Average Medicaid Office Visit Payments in Mayaguez, PR: $16.67
Avg. Paid
$16.67
Range
$0.00 – $142.21
Total Claims
1,006,098
Providers
318
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 Mayaguez, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Migrant Health Center Western Region,Inc
Calle Ramon Emeterio Betances 497 |
$1.60 | 78,157 | 68,532 |
|
Santiago Llorens Perez
50 Tenerife Residencial Sultana |
$0.44 | 22,499 | 16,599 |
|
Sonia J Ramos
410 |
$0.24 | 21,773 | 14,557 |
|
Luis Antonio Rivera Natali
117 Calle Estacion |
$0.20 | 19,705 | 15,948 |
|
Sol M Garcia
Hospital San Antonio |
$0.77 | 18,373 | 12,315 |
|
Roberto Velez Echevarria
770 Ave Hostos |
$0.08 | 18,121 | 12,969 |
|
Hostos Medical Services Inc
28 Calle De Diego W |
$1.55 | 18,020 | 15,561 |
|
Marcos A. Ayala Rivera
167E Calle Ramos Antonini |
$3.54 | 17,615 | 14,749 |
|
Lyselle Ramirez Coreano
Migrant Health Center, Inc. |
$0.18 | 15,078 | 12,472 |
|
Hector M Rodriguez-Blazquez
14 Calle De Diego E |
$0.68 | 13,926 | 11,692 |
|
Gretchen Enriquez-Figueroa
410 Ave. Hostos Suite #7 |
$5.21 | 13,859 | 13,571 |
|
Miguel Rivera
Clinica Yaguez |
$0.44 | 13,444 | 8,752 |
|
Hans Neville Rivera
60 Basora St. |
$6.03 | 13,209 | 12,902 |
|
Rafael Matos
59B Calle Meditacion |
$0.93 | 12,942 | 11,009 |
|
Pedro A Gonzalez
55 Calle Meditacion |
$0.63 | 12,736 | 10,359 |
|
Jose A Cancio
Medical Emporium Ii Suite 1A |
$44.04 | 12,528 | 9,778 |
|
Hector Luis Ortiz Martinez
Edificio Post Center 60 N |
$0.02 | 12,422 | 7,171 |
|
Ivonne Flores-Rivera
Reparto San Francisco #6 |
$0.66 | 12,174 | 11,324 |
|
Luis T Boothby
De Diego 14 E |
$0.20 | 11,869 | 8,005 |
|
Sabdi Jesse Perez Torres
351 Ave Hostos |
$0.26 | 11,461 | 10,092 |
|
Carlos Guillermo Del Valle Balaguer
Calle De Diego Esg Peral |
$1.77 | 11,318 | 9,858 |
|
Thayllin Velez-Ruiz
410 Ave Hostos |
$4.27 | 10,728 | 10,386 |
|
Jose Juan Sanchez
Cond Mendez Vigo W |
$1.19 | 10,445 | 8,333 |
|
Daisy Mary Lopez
202 Calle Ramos Antonini E |
$8.77 | 10,389 | 7,366 |
|
Elizabeth Torres
55 Calle Dr Basora N |
$0.27 | 9,958 | 8,811 |
|
Frances Milagros Acevedo Perez
Migrant Health Center, Inc. |
$0.83 | 9,879 | 8,636 |
|
Maria De Los Angeles Ruiz
Ave Hostos 351 |
$0.22 | 9,875 | 7,910 |
|
Jorge Luis Carlo Font
Edif La Palma |
$3.32 | 9,778 | 6,909 |
|
Jose Jaime Ballester Echegaray
Plz Yaguez |
$2.05 | 9,661 | 8,366 |
|
Manuel Jose Rodriguez
63 Mendez Vigo E |
$56.10 | 9,150 | 5,811 |
|
Alfonso R Alemany Gonzalez
55 Calle Meditacion |
$3.42 | 8,364 | 6,748 |
|
Xiomara Cruz Bracero
Ave Hostos # 410 |
$0.85 | 8,204 | 7,157 |
|
Pedro Laracuente
114 Calle Mckinley W |
$1.11 | 8,105 | 6,897 |
|
Albin Martinez Lugo
770 Ave. Hostos Policlinica Bella Vista Suite 204 |
$16.82 | 7,796 | 5,367 |
|
Javier A Mendez Ruiz
Office Park # I |
$51.28 | 7,698 | 7,007 |
|
Jose C Roman Carlo
55 Nte Medico Iv Ofna 210 |
$0.35 | 7,493 | 5,748 |
|
Marisol Urrutia
55 Calle De Diego E |
$0.24 | 7,493 | 6,141 |
|
Gustavo Jesus Almodovar-Mercado
55 Calle De Diego E Ste 205 |
$65.32 | 7,385 | 6,514 |
|
Awilda Vera Perez
Calle Ramon E Betances Sur #392 |
$0.35 | 6,942 | 4,774 |
|
Olga Rodriguez
Calle Post S |
$0.92 | 6,866 | 5,063 |
|
Scar A. Martinez
410 Ave Hostos |
$5.00 | 6,824 | 6,673 |
|
Osvaldo B. Quiles Giovannetti
Cond Medical Center Plz |
$33.97 | 6,699 | 3,995 |
|
Lispoldo J Orama
114 Calle Mckinley W |
$0.88 | 6,660 | 5,519 |
|
Ivan G Aquino Cebollero
Carr 64 Km 3.6 # 5146 |
$0.27 | 6,650 | 4,298 |
|
Antonio Mariano Padua-Ramos
Cpr Professional Building |
$54.77 | 6,624 | 5,630 |
|
Mary Jose Zamora Lopez
22 Ave Los Maestros |
$1.70 | 6,583 | 5,510 |
|
Rohel Pascual Villaronga
410 Ave. Hostos Km 1.57 |
$42.85 | 6,483 | 4,026 |
|
Edward S Singh
69 Calle Post N |
$36.17 | 6,473 | 6,290 |
|
Luz Noelia Durand
415 Sector La Loma |
$0.29 | 6,318 | 5,522 |
|
Angel Joel Ortiz
269 Calle Diego Colon |
$0.04 | 6,299 | 4,810 |
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 Mayaguez, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mayaguez, PR is $16.67 per claim, based on 1,006,098 claims from 318 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 Mayaguez, PR?
There are 318 Medicaid providers offering Office Visit related services in Mayaguez, PR according to public payment data.
What is the price range for Office Visit in Mayaguez, PR?
Medicaid reimbursement for Office Visit in Mayaguez, PR ranges from $0.00 to $142.21 per claim, with an average of $16.67. 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 Mayaguez, PR
Blood Work & Lab Tests
Avg $9.77
582,157 claims
Dental Cleaning & Exam
Avg $20.53
219,672 claims
Eye Exam
Avg $34.47
178,699 claims
Vaccines & Immunizations
Avg $6.43
147,854 claims
Urinalysis & Urine Tests
Avg $3.37
124,617 claims
Psychiatric Evaluation
Avg $5.38
89,354 claims
X-Ray
Avg $10.92
86,223 claims
Emergency Room Visit
Avg $68.86
69,247 claims