Average Medicaid Office Visit Payments in San Sebastian, PR: $2.43
Avg. Paid
$2.43
Range
$0.00 – $54.82
Total Claims
192,157
Providers
53
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 Sebastian, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Damaris Ortiz Gonzalez
Bo Hato Arriba Carr 125 |
$0.00 | 12 | 12 |
|
Juan M Llorens Fosse
Calle Andres Mendez Liciaga 13 |
$0.00 | 13 | 13 |
|
Carmen G Pujols Gonzalez
1153 Ave Emerito Estrada Rivera |
$0.00 | 18 | 12 |
|
Pepino Health Group Inc
126 Calle Pavia Fernandez |
$0.00 | 21 | 12 |
|
Edith Noemi Perez Jimenez
Bo. Hoyamala Street 119 Km. 28.6 |
$51.21 | 21 | 12 |
|
Suhey Enid Velez-Acevedo
126 Calle Pavia Fernandez |
$52.60 | 31 | 24 |
|
Emeterio A Quinones
1003 Ave Emerito Estrada Rivera |
$0.00 | 41 | 33 |
|
Manuel Jimenez-Espinosa
Calle 111 Km 14.3 Bo. Hato Arriba |
$0.00 | 50 | 42 |
|
Laboratorio Clinico Irizarry Guasch Inc
1 Calle Providencia Barrero |
$0.00 | 50 | 49 |
|
Jonathan Ivan Rodriguez Arocho
Carr 111 Km 16.8 Int |
$54.82 | 67 | 67 |
|
Carlos Ramos
Carr 111 Km 22.8 |
$41.83 | 68 | 59 |
|
Cristobal Ivan Mendez Ruiz
Calle Andres Mendez Liciaga |
$0.00 | 93 | 51 |
|
Angela L Robles
1151 Ave Emerito Estrada |
$22.09 | 121 | 99 |
|
Erlando Mendez
Plaza Hato Arriba |
$0.00 | 157 | 127 |
|
Adrian Padua-Hernandez
19 Calle Andres Mendez Liciaga |
$0.00 | 177 | 134 |
|
Jose Gabriel Arce-Diaz
Carr 125 Km 18.1 Bo. Bahomamey |
$0.00 | 179 | 64 |
|
M&P Medical Services
120 Calle Pavia Fernandez Ste 201 |
$29.60 | 348 | 295 |
|
Centro De Diagnostico Y Tratamiento De San Sebastian Inc
3 Jose Mendez Cardona Ave. |
$27.20 | 451 | 277 |
|
Tomas Deynes
126 Calle Pavia Fernandez |
$0.00 | 473 | 421 |
|
Marianne Hernandez
Ave Hostos #11 |
$53.93 | 519 | 451 |
|
Walter Rodriguez
#170 Ave 111 Km 30.9 |
$0.00 | 523 | 425 |
|
Advanceprimarycare Medicinepsc
Barrio Guatemala |
$0.14 | 525 | 411 |
|
Keishla Marie Rios Cardona
Calle Jose Mendez Cardona #3 |
$9.60 | 662 | 438 |
|
Mikel Mendez Perez
120 Calle Pavia Fernandez |
$1.01 | 669 | 584 |
|
Jorge I Mendez
Carr 111 Km 30.3 |
$12.17 | 773 | 634 |
|
Laboratorio Clinico Lebron, Inc.
Ave Emerito Estrada |
$0.00 | 777 | 718 |
|
Pedro Rafael Cordova Amador
Pr- 111 Km 14.6, Bo. Hato Arriba |
$0.71 | 1,521 | 1,352 |
|
Erick G. Nieves Rivera
32 Calle Jesus T Pinero |
$4.93 | 2,586 | 1,820 |
|
Emanuel J Barreto
18 Calle Severo Arana |
$0.15 | 2,754 | 2,396 |
|
Juan L Colon Quinones
526 Ave Emerito Estrada |
$0.40 | 2,936 | 2,456 |
|
Cesar I Vargas Quinones
1500 Ave Emerito Estrada |
$0.02 | 3,110 | 1,238 |
|
Olga E Guzman Guzman
101 Calle Pavia Fernandez |
$0.08 | 3,120 | 2,046 |
|
Juan Luis Robles Nieves
70 Calle Severo Arana |
$0.11 | 3,562 | 3,004 |
|
Luis A Torres Aguilar
Calle Pavia Fernandez Num 126 Suite 234 |
$4.73 | 3,703 | 3,121 |
|
Norma Iris Rivera
Hc 7 Box 14000 |
$0.32 | 3,939 | 2,832 |
|
Juan Saturino Robles
70 Calle Severo Arana |
$0.13 | 4,116 | 3,545 |
|
Confesor Lasalle-Ruiz
66 Calle Mj Cabrero |
$40.98 | 4,306 | 3,907 |
|
Marlene L Torres Hernandez
1 Ave Dr Pedro Cebollero |
$3.97 | 4,378 | 3,661 |
|
Migrant Health Center Western Region, Inc.
Bo. Piedras Blancas Km. 35.2 |
$0.00 | 4,506 | 3,968 |
|
Elizabeth Gonzalez Morales
Carr 125 Km 15.5 Int Hato Arriba |
$0.00 | 4,565 | 3,194 |
|
Elionexsis Rivera
Ave Emerito Estrada 1001 Altos |
$0.13 | 4,811 | 3,831 |
|
Iris Y Delgado-Cardona
19 Calle Andres Mendez Liciaga |
$0.46 | 5,781 | 4,949 |
|
Ricardo Ruiz
Ave. Emerito Estrada Rivera # 901 |
$1.33 | 6,847 | 5,146 |
|
Ramon Francisco Malave
26 Calle Betances |
$0.30 | 7,836 | 7,299 |
|
Felix Alberto Valentin-Marrero
126 Calle Pavia Fernandez |
$0.55 | 8,123 | 6,990 |
|
Eduardo Rodriguez Vazquez
3 Jose Mendez Cardona Ave. |
$0.25 | 9,172 | 5,813 |
|
Luis D. Rivera Rivera
1153 Ave Emerito Estrada Rivera |
$0.39 | 9,663 | 8,103 |
|
Jose Enrique Rodriguez-Rosa
1486 Ave Emerito Estrada |
$0.75 | 10,091 | 7,989 |
|
Edgardo Gonzalez Romero
Emilio Ruiz |
$7.39 | 12,883 | 10,972 |
|
Tanya I Lopez
126 Calle Pavia Fernandez |
$0.43 | 13,493 | 11,843 |
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 Sebastian, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Sebastian, PR is $2.43 per claim, based on 192,157 claims from 53 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 Sebastian, PR?
There are 53 Medicaid providers offering Office Visit related services in San Sebastian, PR according to public payment data.
What is the price range for Office Visit in San Sebastian, PR?
Medicaid reimbursement for Office Visit in San Sebastian, PR ranges from $0.00 to $54.82 per claim, with an average of $2.43. 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 Sebastian, PR
Blood Work & Lab Tests
Avg $9.35
256,101 claims
Dental Cleaning & Exam
Avg $21.46
139,000 claims
Physical Therapy
Avg $21.86
52,548 claims
Urinalysis & Urine Tests
Avg $3.41
51,242 claims
Dental Filling
Avg $45.03
37,980 claims
Vaccines & Immunizations
Avg $7.84
35,663 claims
Tooth Extraction
Avg $106.01
30,637 claims
Eye Exam
Avg $31.45
25,754 claims