Average Medicaid Office Visit Payments in Ponce, PR: $21.42
Avg. Paid
$21.42
Range
$0.00 – $179.86
Total Claims
1,360,962
Providers
455
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 Ponce, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Med Centro, Inc.
1034 Ave Hostos |
$5.11 | 41,091 | 35,368 |
|
Lydia Irizarry Gonzalez
2431 Ave Las Americas |
$63.15 | 40,588 | 34,343 |
|
Ponce Advance Medical Group
Calle Ferrocarril Int Ave Munoz Rivera |
$0.54 | 25,469 | 23,028 |
|
Policlinicas Medicas Asociadas, Inc.
2015 Ave Las Americas Suite 101 |
$1.77 | 21,536 | 18,313 |
|
Oscar R Quintero Serrano
450 Calle Ferrocarril |
$41.98 | 20,568 | 18,126 |
|
Niurka Alicea Jimenez
8169 Calle Concordia |
$9.59 | 18,026 | 14,790 |
|
Erika Gomez
3429 Paseo Versatil |
$0.91 | 17,825 | 12,984 |
|
Victor Reyes Cabeza
1913 Ave Las Americas |
$0.92 | 17,233 | 15,100 |
|
Nelson Carlos Diaz Baez
7813 Calle Nazaret |
$4.18 | 16,101 | 14,222 |
|
Marcos Antonio Justinano
Plaza Gabriela Bo. Canas |
$2.45 | 15,472 | 11,513 |
|
Bethzaida Torres Nadal
Plazoleta Las Americas 2015 |
$0.02 | 14,967 | 13,140 |
|
Pedro Vendrell
2431 Blvd Luis A Ferre Ste 104 |
$58.78 | 14,913 | 13,841 |
|
Annette E. Pietri-Ramirez
1034 Ave. Hostos |
$0.41 | 14,495 | 13,108 |
|
Jorge Serrano Rodriguez
251 Brisas Del Caribe |
$0.50 | 13,863 | 9,754 |
|
Jose Angel Blanco De Jesus
1255 Tito Castro Ave |
$0.23 | 13,647 | 10,831 |
|
Ruben Green Colon
917 Ave Tito Castro |
$1.40 | 12,867 | 9,846 |
|
Sergio R Lopez Del Pozo
8169 Calle Concordia |
$0.70 | 12,850 | 11,524 |
|
Fares A Cid Mansur
Calle Acacia Edificio Michelle Plaza Sector Villa Flore |
$45.90 | 12,200 | 11,659 |
|
Luis Oscar Camacho
Urb. Las Delicias 2 Guanina St. #3782 |
$1.03 | 12,186 | 8,445 |
|
Mirely Figueroa
3011 Calle Huelva |
$0.69 | 12,174 | 10,476 |
|
Pedro Ferdinand Panelli
909 Ave Tito Castro Ste 612 |
$46.62 | 11,779 | 9,505 |
|
Denisse Encarnacion Colon
Plazoleta Las America |
$0.12 | 11,678 | 10,415 |
|
Jaminett Rivera Vidal
Urbanizacion Bella Vista |
$1.51 | 11,538 | 9,692 |
|
Pedro J Ortiz
Centro Pediatrico |
$1.58 | 11,454 | 9,425 |
|
Jenaro Scarano-Garcia
8186 Calle Concordia |
$49.71 | 11,285 | 10,774 |
|
Rafael Soto Acevedo
2431 Blvd Luis A Ferre |
$0.44 | 11,100 | 9,310 |
|
Luis A Acosta Garcia
8129 Concordia St |
$12.06 | 10,763 | 7,513 |
|
Jose Cruz Rivera
O6 Calle 6 |
$0.39 | 10,656 | 9,517 |
|
Alejandra N Santiago
Parque Los Almendros Calle Lady Di |
$57.38 | 10,399 | 9,384 |
|
Soria L Diaz Baez
7813 Calle Nazaret |
$31.30 | 10,361 | 9,142 |
|
Luis Ernesto Lopez Del Pozo
Calle Concordia 8169 Suite 5 |
$30.85 | 10,098 | 9,078 |
|
Reni Marie Negron
Urb Estancias Del Golf Club |
$0.31 | 10,082 | 8,029 |
|
Wanda Ivelisse Pacheco
Assmca Centro De Detoxificacion |
$10.23 | 9,785 | 5,970 |
|
Jose V Hernandez
Carr.132 Km.24.3 #8 Bo. Angola |
$1.20 | 9,702 | 8,785 |
|
Zaskia Rodriguez Gonzalez
800 Avenida Tito Castro |
$49.55 | 9,674 | 7,940 |
|
Hector Luis Flores Almodovar
104 Calle Victoria Esq Bertoly |
$0.65 | 9,577 | 7,714 |
|
Daniel Cruz Galarza
917 Ave Tito Castro |
$16.90 | 9,536 | 7,474 |
|
Jose Enrique Panelli
Paseo Villa Flores 1681 |
$1.77 | 9,178 | 7,040 |
|
Hector Antonio Velez Cortes
1217 Ave Hostos |
$60.89 | 9,161 | 7,671 |
|
Hctor M. Alvarado Hoyos
472 Ave Tito Castro |
$2.16 | 8,975 | 7,151 |
|
Jose Miguelangel Lopez Moa
1831 Ave Las Americas |
$0.04 | 8,912 | 6,856 |
|
Julio B Segura Ojeda
8024 Calle Concordia Ofi.301 |
$0.86 | 8,799 | 7,537 |
|
Nilsa L Cruz
1034 Ave Hostos |
$0.24 | 8,791 | 7,992 |
|
Sonia J. Baez Colon
1484 Emilio Fagot Ave |
$0.14 | 8,719 | 7,607 |
|
Maria Lourdes Banchs-Plaza
4981 Calle Peltada |
$0.39 | 8,690 | 8,338 |
|
Diego J. Alcala
75 Vives St |
$1.12 | 8,675 | 7,936 |
|
Carlos J Carro Pagan
2225 Ponce By Pass |
$48.55 | 8,316 | 7,536 |
|
Brian Alexander Rossy
1034 Ave Hostos |
$1.14 | 8,115 | 7,388 |
|
Maryliz Del C Gonzalez
1034 Ave Hostos |
$0.65 | 7,969 | 7,172 |
|
Dulce J Rodriguez Estrella
607 Calle Ferrocarril |
$2.36 | 7,961 | 6,453 |
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 Ponce, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ponce, PR is $21.42 per claim, based on 1,360,962 claims from 455 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 Ponce, PR?
There are 455 Medicaid providers offering Office Visit related services in Ponce, PR according to public payment data.
What is the price range for Office Visit in Ponce, PR?
Medicaid reimbursement for Office Visit in Ponce, PR ranges from $0.00 to $179.86 per claim, with an average of $21.42. 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 Ponce, PR
Blood Work & Lab Tests
Avg $9.32
1,169,019 claims
Vaccines & Immunizations
Avg $4.89
299,051 claims
Urinalysis & Urine Tests
Avg $3.76
273,785 claims
Dental Cleaning & Exam
Avg $20.09
231,783 claims
Psychiatric Evaluation
Avg $18.40
217,440 claims
Speech Therapy
Avg $51.49
187,685 claims
Pathology & Lab Services
Avg $89.42
187,636 claims
Eye Exam
Avg $44.60
174,207 claims