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 |
|---|---|---|---|
|
Sheika Marielis Morales Ortiz
59 Calle Munoz Marin |
$0.00 | 12 | 12 |
|
Reinaldo J Rodriguez Cruz
128 Calle Font Martelo Este |
$0.00 | 12 | 12 |
|
Amalys Montanez-Leduc
7 Calle Padre Rivera W |
$0.00 | 12 | 12 |
|
Corporacion Profesional Salud
Ave Rafael Arroyo Rios #7 |
$100.33 | 14 | 14 |
|
Fernando E Pinero Cadiz
Humacao Medical Plaza Suite 204 Font Martelo Ave. 53 E |
$0.00 | 15 | 15 |
|
Zulma Nanette Rodriguez
9 Calle Flor Gerena N |
$0.00 | 15 | 13 |
|
Angel Miguel Ortiz Ortega
Av Font Martelo |
$0.00 | 16 | 12 |
|
Maria L. Rios Bonilla
358 Calle Font Martelo |
$23.50 | 17 | 16 |
|
Agripino Lugo Velazquez
Ulises Martinez 91 |
$30.97 | 18 | 15 |
|
Wanda I Agosto Delgado
Calle Ulises Martinez #52 |
$36.84 | 19 | 18 |
|
Instituto Ortopedico Laboral, Csp
269 Calle Font Martelo |
$50.31 | 19 | 16 |
|
Angel Loyola
65 Calle Carreras E |
$18.57 | 21 | 21 |
|
Centro Neumologico De Humacao Llc
47 Calle Font Martelo |
$37.65 | 26 | 26 |
|
Maricarmen Martinez
355 Calle Font Martelo |
$52.70 | 26 | 24 |
|
Cardiocare Plus Llc
Urb El Recreo 44 |
$63.00 | 34 | 24 |
|
Healthcare Integrate Program Services, Inc.
355 Calle Font Martelo |
$38.42 | 35 | 28 |
|
Milagros Ortiz
#65 Carreras |
$11.97 | 38 | 37 |
|
Malave Surgical Group,Psc
Carretera Estatal #3 Km 78.4 |
$62.52 | 39 | 37 |
|
Agumet Inc.
Calle Luis Munoz Marin |
$0.00 | 53 | 50 |
|
Dubal Rolon Alvarado
Turquesa Street |
$0.00 | 54 | 45 |
|
Arnaldo I Rosa Torrens
3 Dolores Cabrera, East |
$18.02 | 56 | 55 |
|
Ernesto Arroyo-Lopez
Font Martelo #52 Altos |
$21.35 | 60 | 46 |
|
Jose F Rodriguez Rodriguez
355 Ave Font Martelo |
$0.00 | 64 | 49 |
|
Carrillo Cardiovascular Medicine Llc
Ave Font Martello 856 |
$65.36 | 75 | 75 |
|
Jose Raul Jimenez
100 Calle Font Martelo W Ste 440 |
$0.00 | 80 | 66 |
|
Mariano Olmo Lopez
Bf1 Calle 22 |
$2.43 | 82 | 70 |
|
Carlos Alberto Lazu Arroyo
Ryder Memorial Hospital |
$48.40 | 108 | 51 |
|
Idia Liz Velazquez Lozada
Ave. Font Martello 123, East |
$0.00 | 110 | 98 |
|
Jesse E Diaz Correa
Legacy Senior Living Puerto Rico |
$74.54 | 112 | 95 |
|
Ivelisse Irizarry
355 Calle Font Martelo |
$39.83 | 115 | 102 |
|
Noel Javier Arnau
55 Calle Flor Gerena S |
$71.04 | 136 | 132 |
|
Jose N Paulino
Ryder Hospital |
$0.00 | 150 | 125 |
|
Jessica Gonzalez Montes
Urb. Villa Universitaria |
$1.49 | 168 | 92 |
|
Jose A Rosario Rodriguez
A6 Calle 14 |
$25.80 | 169 | 148 |
|
Nancy Enid Santini Valiente
12 Calle Turquesa |
$0.00 | 170 | 155 |
|
Myriam Zahydee Allende-Vigo
18 J. Franceschi St. |
$73.45 | 198 | 188 |
|
Javier Delgado-Candelario
Hospital San Pablo |
$18.58 | 200 | 196 |
|
Serafina Obstetricia Y Ginecologia Llc
Ryder Memorial Hospital |
$60.56 | 215 | 159 |
|
Laboratorio Clinicon Colon #3
358 Ave Font Martelo |
$0.00 | 222 | 148 |
|
Jerry Charles Charneco
63 Calle Munoz Marin |
$3.51 | 238 | 218 |
|
Carlos E. Jimenez Huyke Md Psc
Suite A-2 Professional Plaza |
$50.46 | 239 | 218 |
|
Manuel Gomez
Carretera 3 Km 85.6 Barrio Candelero Plaza Del Mar |
$34.95 | 260 | 232 |
|
Yolanda Figueroa
Legacy Medical Center |
$4.87 | 277 | 273 |
|
Limaris Ayala Vega
16 Calle Orion |
$3.15 | 293 | 255 |
|
Miriam Noelia Alicea-Rodriguez
Calle Munoz Marin |
$64.64 | 311 | 307 |
|
Edgar Augusto Cardona-Traverzo
Font Matelo Ave 355, Ryder Medical & Professional Bldg |
$21.66 | 338 | 164 |
|
Gumet Inc
5 Calle Dufresne E |
$0.00 | 341 | 287 |
|
Pablo Serrano
54 Calle Munoz Marin |
$6.81 | 421 | 412 |
|
Joel Lopez-Figueroa
12 Calle Victoria |
$66.46 | 424 | 389 |
|
Grupo Gastroenterologico Del Este P S C
101 Calle Padre Rivera |
$53.24 | 438 | 418 |
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