Average Medicaid Office Visit Payments in Santurce, PR: $24.67
Avg. Paid
$24.67
Range
$0.00 – $134.84
Total Claims
154,499
Providers
61
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 Ramon Colon - Leon
Calle Victoria |
$1.13 | 23,797 | 15,917 |
|
Benjamin Miranda Rivera
1826 Ave Fernandez Juncos |
$0.00 | 15,031 | 10,096 |
|
Coral Casals
611 Calle Pavia |
$0.63 | 11,724 | 10,878 |
|
Francisco Colon - Fontanez
252 Calle San Jorge |
$43.82 | 9,139 | 7,731 |
|
Leonardo Rafael Hormaza
253 Calle San Jorge |
$53.99 | 7,984 | 7,471 |
|
Antoliano Torres Rodriguez
1452 Calle Americo Salas |
$0.00 | 6,626 | 3,725 |
|
Lori Renee Gomez
1801 Avenida Ponce De Leon, Pda. 26 |
$44.11 | 6,350 | 5,282 |
|
Efrain Vazquez Luna
Pavia Medical Plaza 611 |
$9.26 | 5,940 | 5,175 |
|
Felix J Seda Ent Psc
Ave San Jorge 252 |
$62.90 | 5,826 | 5,608 |
|
Maria Sanchez
Cond San Mateo |
$0.06 | 4,503 | 3,620 |
|
Luis G. Baez-Trinidad
252 San Jorge Street |
$54.59 | 4,489 | 4,213 |
|
Liza B Vazquez Cobian
252 Calle Convento |
$105.35 | 4,123 | 3,326 |
|
Edwin E Pagan Lopez
803 Ave Hipodromo |
$0.23 | 4,055 | 3,770 |
|
Jeremias A Atencio
107 Calle Santa Cecilia |
$0.20 | 3,951 | 3,299 |
|
Sigrid A Ramirez
900 Calle Cerra |
$0.05 | 3,352 | 2,792 |
|
Angel M Aviles Aviles
Calle Del Parque 607A |
$32.96 | 3,208 | 2,571 |
|
Melissa Ortiz-Hernandez
Hospital San Jorge |
$134.84 | 3,027 | 2,498 |
|
Alberto Ramon Rivera Rosado
279 Calle Convento |
$19.57 | 2,972 | 2,547 |
|
Ghp C.S.P.
258 Calle San Jorge |
$48.53 | 2,890 | 2,742 |
|
Advance Ob/Gyn, P.S.C.
Pavia Medical Plaza 611 |
$30.11 | 2,188 | 1,556 |
|
Maria E. Narvaez Rivera
1801 Ave Ponce De Leon |
$0.62 | 2,185 | 1,982 |
|
Gloria Colon
252 Calle San Jorge |
$51.33 | 2,042 | 1,418 |
|
Jessica Rosario
Centro Plaza, Lloveras 650 Stop 22 |
$12.42 | 2,023 | 1,422 |
|
Maria Elena Echevarria-Escudero
252 San Jorge St |
$51.76 | 1,750 | 1,134 |
|
Xavier E. Santiago-Albizu
607 Ave Condado |
$0.07 | 1,658 | 1,442 |
|
Podiatry Center, Psc
1413 Ave Fernandez Juncos |
$29.68 | 1,384 | 918 |
|
Simon E. Carlo
252 San Jorge St. |
$9.50 | 1,299 | 1,269 |
|
Clinica De Ojos Maldonado Vazquez
275 Calle Convento |
$76.14 | 1,292 | 1,231 |
|
Alberto Santiago Cornier
252 San Jorge Street |
$4.62 | 1,018 | 995 |
|
Rayda E Ortiz Sancho
Condado Astov Ashford 1018 |
$8.77 | 915 | 846 |
|
Ana Cordova
252 Calle San Jorge |
$82.29 | 806 | 622 |
|
Juan A. Vigo Prieto
San Jorge Childrens Hospital |
$46.27 | 792 | 683 |
|
Hera Ginecologia Y Obstetricia
252 San Jorge Medical Building |
$47.25 | 635 | 544 |
|
Wanda Ramos
359 Ave De Diego 501 |
$0.63 | 609 | 596 |
|
Caribbean Pediatric Orthopaedics Llc
258 Calle San Jorge |
$52.23 | 582 | 571 |
|
Jose L Martinez
Calle San Rafael 253 |
$0.00 | 516 | 455 |
|
Carlos R Diaz Velez Md Csp
1449 Calle Americo Salas |
$82.31 | 370 | 361 |
|
Maribel Garcia
252 Calle San Jorge |
$73.55 | 363 | 283 |
|
Orlando Latorre-Lopez
Calle Hipodromo Esq Las Palmas |
$84.83 | 345 | 297 |
|
Jose Antonio Carro-Rivera
1605 Ave Ponce De Leon |
$28.38 | 297 | 269 |
|
Samuel Estronza-Ojeda
252 Calle San Jorge Ste 205 |
$60.48 | 291 | 270 |
|
Rg Hematology Oncology Psc
Calle Manuel Pavia Fernandez 655 |
$71.15 | 272 | 247 |
|
Jose I Russe
252 Convento St |
$110.77 | 225 | 218 |
|
Victor Kevin Maldonado
274 Calle Convento |
$49.05 | 204 | 172 |
|
Jose Rafael Pesquera-Garcia
Santurce Medical Mall Suite #309-310 |
$38.81 | 160 | 148 |
|
Melvin A Bonilla-Felix
252 Calle Convento |
$44.40 | 149 | 134 |
|
Centro Quiropractico De La Familia Llc
Santurce Medical Plaza |
$75.67 | 146 | 126 |
|
Efrain Gonzalez Arroyo
1801 Ave Ponce De Leon |
$43.92 | 138 | 136 |
|
Martin I Gorrochategui
1760 Calle Loiza |
$29.08 | 132 | 119 |
|
Phalanx Orthopedic Real Estate
Ave Ponce De Leon # 1507 |
$23.16 | 129 | 128 |
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.
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 Santurce, PR
X-Ray
Avg $7.20
36,956 claims
Blood Work & Lab Tests
Avg $8.41
27,797 claims
Speech Therapy
Avg $62.11
23,536 claims
Eye Exam
Avg $33.32
21,572 claims
Dental Cleaning & Exam
Avg $19.57
13,333 claims
CT Scan (Computed Tomography)
Avg $80.81
11,292 claims
Ultrasound
Avg $53.26
8,771 claims
Emergency Room Visit
Avg $72.24
7,293 claims