Average Medicaid Office Visit Payments in San Juan, PR: $18.99
Avg. Paid
$18.99
Range
$0.00 – $590.91
Total Claims
3,140,039
Providers
1,050
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 Juan, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Luis F. Montalvo-Sanchez
500 Ave Domenech |
$53.41 | 12 | 12 |
|
Carlos Alfonso Vidal
Upr Medical Sciences Campus A-989 Main Building |
$24.92 | 12 | 12 |
|
Yolianne A Lozada Capriles
735 Ave Ponce De Leon Ste 812 |
$56.91 | 12 | 12 |
|
Maritere Hernandez Almodovar
University District Hospital |
$0.00 | 12 | 12 |
|
Rolando Irizarry
531A |
$73.75 | 12 | 12 |
|
Laura Garcia Hernandez
1687 Calle Amarillo Apt 401D |
$31.67 | 12 | 12 |
|
Cardiomed Llc
1492 Ave Ponce De Leon Ste 717 |
$70.48 | 12 | 12 |
|
Esc Quiropracticos Llc
1566 Calle Bori |
$39.63 | 12 | 12 |
|
Radames Sierra-Zorita
400 F.D. Roosevelt Ave. |
$49.78 | 12 | 12 |
|
Gustavo A Cruzado
Washington 30 |
$0.00 | 12 | 12 |
|
Ali Mastali
313 C Columbia |
$8.28 | 12 | 12 |
|
Edgar Carlos Hernandez Viera
369 Calle De Diego |
$59.74 | 12 | 12 |
|
Ann M Maldonado Vazquez
10 Calle Casia |
$0.00 | 12 | 12 |
|
Manuel E Imbert Garraton
Condominio Torre Auxilio 735 Ave. Ponce De Leon |
$67.29 | 12 | 12 |
|
Pediatric Neuromuscular Llc
252 Calle San Jorge |
$179.86 | 12 | 12 |
|
Marianne Del Valle
Cond Plz |
$5.00 | 12 | 12 |
|
Lab. Clinico Carraizo
Carr 844 Km 5.6 |
$0.00 | 12 | 12 |
|
Roberto Angel Calderon
Santurce Medical Mall |
$3.08 | 12 | 12 |
|
Yahaira Noemi Diaz-Rodriguez
10 Calle Casia |
$0.00 | 12 | 12 |
|
Jose J Munoz Acaba
University District Hospital |
$68.20 | 13 | 13 |
|
Maribel Melendez
652 Ave Munoz Rivera Ste 2050 |
$2.23 | 13 | 13 |
|
Grupo Radiologico Dr Lopez Antogiorgi
Calle 25 Ne # 333 Puerto Nuevo |
$146.50 | 13 | 12 |
|
Roberto Ruiz-Lopez
1394 Calle San Rafael |
$19.23 | 13 | 13 |
|
Clinica Ninos Y Adolescentes
Hospital Pediatrico 4Th Floor |
$4.73 | 13 | 13 |
|
Sheila D Perez Colon
1507 Ave Ponce De Leon Apt 205 |
$113.58 | 13 | 12 |
|
Critical Care Medicine Services, Inc.
1276 Calle 54 Se |
$125.16 | 13 | 12 |
|
Caribbean Orthopedic Institute Psc
1213 Calle Tomas Agrait |
$20.48 | 13 | 12 |
|
Sandra I Rivera Llamas
Ave Lomas Verde 1790. Bo Monacillos |
$0.00 | 13 | 13 |
|
Optimal Care Gynecology Llc
607A Calle Del Parque |
$78.14 | 13 | 12 |
|
Vita Care,Llc
350 Ave Chardon |
$7.62 | 13 | 13 |
|
Gabriela Pabon Cartagena
735 Ave Ponce De Leon Ste 415 |
$114.19 | 13 | 13 |
|
Sara Diaz
Cond.Alto Monte Apt.503 |
$35.00 | 13 | 13 |
|
Rafael A Davila Micheo
Centro Medico De Puerto Rico |
$49.42 | 14 | 14 |
|
Miguel R. Garraton - Martin
369 Ave. De Diego |
$15.43 | 14 | 12 |
|
Grupo San Mateo, Llc
1607 Ave Ponce De Leon Ste Gm04 |
$79.67 | 14 | 14 |
|
Luis F Alvarez - Reyes
1674 Ave Paz Granela |
$34.57 | 14 | 12 |
|
Lourdes Garcia
Upr School Of Medicine, Dept Of Pediatrics |
$105.85 | 14 | 14 |
|
Jill Marie Cordero
B26 Calle 5 |
$0.00 | 14 | 13 |
|
Gary George Montalvo
400 Ave Domenech |
$29.87 | 14 | 12 |
|
Lillian M. Green Lopez
C-2 Chestnut Hill Ave. |
$1.29 | 14 | 14 |
|
Alejandro Jorge Hidalgo Rios
Ave Americo Miranda Medical Center Cor |
$13.49 | 14 | 13 |
|
Luis Antonio Clavell
252 Calle San Jorge |
$27.86 | 14 | 13 |
|
Josue Pabon Landron
Torre Auxilio Mutuo Suite 415 |
$51.21 | 14 | 14 |
|
Enrique Ariel Vera
1413 Ave Fernandez Juncos |
$49.79 | 15 | 13 |
|
Rolance G. Chavier Roper
1107 Calle William Jones |
$2.40 | 15 | 13 |
|
Jose Torrado
Torre Auxilio Mutuo Ponce De Leon Ave 735 |
$68.69 | 15 | 15 |
|
Marisel Vazquez-Correa
252 Calle San Jorge |
$22.10 | 15 | 12 |
|
Martin Ortiz
562 Calle Juan J Jimenez |
$46.59 | 15 | 15 |
|
Carmen Suarez Rosado
1627 Ave Jesus T Pinero |
$76.73 | 15 | 12 |
|
Omar Francisco Mendez Melendez
Puerto Rico Medical Center |
$97.21 | 15 | 14 |
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 Juan, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Juan, PR is $18.99 per claim, based on 3,140,039 claims from 1050 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 Juan, PR?
There are 1050 Medicaid providers offering Office Visit related services in San Juan, PR according to public payment data.
What is the price range for Office Visit in San Juan, PR?
Medicaid reimbursement for Office Visit in San Juan, PR ranges from $0.00 to $590.91 per claim, with an average of $18.99. 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 Juan, PR
Blood Work & Lab Tests
Avg $9.31
1,652,042 claims
Pathology & Lab Services
Avg $77.12
603,331 claims
Dental Cleaning & Exam
Avg $20.92
561,409 claims
X-Ray
Avg $9.69
517,944 claims
Emergency Room Visit
Avg $66.54
406,486 claims
Urinalysis & Urine Tests
Avg $3.33
343,385 claims
Eye Exam
Avg $38.11
328,091 claims
Psychiatric Evaluation
Avg $9.96
280,724 claims