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
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 Sabana Grande, PR
Blood Work & Lab Tests
Avg $10.10
89,685 claims
Vaccines & Immunizations
Avg $4.32
73,066 claims
Physical Therapy
Avg $11.64
32,468 claims
Dental Cleaning & Exam
Avg $19.27
24,441 claims
Urinalysis & Urine Tests
Avg $3.10
24,394 claims
Psychiatric Evaluation
Avg $7.25
15,562 claims
EKG / ECG (Electrocardiogram)
Avg $20.85
4,971 claims
Ultrasound
Avg $91.20
4,936 claims