Average Medicaid Eye Exam Payments in Appleton, WI: $17.51
Avg. Paid
$17.51
Range
$2.47 – $38.29
Total Claims
42,045
Providers
28
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 Appleton, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph John Krupka
955 Mutual Way |
$21.01 | 17,905 | 16,001 |
|
Wesley Meyer
3329 N Richmond St |
$20.33 | 4,602 | 3,765 |
|
Ryan P. Tetting
21 Park Pl |
$14.29 | 3,610 | 3,160 |
|
Michael Edward Possin
442 N Westhill Blvd Ste A |
$15.63 | 2,900 | 2,366 |
|
Benjamin John Ernst
442 N Westhill Blvd Ste A |
$12.68 | 2,072 | 1,718 |
|
Elizabeth Christine Melchert
21 Park Pl |
$8.51 | 1,911 | 1,607 |
|
Anthony Parendo
442 N Westhill Blvd Ste A |
$15.19 | 1,469 | 1,173 |
|
Marvin L Hall
21 Park Pl |
$14.19 | 1,442 | 1,318 |
|
Nicholas George Hafeman
4301 W Wisconsin Ave |
$25.79 | 1,367 | 1,278 |
|
Mindy Lynn Harrington
21 Park Pl |
$9.60 | 701 | 610 |
|
Samantha Czerniak
2575 E Evergreen Drive |
$7.27 | 642 | 535 |
|
Daniel Thaddeus Nowak
21 Park Pl |
$7.64 | 628 | 503 |
|
Natalie Rae Kurth
21 Park Pl |
$10.21 | 523 | 439 |
|
Angela M Rodriguez
21 Park Place |
$8.43 | 472 | 414 |
|
Sara Davis Schalk
21 Park Pl |
$7.25 | 342 | 275 |
|
Jacob Wittman
1225 W Northland Ave |
$7.53 | 195 | 103 |
|
Ross Anthony Jensen
21 Park Pl |
$9.49 | 180 | 168 |
|
Micheal Paul Vrabec
21 Park Pl |
$17.34 | 175 | 57 |
|
Kimberly Landwehr
21 Park Pl |
$12.49 | 167 | 139 |
|
Erin Marie Drees
3525 E Calumet St |
$35.68 | 161 | 155 |
|
Katie Abata
21 Park Pl |
$5.77 | 133 | 109 |
|
Catherine Loughrin
1033 W Northland Ave Ste B |
$9.32 | 120 | 114 |
|
Melissa Lea Metzger-Romatz
21 Park Pl |
$6.72 | 120 | 100 |
|
Wal-Mart Stores East, Lp
955 Mutual Way |
$27.25 | 64 | 64 |
|
Dean Allen Delwiche
21 Park Pl |
$11.23 | 61 | 52 |
|
Kathryn Ann Korth
1000 W Northland Ave |
$38.29 | 31 | 29 |
|
Paul K Thompson
1301 E Northland Ave |
$2.47 | 27 | 12 |
|
Lawrence Johansen
1000 W Northland Ave |
$19.28 | 25 | 24 |
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 Appleton, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Appleton, WI is $17.51 per claim, based on 42,045 claims from 28 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 Appleton, WI?
There are 28 Medicaid providers offering Eye Exam related services in Appleton, WI according to public payment data.
What is the price range for Eye Exam in Appleton, WI?
Medicaid reimbursement for Eye Exam in Appleton, WI ranges from $2.47 to $38.29 per claim, with an average of $17.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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Avg $50.07
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Brooklyn, NY
Avg $43.97
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Chicago, IL
Avg $26.50
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Los Angeles, CA
Avg $18.49
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Avg $51.98
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San Diego, CA
Avg $18.12
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Las Vegas, NV
Avg $34.73
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Flushing, NY
Avg $55.73
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