Average Medicaid Office Visit Payments in Yauco, PR: $3.48
Avg. Paid
$3.48
Range
$0.00 – $148.20
Total Claims
369,812
Providers
54
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 Yauco, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ileana Sepulveda-Villa
35 Calle Mattei Lluberas |
$0.99 | 39,718 | 27,201 |
|
Francisco Pelliccia
Urbanizacion Costa Sur Calle C-C-9 |
$1.09 | 38,797 | 26,898 |
|
Red De Medicos Asociados Del Sur, Inc
Calle 65 De Infanteria #1 |
$1.19 | 32,761 | 27,022 |
|
Ernesto R. Garcia Toro
C17 Calle 6 |
$0.12 | 29,818 | 24,623 |
|
Rosabel Quinones Pina
20 Calle Pacheco S |
$0.23 | 28,675 | 19,739 |
|
Elizabeth Cruz
681 Calle Jazmin |
$0.15 | 19,835 | 10,286 |
|
Sylvette Lugo Cintron
Hospital Metropolitano Dr. Tito Mattei |
$0.06 | 13,093 | 10,235 |
|
Jose R Sepulveda Laboy
39 Calle Dr Pasarell |
$0.16 | 12,421 | 9,329 |
|
Hilda M Velez Oliveras
Comercio 61 Bajos |
$0.21 | 12,164 | 10,125 |
|
Raul Acosta
26Vivaldi Pacheco Esq Baldorioty |
$0.22 | 11,436 | 8,929 |
|
Jerimer Jesus Rodriguez Velez
Barrio Almacigo Bajo Km 0 Htm 1 |
$0.32 | 10,594 | 8,703 |
|
Luis Alberto Rodriguez
29 Calle Pasarell |
$22.06 | 9,845 | 7,962 |
|
Gretchen Ortiz Sanchez
#39 Calle Santo Domingo |
$0.08 | 9,618 | 7,262 |
|
Juan Carlo Montalvo
L22 Calle 12 |
$0.47 | 8,680 | 6,396 |
|
Jose E. Castellon Miranda
71 Calle Comercio |
$0.22 | 8,643 | 6,396 |
|
Luis Rivera Lopez
Centro Comercial Barinas |
$0.63 | 8,144 | 6,411 |
|
Alberto Llaurador Nieves
39 Calle Santo Domingo |
$0.13 | 7,931 | 6,176 |
|
Orlando Brinn Esparra
Hospital Metropolitano Dr. Tito Mattei |
$0.10 | 7,796 | 6,232 |
|
Jose M Canabal Enriquez
Centro Comercial Barinas Carretera 335 Km.1.5 |
$0.42 | 7,656 | 6,331 |
|
Gar Michael Reyes Crespo
55 Calle Comercio |
$31.62 | 5,794 | 5,335 |
|
Karen Rodriguez Rodriguez
Carretera 368 Km 12.1 |
$0.26 | 5,679 | 4,262 |
|
Ruben Perez Fraticelli
F-10 Calle 12 Urbanizacion La Quinta |
$14.44 | 5,082 | 4,820 |
|
Luis E Arocho
58 Calle Comercio |
$0.00 | 4,552 | 3,540 |
|
Jorge L Baez Torres
Vivaldi Pacheco No. 33 |
$64.53 | 4,547 | 4,179 |
|
Gisela Velez Ramirez
65 Infanteria A1 |
$0.71 | 4,269 | 3,645 |
|
Rafael L Mendez-Rodriguez
24 Calle Mattei Lluberas |
$24.62 | 4,138 | 3,253 |
|
Enrique A Maldonado Torres
Centro Commercial Barinas |
$0.03 | 3,826 | 2,597 |
|
Cheryl Michelle Ramos
Urb Quintas Del Rocio |
$0.29 | 3,362 | 3,143 |
|
Yamil Ali Zaidi
1 Calle Matienzo Cintron |
$0.34 | 3,322 | 2,613 |
|
Saul Irizarry Vazquez
Hc 4 Box 11926 |
$15.72 | 1,601 | 1,333 |
|
Xavier Hiram Quinones De Jesus
550 Carr 128 Ste 106 |
$148.20 | 1,349 | 1,284 |
|
Edmundo Jusino
Baldorioty 18-4 |
$0.13 | 863 | 637 |
|
Jose A Perez-Arroyo
Carr 128 Km 1.0 |
$0.35 | 787 | 693 |
|
Daniel Ortiz Vargas
Anexo Hosp. Pavia |
$0.86 | 741 | 639 |
|
Jose Enrique Gonzalez Moreno
A1 Calle 65 De Infanteria |
$1.56 | 719 | 589 |
|
Carlos A Rosario-Martinez
40 Calle 25 De Julio |
$8.36 | 352 | 287 |
|
Angel Luis Ramos Casanova
58 Mattei Lluveras |
$11.33 | 148 | 127 |
|
Amarilys Mangual
Comercio Street # 61 |
$1.01 | 146 | 134 |
|
Victor L Figueroa Melendez
Prolongacion 25 De Julio |
$21.43 | 124 | 109 |
|
Ana M Garcia Nieves
42 Calle Mattei Lluberas |
$56.89 | 121 | 120 |
|
Jose Francisco Troche
Ave. Prolongacion 25 De Julio |
$0.00 | 102 | 81 |
|
Luis Daniel Pacheco Garcia
Urb La Quinta |
$0.00 | 90 | 27 |
|
Hendryck Ruiz
Baldorioty St. No.18-2 |
$34.44 | 85 | 68 |
|
Pablo A Acosta Velez
Calle 25 De Julio #17 |
$0.00 | 80 | 44 |
|
Blanca Marie Irizarry Rivera
Centro Profesional Del Sur |
$0.00 | 44 | 29 |
|
Isv Pediatrics
29 Calle Pasarell |
$0.00 | 38 | 26 |
|
Juan Carlos Velasco-Cervilla
40 Calle 25 De Julio |
$15.89 | 36 | 30 |
|
Inspira Behavioral Care Corp.
55 Calle Comercio |
$0.00 | 34 | 34 |
|
Mario L. Castillo Maldonado
Bo Susua Baja Carr 127 |
$0.00 | 34 | 26 |
|
Francheska Michelle Desa
20 Calle Pacheco S |
$95.40 | 33 | 32 |
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 Yauco, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Yauco, PR is $3.48 per claim, based on 369,812 claims from 54 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 Yauco, PR?
There are 54 Medicaid providers offering Office Visit related services in Yauco, PR according to public payment data.
What is the price range for Office Visit in Yauco, PR?
Medicaid reimbursement for Office Visit in Yauco, PR ranges from $0.00 to $148.20 per claim, with an average of $3.48. 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 Yauco, PR
Blood Work & Lab Tests
Avg $9.70
306,430 claims
Urinalysis & Urine Tests
Avg $4.26
89,919 claims
Dental Cleaning & Exam
Avg $18.71
84,708 claims
Physical Therapy
Avg $15.36
44,877 claims
Eye Exam
Avg $33.02
43,344 claims
Vaccines & Immunizations
Avg $5.24
38,595 claims
Psychiatric Evaluation
Avg $16.06
37,691 claims
Ultrasound
Avg $62.60
28,128 claims