Average Medicaid Office Visit Payments in Juana Diaz, PR: $4.96
Avg. Paid
$4.96
Range
$0.00 – $109.54
Total Claims
255,339
Providers
52
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 Juana Diaz, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gustavo Adolfo Munoz
6 Calle La Cruz |
$7.17 | 67,762 | 49,132 |
|
Armando Luis Munoz
6 Calle La Cruz |
$1.89 | 60,781 | 45,075 |
|
Pedro J Rodriguez Burgos
Tomas Carrion Maduro St #29 Altos |
$0.19 | 15,993 | 13,474 |
|
Moraima Pagan La Torre
#5 Calle Santiago Iglesias |
$0.08 | 10,273 | 9,011 |
|
Carmen Leonor Campos Santiago
Carr. 592 Km 5.6 |
$0.09 | 7,624 | 7,004 |
|
Jose Manuel Colon Gaztambide
Comercio Street #106 |
$0.26 | 6,499 | 5,564 |
|
Suzette Candelario
9 Calle La Cruz |
$0.78 | 6,229 | 4,838 |
|
Joseph Rodriguez
B13 Urb Monclova |
$1.62 | 6,131 | 5,761 |
|
Jim Rodriguez
Hc06 6249 |
$0.20 | 6,124 | 5,587 |
|
Michelle Marie Figueroa
Street Degeteau Esquina Munoz Rivera #45 |
$0.58 | 6,026 | 5,081 |
|
Guarionex Batista Delfaus
Com. Aguilita Calle 13 |
$0.59 | 4,918 | 4,696 |
|
Robert Andrew Engel Rodriguez
Urb Palacios Del Prado |
$0.08 | 4,744 | 4,325 |
|
Yanixa Marie Martinez Santiago
Urbanizacion Extension La Fe Calle 5 E39 |
$0.53 | 4,706 | 3,949 |
|
Robert A Engel
43 Degetau Street |
$60.95 | 3,673 | 3,296 |
|
Jancy Ninnette Acosta
4B Calle Hostos |
$0.50 | 3,632 | 3,236 |
|
Luis A Alvarado
Edificio Borinquen#17 Apt 1 |
$40.50 | 3,159 | 2,697 |
|
Southern Hospital Service Inc
Calle La Cruz |
$0.38 | 3,089 | 2,445 |
|
Nydia Garcia
Guayabal Professional Building |
$0.34 | 2,988 | 2,518 |
|
Yajaira Guzman-Negron
145 Palacios Del Prado |
$0.12 | 2,973 | 2,681 |
|
Southern Obstetrics And Gynecologic Center, P.S.C.
Calle Carrion Maduro |
$27.34 | 2,966 | 2,028 |
|
Wanda R Garcia-Torres
51 Calle Degetau |
$0.63 | 2,905 | 2,341 |
|
Pedro Berrios Ortiz
Calle Degetau # 41 |
$0.59 | 2,605 | 1,912 |
|
Carlos E. Dominguez
168A Calle Las Flores |
$0.20 | 2,504 | 2,038 |
|
Guireida Rivera Colon
24 Calle Dr Veve |
$47.06 | 2,030 | 1,938 |
|
Elizanette Soto Collazo
B13 Urb Monclova |
$0.00 | 1,623 | 1,412 |
|
Heriberto Borrero
Munoz Rivera Esq. Santiago Iglesias |
$3.37 | 1,424 | 1,285 |
|
Juan Rodriguez
7 Calle La Cruz |
$0.84 | 1,406 | 1,212 |
|
Waleska Milagros Jimenez Galarza
88 Calle 5 |
$1.28 | 1,402 | 1,187 |
|
Adriana Ivelisse Torres-Rodriguez
48 Calle Siena |
$0.00 | 1,359 | 1,233 |
|
Julio Armando Sepulveda Franco
101 Calle Comercio |
$20.03 | 1,093 | 1,083 |
|
Jonathan Olivera Morales
Calle Desvio Victor Cruz #6 |
$1.67 | 1,009 | 921 |
|
Aurelio Miguel Collado Pacheco
77 Calle Munoz Rivera |
$0.60 | 697 | 643 |
|
Carlos M Claudio-Rodriguez
Parque Industrial Amuelas, Suite 105 Carratera 584 #531 |
$7.63 | 648 | 552 |
|
Wilfredo J Perez Vargas
Road #1, Km 117.7 Arus |
$0.04 | 595 | 463 |
|
Southern Hospital Services Inc
Calle La Cruz #6 |
$38.51 | 562 | 114 |
|
Rafael Torres Melendez
Bo Jacaguas Sector Bayoan |
$0.55 | 478 | 388 |
|
Jd Med Group, Inc.
45 Calle Degetau |
$3.88 | 424 | 348 |
|
Yazmin M Mojica-Arroyo
Street Pacifico Palacios Del Prado Num. L-147 |
$0.00 | 368 | 334 |
|
Corporacion Medica De Juana Diaz, Inc.
Munoz Rivera Street |
$0.45 | 319 | 307 |
|
Glenda Milagros Rodriguez
Carrion Maduro Street |
$6.47 | 295 | 278 |
|
Maria J Lopez Aguado
104 Calle Comercio |
$0.00 | 276 | 267 |
|
Rosemiriam Sierra
Hc 3 Box 11420 |
$66.90 | 250 | 231 |
|
Yara T Cruz Santiago
Bo. Rio Canas Abajo |
$0.00 | 143 | 138 |
|
Ariel F Morciglio
6 Calle Angel R Mora |
$0.00 | 137 | 95 |
|
Norma I Vergne Santiago
100 Calle Comercio Ste 5 |
$109.54 | 122 | 111 |
|
Laboratorio Clinico Irizarry Guasch Inc
116 Calle Comercio |
$0.00 | 90 | 75 |
|
Med Centro Inc.
Road 1, Km 9 Sector Capitanejo Singapur |
$39.88 | 83 | 72 |
|
Laboratorio Alhambra, Llc
104 Comercio |
$0.00 | 74 | 39 |
|
Carlos R. Vergne Sotomayor
100 Calle Comercio Local 5 |
$0.00 | 67 | 56 |
|
Pedro A Berrios Antuna
Calle Degetau # 41 |
$0.00 | 28 | 22 |
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 Juana Diaz, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Juana Diaz, PR is $4.96 per claim, based on 255,339 claims from 52 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 Juana Diaz, PR?
There are 52 Medicaid providers offering Office Visit related services in Juana Diaz, PR according to public payment data.
What is the price range for Office Visit in Juana Diaz, PR?
Medicaid reimbursement for Office Visit in Juana Diaz, PR ranges from $0.00 to $109.54 per claim, with an average of $4.96. 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 Juana Diaz, PR
Blood Work & Lab Tests
Avg $8.59
316,801 claims
Urinalysis & Urine Tests
Avg $3.35
77,109 claims
Vaccines & Immunizations
Avg $3.78
42,197 claims
Dental Cleaning & Exam
Avg $18.65
38,656 claims
Physical Therapy
Avg $25.22
38,545 claims
Psychiatric Evaluation
Avg $27.36
26,533 claims
Eye Exam
Avg $9.38
22,978 claims
Emergency Room Visit
Avg $38.37
16,952 claims