Average Medicaid Eye Exam Payments in Allentown, PA: $32.72
Avg. Paid
$32.72
Range
$0.00 – $58.70
Total Claims
62,026
Providers
37
Typical Payment Range
Typical Medicaid Eye Exam payments fall between $15.70 and $41.60 per claim (median: $27.93). The top 10% of payments exceed $57.73.
Based on per-provider averages across all Medicaid claims in this category.
Comprehensive eye examinations assess vision and check for eye diseases. Includes refraction, eye health evaluation, and screening for conditions like glaucoma.
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 Eye Exam in Allentown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pamela Sue Kimmel
1091 Mill Creek Rd |
$35.76 | 8,442 | 8,281 |
|
Julio Renan Rojas
451 West Chew St |
$39.29 | 7,812 | 7,705 |
|
Leah Ashley Bonaparte-Dotta
400 N 17Th St |
$34.80 | 7,237 | 6,145 |
|
Daniel I Ross
1739 W Fairmont St |
$30.28 | 6,246 | 6,131 |
|
Tara Lynn Kays
740 W Hamilton St Ste 100 |
$36.05 | 4,405 | 4,355 |
|
Jenna Juarez
101 N 6Th St Ste 300 |
$0.33 | 3,409 | 3,265 |
|
Nancy B. Perez
1040 W Hamilton St |
$42.52 | 2,418 | 2,381 |
|
Houman Ahdieh
1739 W Fairmont St |
$33.41 | 2,275 | 2,241 |
|
Stella Linda Luo
5201 Hamilton Blvd |
$34.79 | 2,169 | 2,099 |
|
Betsy P Luo
5201 Hamilton Boulevard |
$34.84 | 1,675 | 1,594 |
|
Irene Cherfas Tsyvine
1739 W Fairmont St |
$36.77 | 1,619 | 1,596 |
|
Mark S Trachtman
400 N 17Th St |
$48.64 | 1,543 | 1,525 |
|
Amanda Crane
101 N 6Th St |
$0.05 | 1,535 | 1,455 |
|
William James Semmel
3323 Hamilton Blvd |
$40.12 | 1,457 | 1,434 |
|
Binae Karpo
2821 W Tilghman St |
$40.80 | 1,250 | 1,219 |
|
Mark Joseph Dalton
740 W Hamilton St Ste 100 |
$20.66 | 1,226 | 1,212 |
|
Christine Georgine Saad
401 N 17Th St |
$30.63 | 943 | 915 |
|
Kelsey A Paciotti
1739 W Fairmont St |
$30.12 | 914 | 895 |
|
Adam R Rosati
5201 Hamilton Blvd |
$40.39 | 858 | 829 |
|
Nida Mumtaz Khan
401 N 17Th St Ste 103 |
$33.20 | 853 | 833 |
|
Radoslav Ivanov
401 N 17Th St |
$23.43 | 659 | 647 |
|
Marc M Berson
2804 Walbert Ave |
$39.86 | 567 | 554 |
|
Visionworks, Inc.
949 Airport Center Dr |
$42.14 | 520 | 447 |
|
Lisa S Bunin
1611 Pond Rd |
$38.17 | 437 | 411 |
|
Magi Labib
1739 W Fairmont St |
$29.49 | 377 | 372 |
|
Avani Shah
401 N 17Th St |
$27.90 | 208 | 191 |
|
Casey James Judge
1250 S Cedar Crest Blvd Ste 405 |
$24.96 | 204 | 204 |
|
Valley Health Partners Community Health Center
101 N 6Th St Ste 300 |
$0.00 | 203 | 196 |
|
Monica Martocci
2804 Walbert Ave |
$29.66 | 162 | 146 |
|
Dana Marlene Nelson
949 Airport Center Dr |
$34.62 | 123 | 119 |
|
Visionworks, Inc
780 N Krocks Rd |
$39.87 | 79 | 63 |
|
Jason Ning
5201 Hamilton Blvd |
$58.70 | 68 | 68 |
|
Hamilton Eye Institute
5201 Hamilton Blvd |
$40.94 | 46 | 46 |
|
Alexandra Lynn Mercurio-Woch
401 N 17Th St |
$5.56 | 42 | 41 |
|
Jose E Santiago Rivera
1255 S Cedar Crest Blvd |
$26.88 | 16 | 12 |
|
Dennis Gino Romig
1202 W Washington St |
$40.00 | 16 | 16 |
|
Negar Moheb
1250 S Cedar Crest Blvd Ste 405 |
$27.56 | 13 | 12 |
What to Expect: Eye Exam
A comprehensive eye exam takes 30-60 minutes. The doctor will test your visual acuity, check your peripheral vision, examine the front and back of your eyes, measure eye pressure (glaucoma screening), and determine your prescription. Your eyes may be dilated with drops, which temporarily causes light sensitivity and blurry close-up vision for a few hours.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 92015 | Refraction determination | $11.08 | 45,825,988 | 30,580 |
| 92014 | Eye exam estab pt comprehens | $53.49 | 34,678,723 | 31,373 |
| 92004 | Eye exam new patient compreh | $62.86 | 20,638,089 | 26,900 |
| 92012 | Eye exam estab pt intermedi | $41.74 | 10,441,311 | 12,861 |
| 92134 | Retinal OCT posterior segment | $17.76 | 9,310,449 | 6,690 |
| 92250 | Fundus photography | $28.59 | 7,948,707 | 10,428 |
| 92083 | Visual field exam extended | $31.87 | 3,202,240 | 4,820 |
| 92133 | Optic nerve imaging RNFL | $19.38 | 2,491,451 | 4,925 |
| 92002 | Eye exam new patient intermed | $39.06 | 1,337,321 | 3,576 |
| 92081 | Visual field exam limited | $8.73 | 1,037,034 | 1,303 |
| 92136 | Ophthalmic biometry | $20.12 | 671,455 | 1,857 |
| 92082 | Visual field exam intermed | $29.04 | 236,339 | 417 |
| 92132 | Anterior segment OCT | $15.77 | 89,204 | 192 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Eye Exam cost in Allentown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Allentown, PA is $32.72 per claim, based on 62,026 claims from 37 providers. Typical payments fall between $15.70 and $41.60. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Eye Exam in Allentown, PA?
There are 37 Medicaid providers offering Eye Exam related services in Allentown, PA according to public payment data.
What is the price range for Eye Exam in Allentown, PA?
Medicaid reimbursement for Eye Exam in Allentown, PA ranges from $0.00 to $58.70 per claim, with an average of $32.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
New York, NY
Avg $50.07
3,393,865 claims · 654 providers
Brooklyn, NY
Avg $43.97
3,226,981 claims · 558 providers
Chicago, IL
Avg $26.50
1,753,310 claims · 485 providers
Los Angeles, CA
Avg $18.49
1,694,440 claims · 571 providers
Bronx, NY
Avg $51.98
1,594,602 claims · 257 providers
San Diego, CA
Avg $18.12
776,876 claims · 232 providers
Las Vegas, NV
Avg $34.73
752,879 claims · 284 providers
Flushing, NY
Avg $55.73
752,320 claims · 93 providers
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