Average Medicaid Office Visit Payments in Manati, PR: $25.46
Avg. Paid
$25.46
Range
$0.00 – $132.41
Total Claims
767,236
Providers
217
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 Manati, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Centro De Medicina Integral De Manati Inc
Bo. Cotto #77 Urbanizacion Felix Cordova Davila |
$1.12 | 83,217 | 68,614 |
|
Fernando A. Garcia-Cruz
77 Bo. Cotto |
$1.55 | 48,149 | 32,776 |
|
Atenas Community Health Center Achc Inc
Carr Num 2 Km50 |
$9.02 | 40,949 | 37,060 |
|
North Medical Health, Inc.
3 Calle Flamboyan |
$0.29 | 36,163 | 31,049 |
|
Mogic Ob-Gyn Psc
Mmc Professional Plaza |
$36.67 | 31,073 | 22,133 |
|
Manuel G. Diaz-Lugo
Hospital Doctors Center Suit 305 |
$0.80 | 24,830 | 21,232 |
|
Manuel E Melendez Ramirez
22 Puerta Del Norte |
$0.98 | 15,616 | 13,149 |
|
Centro Cardiovascular De Manati Iii Csp
1 Calle Marginal Ext |
$49.63 | 15,486 | 14,786 |
|
Atenas Community Health Center, Inc
Carr Num 2 Km 50 |
$10.61 | 15,069 | 12,941 |
|
Pci Group Llc
668 Hernandez Carrion |
$53.12 | 14,539 | 14,199 |
|
Onix Reyes-Martinez
Doctor'S Center Hospital, Carr #2, Km 47.8 |
$40.95 | 14,258 | 11,795 |
|
North Ob-Gyn Services, Psc
Edificio Medico I Dr. Pedro Blanco Lugo |
$42.30 | 13,550 | 8,844 |
|
Huesos Chicos Csp
Carr #2 Km 47.8 |
$35.83 | 12,938 | 11,218 |
|
Maria L. Santana Villegas
G13 Marginal |
$0.39 | 11,357 | 9,464 |
|
Instituto De Hematologia Y Oncologia Medico Del Norte P.S.C.
Manati Profesional Plaza |
$55.01 | 10,985 | 8,681 |
|
Bashar Jubran
Carr #2 Int 668 Urb Atenas |
$79.00 | 10,729 | 6,007 |
|
Gastro Atenas Llc
93 Paseo Atenas |
$53.03 | 10,601 | 10,179 |
|
J.W. Goveo P.S.C. Medical Services
Edifcio Las Vegas # 420 |
$45.68 | 10,370 | 9,920 |
|
Jose R Martinez Barroso
Marginal 1 Ext San Salvador |
$47.34 | 9,954 | 9,122 |
|
Kathia V Alejandro Serrano
Carr 2 Km 47.7 |
$48.47 | 9,679 | 9,203 |
|
Valentin Jose Del Rio Santiago
Manati Medical Center |
$51.41 | 8,834 | 6,923 |
|
Doctor'S Center Hematology & Oncology Group, Psc
Carr 2 |
$54.32 | 8,541 | 7,866 |
|
Luis Alberto Mateo Jimenez
Paseos De Atenas |
$37.98 | 7,690 | 5,492 |
|
Ramon C Serrano-Medina
Urb Atenas |
$28.60 | 6,983 | 4,557 |
|
Emilio J Davila Agosto
Pr-2, Km 48.2 |
$1.02 | 6,872 | 5,917 |
|
Jorge A. Otero-Quintana
Edificio Medico I Dr. Pedro Blanco Lugo |
$46.93 | 6,822 | 4,199 |
|
Isamir Santiago Mendez
Carr. # 2 Intl 668 |
$0.69 | 6,791 | 5,183 |
|
Anestesia Del Norte P.S.C.
Urb Atenas Calle Hernandez Carrion #668 |
$46.09 | 6,241 | 6,119 |
|
Angel Luis Gelpi Guzman
Torre Medica Dr. Pedro Blanco Lugo Suite 209 |
$10.06 | 6,208 | 5,471 |
|
San Juan Urology, P.C.S
200 Calle Hernandez Carrion Suite 210 |
$49.51 | 6,173 | 5,953 |
|
Family Doctors Consulting Services, Llc
Carr # 2 |
$44.69 | 6,039 | 5,796 |
|
Ortho Evolution Llc
Num 54 Local 14 Plaza Puerta Del Sol |
$49.71 | 6,015 | 5,572 |
|
Rafael Tirado-Montijo
93 Paseo Atenas |
$72.16 | 5,943 | 4,164 |
|
Carmen Chinchilla
700 Castuas |
$4.08 | 5,879 | 5,623 |
|
Nestor E Amador-Chacon
Urb Flamboyan |
$49.23 | 5,844 | 5,443 |
|
Naomi Collazo Gutierrez
Mmc Professional Plaza |
$69.69 | 5,687 | 4,357 |
|
North Surgical Services Corp,Psc
Torre Medica Dr Pedro Blanco Lugo |
$43.40 | 5,442 | 5,038 |
|
Magaly Johnson
Calle A-Sur J-4 Urb. Flamboyan |
$5.72 | 5,320 | 4,513 |
|
Juan C Rivera-Arce
668 Hernandez Carrion |
$53.65 | 5,221 | 4,169 |
|
Marcos Rafael Liriano Suarez
Calle Herhandez Carrion Urb Atenas |
$0.94 | 5,169 | 3,708 |
|
Roberto Bertran Pena
Av Jose Candela #1 |
$0.08 | 4,702 | 4,072 |
|
Carlos Xavier Rivera Rodriguez
Calle Hernandez Carrion |
$0.00 | 4,654 | 3,539 |
|
Alberto J Rosario
San Salvador |
$1.76 | 4,505 | 3,670 |
|
Grupo De Cirugia Doctors Center, Csp
Torre Doctors' Center |
$33.26 | 4,387 | 2,618 |
|
Raul F Pena Valdivia
A6 Marginal |
$25.28 | 4,385 | 3,480 |
|
Hospitalist Medical Services, Psc
Carr 2 Km 47.7 |
$44.81 | 4,293 | 4,158 |
|
A&A Advanced Urological Institute Psc
Torre Medica Dr Pedo Blanco Lugo Suite 312 |
$73.26 | 4,282 | 4,113 |
|
Juan Manfredo Marques-Lespier
Doctors Center Hospital |
$69.90 | 4,265 | 4,026 |
|
Manuel Ramon Gracia-Ramis
Carretera #2 Km 47.7 |
$41.95 | 4,180 | 3,628 |
|
Yadiel Alexis Alameda - Rios
Carr 2, Km 47.7 |
$46.86 | 4,079 | 3,700 |
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 Manati, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Manati, PR is $25.46 per claim, based on 767,236 claims from 217 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 Manati, PR?
There are 217 Medicaid providers offering Office Visit related services in Manati, PR according to public payment data.
What is the price range for Office Visit in Manati, PR?
Medicaid reimbursement for Office Visit in Manati, PR ranges from $0.00 to $132.41 per claim, with an average of $25.46. 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 Manati, PR
Blood Work & Lab Tests
Avg $8.09
395,058 claims
Dental Cleaning & Exam
Avg $23.54
163,564 claims
EKG / ECG (Electrocardiogram)
Avg $20.01
136,921 claims
Pathology & Lab Services
Avg $151.36
97,436 claims
Eye Exam
Avg $43.91
79,835 claims
Urinalysis & Urine Tests
Avg $3.44
78,665 claims
Physical Therapy
Avg $21.50
67,496 claims
Ultrasound
Avg $69.77
53,185 claims