How Much Does Puerto Rico Medicaid Pay for Doctor Visits?
Office and outpatient evaluation and management visits covered by Medicaid.
Service Doctor Visits Codes 9
In 2024, Puerto Rico Medicaid paid an average of $17.54 per doctor visits claim, across 3,679,606 total claims and 9 procedure codes. That's up 181% from $6.25 in 2018.
This data comes from official HHS Medicaid claims records. See how Puerto Rico compares to other states →
2024 Summary
Average Payment
$17.54
Total Claims
3,679,606
Total Paid
$64,548,977.08
Codes Reporting
9
Average Payment Trend
| Year | Avg / Claim |
|---|---|
| 2018 | $6.25 |
| 2019 | $5.31 |
| 2020 | $12.59 |
| 2021 | $15.44 |
| 2022 | $14.75 |
| 2023 | $17.76 |
| 2024 | $17.54 |
Year-over-Year Rates
| Year | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| 2018 | $6.25 | 3,316,303 | $20,712,864.87 | 9 |
| 2019 | $5.31 | 3,205,328 | $17,005,090.88 | 9 |
| 2020 | $12.59 | 1,916,141 | $24,123,172.57 | 9 |
| 2021 | $15.44 | 2,508,327 | $38,726,924.26 | 9 |
| 2022 | $14.75 | 2,763,388 | $40,753,832.32 | 9 |
| 2023 | $17.76 | 3,395,928 | $60,312,510.16 | 9 |
| 2024 | $17.54 | 3,679,606 | $64,548,977.08 | 9 |