Average Medicaid Office Visit Payments in Vega Baja, PR: $5.95
Avg. Paid
$5.95
Range
$0.00 – $91.22
Total Claims
186,988
Providers
58
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 Vega Baja, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prymed Medical Care, Inc
Road #2 Km. 39.8 |
$5.10 | 22,869 | 20,624 |
|
Luis A Paz Reyes
12 Calle Baldorioty # B |
$0.16 | 20,502 | 11,853 |
|
Maria S Dominguez Pascual
Carr # 2 Km 39.7 |
$0.67 | 18,863 | 12,975 |
|
Laura Quiles
113 Calle Marginal |
$0.15 | 13,709 | 12,387 |
|
Clarissa Nazario Aviles
Parcela 377 Sabana Bo, Ceiba |
$0.28 | 11,198 | 9,813 |
|
Ernesto J Roman
Carr. #2, Km 40.2 , Plaza Jardines |
$0.31 | 11,085 | 8,156 |
|
Carmen Idolia Luna
Calle Julian Blanco Sosa |
$0.07 | 9,956 | 7,525 |
|
Loida Miranda
Calle Jose J Acosta |
$0.13 | 7,941 | 6,413 |
|
Brenda Aguayo Vicente
29 B Calle Ramon E. Betances |
$0.58 | 6,712 | 5,516 |
|
Jorge F Feria
Wilma Vazquez Hospital |
$1.53 | 6,049 | 5,640 |
|
Magin Inocencio Casanova
Bo Almirante Norte |
$0.39 | 4,815 | 3,194 |
|
Jaime H Rodriguez
Jose J Acosta St |
$0.80 | 4,626 | 3,848 |
|
Lepky Emmanuel Martinez Velez
Calle Profesor Isabel C Perez |
$0.78 | 4,601 | 2,486 |
|
Aitza Reyes Seda
Hospital Wilma Vazquez |
$2.78 | 3,855 | 3,081 |
|
Francisco Lopez Hernandez
Baldorioty De Castro 1B |
$77.95 | 3,029 | 2,145 |
|
Alfredo Rodriguez-Sanchez
5 Calle |
$0.85 | 2,857 | 2,525 |
|
Zidnia Marie Colon Blanco
197 Calle Suzette |
$0.47 | 2,591 | 2,470 |
|
Caroline A Rivera Olmo
2 Calle Marginal Km 43.2 |
$56.72 | 2,469 | 1,907 |
|
Joanne Enid Diaz Rodriguez
Carr 155 Km 0.5 Urb. Brasilia |
$0.06 | 2,462 | 1,727 |
|
Carylee Castro Colon
C1 Calle 2 |
$0.09 | 2,406 | 1,662 |
|
Juan Angel De La Rosa
Urb. Camino Del Sol |
$0.08 | 2,102 | 1,681 |
|
Zaida M Laureano-Rodriguez
A-2 Calle 1 |
$0.61 | 1,873 | 1,478 |
|
Evaristo Jaime Medina-Cucurella
Hospital Wilma Vazquez |
$61.56 | 1,777 | 987 |
|
Juan Antonio Perez Vazquez
46 Jj Acosta |
$0.07 | 1,739 | 1,208 |
|
Vicotr Julio Mariano Mercedes
Calle Jose Julian Acosta |
$1.61 | 1,553 | 1,464 |
|
Instituto Medico Del Norte Inc
Carr 2 Km 39 5 Bo Algarrobo |
$80.29 | 1,543 | 828 |
|
Nestor Amaury Perez
57 Calle Prof Isabel C Perez |
$0.00 | 1,360 | 899 |
|
Jose Manuel Quinones
526 Ave. Trio Vegabajeno |
$0.26 | 1,320 | 1,202 |
|
Juan De La Cruz
Carr 2 Km. 39.5 |
$91.22 | 1,248 | 1,112 |
|
Ramon Francisco Echeandia Fuster
Calle 2 C-29 Urb.Brasilia |
$0.03 | 1,246 | 707 |
|
Karl Michael Lang Correa
Carr # 2 Km 40.1 Barrio Algarrobo |
$24.17 | 1,044 | 981 |
|
Mi Alicia Llc
2 Calle Marginal Km 43.2 |
$72.38 | 988 | 868 |
|
Centro De Medicina Oncologica De Puerto Rico, Csp
Carr 2 K 39.5 |
$60.09 | 868 | 772 |
|
Michael James Ryan Torres
Calle E D-9 Alturas De Vega Baja |
$0.00 | 828 | 525 |
|
Luis Arnaldo Rosado
Calle Boqueron 31 |
$0.17 | 811 | 721 |
|
Nestor Amaury Perez Arroyo
66 Ensanche Silva |
$0.11 | 606 | 547 |
|
Jacqueline Y Melendez
4246 Street #2 Km 43.0 |
$40.98 | 549 | 543 |
|
Domingo A Mendez
Urb. Villa Real Calle 2 B-11 |
$0.00 | 479 | 284 |
|
Carlos M Roque
Carr Num. 2 Km.39.5 Hospital Wilma N Vazquez |
$16.92 | 356 | 334 |
|
Victor A Lopez-Llavona
Calle Baldorioty De Castro 1B |
$0.80 | 347 | 302 |
|
Laboratorio Teresita Llc
E-7 Calle #3 Urb. Brasilia |
$0.00 | 261 | 247 |
|
Shayan Khorsandi
Carretera #2, Kilometer 39.5 |
$43.34 | 241 | 211 |
|
Luz Elenia Rodriguez Vargas
Estancias De Tortuguero |
$0.00 | 221 | 164 |
|
Laboratorio Clinico Del Mar Llc
Numero 6 Bloque Q |
$0.00 | 189 | 182 |
|
Jose Francisco De Leon
214 Calle Guajataca |
$0.89 | 183 | 142 |
|
Instituto De Medicina Preventiva Llc
113 Calle Maginal Monte Carlo |
$20.34 | 147 | 115 |
|
Oscar Baez-Soria
Urbanizacion Villa Real Calle |
$57.76 | 140 | 130 |
|
Jose J Lugo Morales
Carretera 670 Km 9.0 |
$0.00 | 55 | 49 |
|
Ida Regina Cordero
Urb. Brasilia Calle 4 C-8 |
$0.00 | 53 | 37 |
|
Guillermo Rafael Armaiz
50 Jose J Acosta St |
$0.00 | 50 | 42 |
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 Vega Baja, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vega Baja, PR is $5.95 per claim, based on 186,988 claims from 58 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 Vega Baja, PR?
There are 58 Medicaid providers offering Office Visit related services in Vega Baja, PR according to public payment data.
What is the price range for Office Visit in Vega Baja, PR?
Medicaid reimbursement for Office Visit in Vega Baja, PR ranges from $0.00 to $91.22 per claim, with an average of $5.95. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Avg $54.47
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Other Procedures in Vega Baja, PR
Blood Work & Lab Tests
Avg $9.26
447,872 claims
Dental Cleaning & Exam
Avg $20.56
152,220 claims
Urinalysis & Urine Tests
Avg $3.62
93,966 claims
Vaccines & Immunizations
Avg $5.78
34,790 claims
Dental Filling
Avg $35.94
28,372 claims
Ultrasound
Avg $64.18
28,024 claims
X-Ray
Avg $17.06
25,583 claims
Speech Therapy
Avg $50.20
23,446 claims