.08 | 6,192 | 4,367 |
|
Yamilka Navarro Figueroa
6 Calle Flor Gerena S |
$0.11 | 6,047 | 4,914 |
|
Maria Del R. De Leon
Calle Luz Dufresne #59W |
$0.30 | 5,537 | 4,181 |
|
William Marquez-Mulero
Calle Carreras #13 |
$0.39 | 5,501 | 4,283 |
|
Madeleine Gutierrez
150 Calle Font Martelo |
$25.92 | 5,286 | 4,084 |
|
Bolivar Burgos
110E Ave Font Martelo |
$0.05 | 5,075 | 4,495 |
|
Gerhardt O Rivera
Carreras # 58 East |
$25.38 | 4,900 | 3,969 |
|
Luis M Fernandez-Brito
Calle Antonio Lopez |
$0.26 | 4,818 | 4,039 |
|
Henry Antonio Zerpa
150 Calle Font Martelo |
$0.32 | 4,394 | 3,472 |
|
Luis C Torrellas Ruiz
47 Calle Font Martelo |
$43.08 | 4,299 | 3,866 |
|
Yamilka Abreu Delgado
Street 924 Km 7.0 Hc 03 |
$69.27 | 4,124 | 3,609 |
|
Diana Delgado
Hospital Ryder |
$0.13 | 4,108 | 3,399 |
|
Redes De Salud Inc.
Ave. Font Martelo 148 |
$12.36 | 4,097 | 3,820 |
|
Jose Sanchez-Lopez
100 Calle Font Martelo W Ste 440 |
$0.02 | 4,022 | 2,611 |
|
Ruddy Hernan Oquendo Maldonado
4 Padre Rivera St |
$0.53 | 3,964 | 2,572 |
|
Manuel Soares Rivera
119 Calle Font Martelo E |
$58.15 | 3,792 | 3,307 |
|
Rosario N Mendez
8 Calle Flor Gerena S |
$45.46 | 3,680 | 3,436 |
|
Freddie Eliu Velazquez-Feliciano
#5 Dufresne St. |
$44.36 | 3,658 | 3,165 |
|
Roberto Velez De Jesus
Carr #3 Km 85.6 Candelero Arriba |
$0.00 | 3,628 | 2,550 |
|
Carlos Enrique Jimenez-Huyke
Suite A-2 Carr 908 Km 0.4 |
$49.12 | 3,408 | 2,771 |
|
Alejandro Calvi
56B Ave. Munoz Marin |
$0.00 | 3,405 | 2,894 |
|
Elba Hilda Algarin
H-43 Font Martidlo Ave |
$0.00 | 3,400 | 2,299 |
|
Annette Del Toro
60 Ave Munoz Marin |
$0.23 | 3,090 | 2,299 |
|
Miguel Eduardo Sosa
# 53 Font Martelo Ave. Este |
$40.64 | 2,974 | 2,679 |
|
Dagmary Purcell
Calle Fort Martelo #355 |
$64.13 | 2,941 | 2,440 |
|
Jose Manuel De La Rosa
Plaza Del Mar Suite |
$0.03 | 2,909 | 1,512 |
|
Yinaris Beatriz Vazquez Torres
# 56 Cruz Ortiz Stella |
$0.00 | 2,906 | 2,395 |
|
Juan Ernesto Carrillo Navas
336 Ave Font Martelo |
$57.12 | 2,899 | 2,415 |
|
Jorge Rivera
Ave. Font Martelo #3 |
$0.01 | 2,837 | 2,354 |
|
Vivian B. Diaz Melendez
#3 Calle Font Martelo |
$66.08 | 2,779 | 2,336 |
|
Juan Emilio Perez-Torres
25 Ulises Martinez |
$0.03 | 2,618 | 2,227 |
|
Eugenio Nunez
55 Ave Font Martelo W |
$1.00 | 2,527 | 2,164 |
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 Humacao, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Humacao, PR is $14.01 per claim, based on 474,658 claims from 151 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 Humacao, PR?
There are 151 Medicaid providers offering Office Visit related services in Humacao, PR according to public payment data.
What is the price range for Office Visit in Humacao, PR?
Medicaid reimbursement for Office Visit in Humacao, PR ranges from $0.00 to $100.33 per claim, with an average of $14.01. 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 Humacao, PR
Blood Work & Lab Tests
Avg $10.15
333,862 claims
X-Ray
Avg $9.44
126,099 claims
Dental Cleaning & Exam
Avg $20.70
98,222 claims
Urinalysis & Urine Tests
Avg $3.67
76,934 claims
Vaccines & Immunizations
Avg $4.74
64,281 claims
Eye Exam
Avg $37.23
57,224 claims
Ultrasound
Avg $58.53
46,879 claims
Emergency Room Visit
Avg $49.84
34,067 claims