Average Medicaid Office Visit Payments in Juncos, PR: $6.50
Avg. Paid
$6.50
Range
$0.00 – $105.17
Total Claims
121,161
Providers
33
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 Juncos, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Miguel A Laboy Pabon
51 Calle Munoz Rivera |
$0.22 | 15,598 | 10,364 |
|
Zulma Ivette Ramos Santana
58 Calle Escute |
$0.80 | 14,191 | 11,307 |
|
Jose Crespo
Calle Casimiro Soto B20 Valencia 1 |
$0.04 | 10,338 | 7,803 |
|
Haydee Gely De La Rosa
65 Calle Munoz Rivera |
$0.02 | 9,850 | 7,075 |
|
Hector Santos
49 Calle Munoz Rivera |
$0.09 | 8,799 | 7,808 |
|
Juncos First Medical Center Inc.
Calle Munoz Rivera Final |
$2.13 | 6,971 | 6,045 |
|
Raul Edgardo Hernandez Rodriguez
58 Calle Algarin |
$1.53 | 6,093 | 5,055 |
|
Beverly A Arroyo Marquez
8 Calle Almodovar |
$48.37 | 6,036 | 5,287 |
|
Yulmary Vega
Calle Escute Num 27 |
$0.04 | 5,782 | 4,956 |
|
Nannette Berrios
Calle Pedro Cruz Marginal #52 |
$0.01 | 5,035 | 4,210 |
|
Nicole E. Torres Caceres
Calle Luis Munoz Rivera Num 27 Urb Madrid |
$0.00 | 4,851 | 3,709 |
|
Antonio Medina Lopez
Calle Lope Hormazabal # 40 Urb Madrid |
$50.13 | 4,836 | 4,152 |
|
Luis R Alvarez
Ernesto Cadiz St. #4,Urb Madrid |
$0.16 | 4,095 | 3,354 |
|
Ivan Rafael Rodriguez Colon
Street Number 31 |
$0.69 | 3,753 | 3,436 |
|
Marisol Maldonado Rodriguez
40 Calle Lopez Hormazabal |
$46.52 | 3,166 | 2,731 |
|
Amanda Fernandez Munoz
Calle Martinez Esquina Betances #26 |
$0.00 | 2,259 | 1,745 |
|
Fernando Ortiz Maldonado
Calle Celis Aguilera Num 6 |
$0.00 | 1,987 | 1,771 |
|
Enrique F Solivan Sobrino
Calle Victor Torres 5 Local 1 |
$0.12 | 1,834 | 1,526 |
|
Miguel A Rodriguez Burgos
33 Calle Munoz Rivera |
$10.80 | 1,833 | 1,650 |
|
Pedro Luis Carrion Morant
Juncos First Medical Center |
$0.04 | 1,346 | 1,213 |
|
Carlos Ivan Maldonado
Calle Luis Munoz Rivera Final |
$1.59 | 867 | 786 |
|
Nelida Martinez Vazquez
Calle Betances #19 Box 996 |
$6.51 | 604 | 489 |
|
Mariela Marquez Pantoja
26 Calle Martinez |
$105.17 | 204 | 134 |
|
Miguel A. Ramirez-Soto
40 Calle Lopez Hormazabal |
$12.98 | 195 | 191 |
|
Ismael Colon Calderon
Calle Martinez Esquina Betonces #26 |
$0.00 | 124 | 105 |
|
Juan Manuel Lopez-Garcia
Juncos Plaza Local 2A |
$55.12 | 115 | 91 |
|
Ada Antuna Melendez
Jose N Arzuaga #42 |
$0.00 | 113 | 98 |
|
Patty Solorzano
Bo. Caimito #1 Carr.31 Km19.2 |
$1.04 | 77 | 56 |
|
Ednise Marie Roman-Ruperto
282 Calle Jacaranda |
$39.38 | 65 | 63 |
|
Edwin Rodriguez Ramos
Calle Baldorioty 6 Esq Daniel Flores |
$0.00 | 47 | 47 |
|
Isamarie Montalvo
58 Calle Algarin |
$0.00 | 45 | 40 |
|
Johansen Cruz
Calle Luis Munoz Rivera 23 |
$81.40 | 40 | 40 |
|
Dorma Gonzalez Andujar
49 Calle Munoz Rivera |
$0.00 | 12 | 12 |
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 Juncos, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Juncos, PR is $6.50 per claim, based on 121,161 claims from 33 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 Juncos, PR?
There are 33 Medicaid providers offering Office Visit related services in Juncos, PR according to public payment data.
What is the price range for Office Visit in Juncos, PR?
Medicaid reimbursement for Office Visit in Juncos, PR ranges from $0.00 to $105.17 per claim, with an average of $6.50. 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 Juncos, PR
Blood Work & Lab Tests
Avg $11.29
425,867 claims
Urinalysis & Urine Tests
Avg $4.20
99,766 claims
Dental Cleaning & Exam
Avg $20.74
58,969 claims
Physical Therapy
Avg $20.54
36,399 claims
Ambulance Transport
Avg $101.05
36,079 claims
Speech Therapy
Avg $54.55
17,102 claims
Eye Exam
Avg $38.29
14,766 claims
Emergency Room Visit
Avg $30.19
7,702 claims