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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sabana Grande, PR: $14.75

Avg. Paid

$14.75

Range

$0.00 – $455.13

Total Claims

127,382

Providers

28

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 Sabana Grande, PR

Provider Avg. Paid Claims Patients
Felipe Tirado-Davila

25 Calle Luis Munoz Rivera

$43.21 14 14
Edgardo Isaac Baez Ayala

Carr. 365 Km 0.8 Bo. Machuchal

$0.00 15 14
Guillermo Serrano

Hc 10 Box 8724

$0.00 21 21
Radames A. Marin Vieira

Felix Tio #35

$0.00 29 26
Maylin Aixa Garcia-Lopez

Ave. 21 De Diciembre #110

$38.59 36 26
Priscilla Milagros Soto Justiniano

8 Calle Julio Victor Nunez

$10.08 49 33
Edlyn Lorell Bayron Aubret

Carr 363 Km 0.9 Int 0.1 Bo La Maquina

$0.00 104 54
Herminio Velez Rodriguez

8 Betances Street

$20.94 118 66
Juan Colon Padilla

Po Box 1179

$0.98 122 110
Edwin Casiano

Hospital Municipal Sabana Grande

$0.71 137 98
Jorge Luis Ayala-Colon

6 Calle Francisco M Quinonez

$0.00 150 107
Keyla Deborah Pratts Rodriguez

Carr 368 Km. 1.0

$0.00 293 227
Juan A Comas Ortiz

Carr 363 Km 0.1

$0.28 357 347
Sandra Figueroa

Calle Angel G. Martinez 35

$455.13 819 691
Juan Miguel Barrientos-Gayoso

22 Calle Betances

$0.93 1,685 1,347
Angie G Figueroa

Munoz Rivera Street

$0.08 2,792 2,021
Nestor J Feliz

C/Franciscom Quinones #58

$0.64 3,537 2,086
Francisco J Guzman Lugo

110 Ave 21 De Diciembre

$43.41 4,162 3,553
Norma R Guerra Torres

Calle Angel Martinez Esq. San Isidro 25B

$0.06 7,278 5,658
Amaury Rodriguez

36 Munoz Rivera Street

$0.01 7,408 5,467
Jenaro Pagan Lagomarsini

Munoz Rivera 40

$0.44 7,733 4,472
Edwin B. Antommattei

167 Ave 5 De Diciembre

$0.17 8,257 5,880
Luis J. Deliz-Varela

8 Calle Julio Victor Nunez

$0.44 9,302 5,645
Limary Rosado Vidro

367 Calle Bo Papayo Km1.3

$0.39 9,397 7,699
Cristina Santiago Ramirez

Carr 363 Bo Santana Maquina Km 6 Urb Las Mercedes Num 9

$0.37 9,532 7,763
Jose Antonio Ramirez Ramos

Calle Munoz Rivera #40

$0.30 10,512 6,634
Rodolfo Ramirez Carrero

Avenida 5 De Diciembre #114 Suite 104

$44.79 15,170 9,417
Lilliam I Garcia

Alturas De San Jose #00-25 Calle 21

$21.76 28,353 26,597

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 Sabana Grande, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sabana Grande, PR is $14.75 per claim, based on 127,382 claims from 28 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 Sabana Grande, PR?

There are 28 Medicaid providers offering Office Visit related services in Sabana Grande, PR according to public payment data.

What is the price range for Office Visit in Sabana Grande, PR?

Medicaid reimbursement for Office Visit in Sabana Grande, PR ranges from $0.00 to $455.13 per claim, with an average of $14.75. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

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