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Based on public Medicaid payment data.

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

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