Average Medicaid Office Visit Payments in San German, PR: $13.92
Avg. Paid
$13.92
Range
$0.00 – $95.65
Total Claims
303,617
Providers
93
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 San German, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jorge Miranda
Carr 102 Km 36.0 #1 |
$1.15 | 24,650 | 18,513 |
|
Organizacion De Medicos Especialita Y Generales Asociados C S P Omega
#114 Calle Santiago Veve |
$1.94 | 19,931 | 14,441 |
|
Fanny Rubi Lopez
187 Calle Luna |
$0.10 | 18,361 | 10,388 |
|
Pedro Luis Rivera
Dr. Veve Street #59 |
$0.76 | 17,106 | 10,721 |
|
Enrique Medina
47 Calle Dr Santiago Veve |
$0.28 | 16,952 | 9,752 |
|
Ramon Medero-Roldan
Hernan Alvarez St. 100 |
$0.67 | 16,381 | 11,097 |
|
Anibal Rosado Vidro
Urb.Kintas Del Rey G2 |
$1.49 | 14,445 | 11,221 |
|
Elsie E Negron
Calle Luna # 153 Alhes |
$0.43 | 12,689 | 10,567 |
|
Victor Acosta
Urb. Retiro Principal #20 |
$0.30 | 9,918 | 8,353 |
|
Hostos Fernandez Caamano
100 Calle Hernan Alvarez |
$17.76 | 9,851 | 7,531 |
|
Norman Ramirez
Carr #2 Km. 173.4 San Vicente De Paul |
$61.79 | 8,810 | 6,551 |
|
Delia Torres
Calle Tefuan 4A |
$0.17 | 8,668 | 6,317 |
|
Albaixa Gonzalez Batiz
Carr 2 Km 173 |
$9.58 | 7,167 | 6,536 |
|
Maria E. Vargas-Santos
Hc 2 Box 11347 |
$0.11 | 7,131 | 4,681 |
|
Harvey Lebron
102 Calle Dr Veve |
$0.43 | 7,101 | 5,698 |
|
Clarissa Fernandez
1 Calle Ferrocarril |
$0.53 | 6,156 | 4,486 |
|
Luis O Negron-Garcia
Calle Hernan Alvarez #206 |
$60.36 | 5,871 | 4,152 |
|
Nelson Rodriguez
Edificio Plaza Metropolitana |
$51.00 | 5,508 | 4,633 |
|
Anibal J Lugo
Edificio Plaza Metropolitana |
$56.66 | 4,537 | 3,698 |
|
Efrain Castro Irizarry
San German Medical Plaza, Suite 203 |
$40.35 | 4,392 | 3,699 |
|
Jose I Almodovar - Laborde
Carr. 2 Km 174.0 |
$49.38 | 4,087 | 3,642 |
|
Jamith Torres Ramos
Carr #2 Km 173.4 Torre San Vicente De Paul |
$1.62 | 3,801 | 3,445 |
|
Jaime L Rivera
Bo La Tea Calle B 22 |
$0.20 | 3,730 | 2,823 |
|
Angelica Anais Campos Cordero
205 Calle Loto |
$6.06 | 3,724 | 3,371 |
|
Ramon De Jesus
151 Ave Univ Interamericana |
$53.09 | 3,534 | 3,125 |
|
Ramon A. Davila Ortiz
100 Calle Hernan Alvarez |
$50.34 | 3,185 | 2,769 |
|
Yussel C Garcia-Amador
Calle Hernan Alvarez #100 |
$0.00 | 3,168 | 2,012 |
|
Daniel Serrano Chervony
8 Calle Javilla |
$0.65 | 2,778 | 2,513 |
|
Eileen Marie Lugo
Urb El Convento B21 |
$90.49 | 2,705 | 2,098 |
|
Pedro Carlos Pagan Torres
Torre Medica San Vicente De Paul Suite 402 |
$57.30 | 2,670 | 2,205 |
|
Ramona Rodriguez
5 Calle Raul Mercado |
$0.00 | 2,593 | 2,174 |
|
Raymond Ivan Tossas
65 Calle Dr Santiago Veve |
$1.16 | 2,438 | 1,425 |
|
Axel W Velez Santiago
58 Calle Santiago |
$48.50 | 2,432 | 1,978 |
|
Jose Gabriel Velez Velez
Edificio Plaza Metropolitana, C, Lic Hernan Alvarez |
$76.95 | 2,344 | 2,247 |
|
Julio Cesar Campis Candelario
Las Quintas Calle Noruega B7 |
$0.00 | 2,292 | 1,530 |
|
Ramon Amado Montalvo-Alvarez
7 Calle Carro |
$0.05 | 2,209 | 1,660 |
|
Alberto Criado
Edificio San Vicente De Paul Of 602 603 |
$72.22 | 2,074 | 1,816 |
|
Hector M Santiago Perez
San German Medical Plaza |
$44.09 | 1,937 | 1,861 |
|
Miguel Angel Suarez
Calle Luna |
$0.00 | 1,879 | 1,572 |
|
Nilver Perez Perez
Ave. Los Atleticos De San German |
$0.73 | 1,703 | 1,558 |
|
Roberto Almodovar Olmeda
9 Calle Esperanza |
$0.01 | 1,698 | 1,554 |
|
Maria Del Mar Torres-Perez
Cain Alto Carr 2 |
$53.23 | 1,621 | 1,530 |
|
Roberto E. Maiz
100 Calle Hernan Alvarez |
$56.76 | 1,533 | 1,281 |
|
Ivette L Cruz - Rivera
Hc 01 Box 25716 |
$59.88 | 1,420 | 1,272 |
|
Ivan Rafael Acosta
Calle Tetuan#4 |
$0.17 | 1,361 | 877 |
|
Maria E. Gonzalez Marques
Urb. El Convento Calle2, B-30 |
$1.66 | 1,096 | 1,057 |
|
Lisa Ortiz
Bo Ancones Calle Ferrocarril #1 |
$0.00 | 1,066 | 727 |
|
David R Bermudez Nunez
100 Calle Hernan Alvarez |
$44.48 | 1,040 | 940 |
|
Wanda Casiano Quiles
Calle Hernan Alvarez # 206 |
$22.93 | 987 | 857 |
|
Juan Carlos Galloza Otero
Torre San Vicente De Paul 1St Floor |
$70.44 | 978 | 876 |
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 San German, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San German, PR is $13.92 per claim, based on 303,617 claims from 93 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 San German, PR?
There are 93 Medicaid providers offering Office Visit related services in San German, PR according to public payment data.
What is the price range for Office Visit in San German, PR?
Medicaid reimbursement for Office Visit in San German, PR ranges from $0.00 to $95.65 per claim, with an average of $13.92. 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 San German, PR
Blood Work & Lab Tests
Avg $9.18
154,460 claims
Eye Exam
Avg $36.51
89,423 claims
Vaccines & Immunizations
Avg $6.57
77,821 claims
X-Ray
Avg $7.87
69,487 claims
Dental Cleaning & Exam
Avg $20.11
62,720 claims
Urinalysis & Urine Tests
Avg $3.58
32,288 claims
Ultrasound
Avg $43.10
25,434 claims
CT Scan (Computed Tomography)
Avg $91.04
22,117 claims