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 |
|---|---|---|---|
|
West Spine Chiropractic
Carr #2 Km 153 Bo Guanajibo |
$50.87 | 12 | 12 |
|
Bella Vista Hospital Inc
770 Ave Hostos |
$91.76 | 12 | 12 |
|
Maria E Justiniano
Calle De Diego #115 Este |
$80.87 | 12 | 12 |
|
Jorge L Weber Acevedo
1050 Los Corazones Ave |
$44.18 | 12 | 12 |
|
Francisco Carlos Cebollero
55 E., De Diego St., C.P.R. Professional Bldg. |
$72.83 | 13 | 13 |
|
Marla Esther Jordan
Clinica Epanola |
$45.95 | 13 | 12 |
|
Centro De Gastroenterologia Pediatrica Del Oeste
55 Calle Dr Basora N |
$41.15 | 13 | 12 |
|
Samuel Melendez Del Valle
Carr 2 |
$65.57 | 13 | 13 |
|
Iglesias Pediatric Gastro Clinic Llc
Bo Sabalos Carr 2 |
$89.27 | 14 | 14 |
|
Oscar I Laboy
18 Calle Post N |
$0.00 | 14 | 14 |
|
Dr. Omar J Perez Jimenez Gastroenterologo Csp
351 Ave Hostos Ste 202 |
$59.10 | 15 | 15 |
|
Michael Forte-Malave
410 Ave Hostos |
$51.77 | 15 | 12 |
|
Xcruz Md Psc
Ave Hostos # 410 |
$0.00 | 15 | 15 |
|
Victor Fernando Nazario
Mayaguez Medical Center |
$1.67 | 15 | 15 |
|
Myrna E Montalvo Castillo
Urb. Mayaguez Terrace 1006 Calle Jose E. Arraras |
$0.00 | 15 | 12 |
|
William R Roman Aqueron
746 Ave Hostos |
$106.55 | 16 | 16 |
|
Francisco Javier Rivera Rivera
237 Calle Llorens Torres |
$0.00 | 16 | 12 |
|
Victor Lamberty Ellin
La Palmuia Peral #14 |
$0.00 | 19 | 18 |
|
Efrain Nazario-Cintron
Carretera #2, Avenida Hostos |
$5.24 | 21 | 12 |
|
Benjamin Medina
25 Calle Peral N |
$1.65 | 21 | 13 |
|
Chloe Nicole Franceschini
Mayaguez Medical Center Suite 121 |
$53.76 | 25 | 25 |
|
Mercado Dermatology Llc
27 Calle Nelson Perea |
$64.41 | 26 | 26 |
|
Jose Rafael Illanas
19 Oeste Jose De Diego Street |
$0.00 | 26 | 25 |
|
Jose R Gandara
19 Calle Post N |
$23.04 | 27 | 26 |
|
Merbil Gonzalez Diaz
351 Ave Hostos |
$59.74 | 27 | 27 |
|
Yadiel Rivera-Nieves
114 Calle Candelaria, Clinica Yaguez, 3Er Piso |
$63.33 | 28 | 27 |
|
Antonio R Olivencia-Echeandia
14 N Peral St |
$0.00 | 28 | 26 |
|
Policlinica Dr. Rijo C.S.P.
600 Sur, Calle Ramon E. Betances |
$0.00 | 29 | 28 |
|
Alberto Jose Pinot Gonzalez
27 Calle Nelson Perea |
$0.00 | 29 | 24 |
|
Ruben Antonio Velazquez-Rousset
Carr 349 Km 2.7 |
$62.10 | 30 | 28 |
|
Joann Marie Gonzalez Vale
410 Ave Hostos |
$30.25 | 30 | 30 |
|
Rafael A Justiniano
Calle Mendez Vigo 109 Este |
$18.96 | 31 | 22 |
|
Carlos Ernesto Valentin Rodriguez
39 Duarte Street |
$0.00 | 32 | 30 |
|
Waleska M Donato
351 Hostos Ave |
$29.29 | 32 | 29 |
|
Siro J Gutierrez Jovet
2599 Ave Hostos |
$37.65 | 33 | 33 |
|
Jesus Becerra Escobar
Condominio La Palma Peral 14 |
$0.00 | 34 | 34 |
|
Orelbe Mederos Broche
Calle De Diego E |
$0.00 | 34 | 33 |
|
Joadys Bosques Cordero
770 Ave Hostos |
$0.00 | 34 | 24 |
|
Estefania Concepcion-Muniz
Hospital Perea Calle Dr Basora #15 |
$0.00 | 35 | 31 |
|
Luis R Cuebas Velez
100 Calle De Diego E |
$85.72 | 35 | 29 |
|
Julio Alnoris Toro-Pagan
Edif Medico Iv |
$0.00 | 38 | 12 |
|
Jose Daniel Cruz-Santiago
60 Calle Post N |
$14.74 | 38 | 12 |
|
Jose A Perez Hernandez
De Diego #59 Este |
$47.09 | 39 | 38 |
|
Eduardo Antonio Martinez-Martinez
Clinica Espanola |
$104.15 | 46 | 44 |
|
Hector Roman Mercado Ramirez
247 Villa Tuli |
$1.88 | 48 | 35 |
|
William Roman Torreguitart
746 Ave Hostos |
$94.96 | 49 | 38 |
|
Carlos Perez Cardona
1065 Corazones Ave. |
$54.30 | 50 | 46 |
|
Efrain Luis Nazario-Yordan
Carr 2 Ave Eugenio Maria De Hostos |
$0.00 | 50 | 41 |
|
Pedro J Seda
410 Ave Hostos |
$25.25 | 51 | 51 |
|
Eliasin Munoz Gonzalez
351 Ave Hostos |
$2.25 | 53 | 49 |
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