Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Santurce, PR: $24.67

Avg. Paid

$24.67

Range

$0.00 – $134.84

Total Claims

154,499

Providers

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 Santurce, PR

Provider	Avg. Paid	Claims	Patients
Jose A Marques Bibiloni Manuel Pavia Fernandez 655 4Th Piso	$58.83	15	12
Joel Gonzalez Calle Cerra Final 900	$19.11	15	15
Esteban Martinez Lugo Calle San Rafael 1395	$75.23	17	15
Rosa Ileana Cruz 1519 Ponce De Leon Av	$9.65	23	13
Manuel R. Perez-Gonzalez 617 Calle Dr Pavia Fernandez	$19.70	30	27
Orlando Alfredo Lopez Santiago Ave Fernandez James #1427	$5.65	47	43
Angel Daniel Velez Calle Del Parque 607 A	$40.03	64	59
Angel Luis Fraguada 611 Calle Pavia	$101.96	87	38
Jose R Rodriguez Edificio Betancourt 305	$54.58	93	84
Marina C. Ruiz-Montilla Cond San Jorge	$56.74	97	60
Mariola Llinas Messeguer 252 San Jorge Medical Building	$41.15	109	71
Phalanx Orthopedic Real Estate Ave Ponce De Leon # 1507	$23.16	129	128
Martin I Gorrochategui 1760 Calle Loiza	$29.08	132	119
Efrain Gonzalez Arroyo 1801 Ave Ponce De Leon	$43.92	138	136
Centro Quiropractico De La Familia Llc Santurce Medical Plaza	$75.67	146	126
Melvin A Bonilla-Felix 252 Calle Convento	$44.40	149	134
Jose Rafael Pesquera-Garcia Santurce Medical Mall Suite #309-310	$38.81	160	148
Victor Kevin Maldonado 274 Calle Convento	$49.05	204	172
Jose I Russe 252 Convento St	$110.77	225	218
Rg Hematology Oncology Psc Calle Manuel Pavia Fernandez 655	$71.15	272	247
Samuel Estronza-Ojeda 252 Calle San Jorge Ste 205	$60.48	291	270
Jose Antonio Carro-Rivera 1605 Ave Ponce De Leon	$28.38	297	269
Orlando Latorre-Lopez Calle Hipodromo Esq Las Palmas	$84.83	345	297
Maribel Garcia 252 Calle San Jorge	$73.55	363	283
Carlos R Diaz Velez Md Csp 1449 Calle Americo Salas	$82.31	370	361
Jose L Martinez Calle San Rafael 253	$0.00	516	455
Caribbean Pediatric Orthopaedics Llc 258 Calle San Jorge	$52.23	582	571
Wanda Ramos 359 Ave De Diego 501	$0.63	609	596
Hera Ginecologia Y Obstetricia 252 San Jorge Medical Building	$47.25	635	544
Juan A. Vigo Prieto San Jorge Childrens Hospital	$46.27	792	683
Ana Cordova 252 Calle San Jorge	$82.29	806	622
Rayda E Ortiz Sancho Condado Astov Ashford 1018	$8.77	915	846
Alberto Santiago Cornier 252 San Jorge Street	$4.62	1,018	995
Clinica De Ojos Maldonado Vazquez 275 Calle Convento	$76.14	1,292	1,231
Simon E. Carlo 252 San Jorge St.	$9.50	1,299	1,269
Podiatry Center, Psc 1413 Ave Fernandez Juncos	$29.68	1,384	918
Xavier E. Santiago-Albizu 607 Ave Condado	$0.07	1,658	1,442
Maria Elena Echevarria-Escudero 252 San Jorge St	$51.76	1,750	1,134
Jessica Rosario Centro Plaza, Lloveras 650 Stop 22	$12.42	2,023	1,422
Gloria Colon 252 Calle San Jorge	$51.33	2,042	1,418
Maria E. Narvaez Rivera 1801 Ave Ponce De Leon	$0.62	2,185	1,982
Advance Ob/Gyn, P.S.C. Pavia Medical Plaza 611	$30.11	2,188	1,556
Ghp C.S.P. 258 Calle San Jorge	$48.53	2,890	2,742
Alberto Ramon Rivera Rosado 279 Calle Convento	$19.57	2,972	2,547
Melissa Ortiz-Hernandez Hospital San Jorge	$134.84	3,027	2,498
Angel M Aviles Aviles Calle Del Parque 607A	$32.96	3,208	2,571
Sigrid A Ramirez 900 Calle Cerra	$0.05	3,352	2,792
Jeremias A Atencio 107 Calle Santa Cecilia	$0.20	3,951	3,299
Edwin E Pagan Lopez 803 Ave Hipodromo	$0.23	4,055	3,770
Liza B Vazquez Cobian 252 Calle Convento	$105.35	4,123	3,326

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 Santurce, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santurce, PR is $24.67 per claim, based on 154,499 claims from 61 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 Santurce, PR?

There are 61 Medicaid providers offering Office Visit related services in Santurce, PR according to public payment data.

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

Medicaid reimbursement for Office Visit in Santurce, PR ranges from $0.00 to $134.84 per claim, with an average of $24.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Santurce, PR: $24.67

Providers Offering Office Visit in Santurce, PR

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Santurce, PR

X-Ray

Blood Work & Lab Tests

Speech Therapy

Eye Exam

Dental Cleaning & Exam

CT Scan (Computed Tomography)

Ultrasound

Emergency Room Visit