Average Medicaid Office Visit Payments in Naguabo, PR: $11.87
Avg. Paid
$11.87
Range
$0.00 – $58.70
Total Claims
69,437
Providers
20
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 Naguabo, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eduardo Trejo Derivet
38 Calle Munoz Rivera |
$0.01 | 13,513 | 10,524 |
|
Yanira Marcano Benitez
Bo. Rio Blanco Carr 31 Km 9.6 |
$58.70 | 13,083 | 11,261 |
|
Wilnarys Rodriguez
21 Calle Garzot |
$0.05 | 8,941 | 6,938 |
|
Abner Valentin Gonzalez
Carr 973 Km 2.8 |
$0.00 | 5,450 | 3,894 |
|
Jose Wilfredo Valle-Oliveras
Baldorioty St. A-9 |
$0.09 | 5,281 | 4,138 |
|
Manuel E. Calzada
#31 Rd,13.4 Km Barrio Pena Pobre |
$0.10 | 4,887 | 3,312 |
|
Carmen Socorro Otero
Esquina Baldorioty Calle Celis |
$3.12 | 4,298 | 3,311 |
|
Barbara Bustillo
Calle Goyco # 32 |
$0.01 | 3,612 | 2,641 |
|
Mara Astacio-Almodovar
26 Calle Goyco |
$1.36 | 2,564 | 2,133 |
|
Luis Socorro De Jesus Lazu
Calle Munoz Rivera #7 |
$0.00 | 2,507 | 1,663 |
|
Carmen Mendez
Oficina Medica |
$0.40 | 1,819 | 1,507 |
|
Grace D Medestomas
45 Calle Garzot |
$0.02 | 1,594 | 1,439 |
|
Jaime Gerardo Torres-Plata
Carr 31 Km 4.0 |
$38.76 | 936 | 571 |
|
Laboratorio Clinico Medina Inc.
Calle Juan R. Garzot |
$0.00 | 784 | 736 |
|
Dora Oliva Lopez
Street 8 Int 5. Distric Duque |
$6.76 | 86 | 83 |
|
Hilario Rentas
31 Street Km 13.8, Pena Pobre |
$0.00 | 21 | 14 |
|
Rhina A Grullon
Calle Antonio Rios #37 |
$0.00 | 17 | 12 |
|
Wendy Guzman Cortes
38 Calle Munoz Rivera |
$0.00 | 16 | 15 |
|
Neftali Ortiz-Ares
Carr 31 Km 9.8 |
$0.00 | 15 | 12 |
|
Eduardo F Hernandez
Calle Juan R Garzot #35 |
$0.00 | 13 | 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 Naguabo, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Naguabo, PR is $11.87 per claim, based on 69,437 claims from 20 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 Naguabo, PR?
There are 20 Medicaid providers offering Office Visit related services in Naguabo, PR according to public payment data.
What is the price range for Office Visit in Naguabo, PR?
Medicaid reimbursement for Office Visit in Naguabo, PR ranges from $0.00 to $58.70 per claim, with an average of $11.87. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Avg $54.47
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Other Procedures in Naguabo, PR
Blood Work & Lab Tests
Avg $10.72
310,045 claims
Urinalysis & Urine Tests
Avg $3.81
72,161 claims
Emergency Room Visit
Avg $60.51
25,807 claims
Dental Cleaning & Exam
Avg $21.56
22,834 claims
Vaccines & Immunizations
Avg $8.96
14,966 claims
Speech Therapy
Avg $49.30
10,297 claims
Physical Therapy
Avg $23.41
7,467 claims
Dental Filling
Avg $37.26
4,348 claims