Average Medicaid Eye Exam Payments in Baltimore, MD: $34.16
Avg. Paid
$34.16
Range
$0.00 – $176.70
Total Claims
361,053
Providers
167
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 Baltimore, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mona A Kaleem
419 W Redwood St Ste 470 |
$62.15 | 13 | 12 |
|
Daniel Aviv Brill
9114 Philadelphia Rd Ste 310 |
$15.21 | 13 | 13 |
|
Ishrat Ahmed
600 N Wolfe St |
$37.52 | 13 | 12 |
|
John Tilynn Thompson
6569 N Charles St Ste 605 |
$34.24 | 13 | 12 |
|
Derek Stuart Welsbie
600 N Wolfe St |
$27.92 | 13 | 13 |
|
Christina Antonopoulos
2925 Lord Baltimore Dr |
$37.09 | 13 | 13 |
|
Daniel Daroszewski
600 N Wolfe Street |
$11.98 | 14 | 14 |
|
Catherine N Maslen
1040 Park Ave Ste 200 |
$0.00 | 15 | 12 |
|
Laura Katharine Green
600 N Wolfe St |
$58.67 | 17 | 14 |
|
Jefferson James Doyle
600 N Wolfe St |
$36.58 | 17 | 17 |
|
Marianne H Cowley
600 N Wolfe St |
$8.12 | 20 | 12 |
|
Lazaros T Volikas
7141 Security Blvd |
$176.70 | 25 | 25 |
|
Swarupa Kancherla
600 N Wolfe St |
$8.98 | 26 | 24 |
|
Eva Devience
419 W Redwood St |
$160.21 | 27 | 26 |
|
Allan D. Jensen M.D., P.A.
200 E 33Rd St |
$0.00 | 28 | 28 |
|
Leon Strauss
1777 Reisterstown Rd |
$75.30 | 32 | 29 |
|
Robert L. Kasper
1105 N Point Blvd |
$91.02 | 32 | 26 |
|
Pradeep Y Ramulu
600 N Wolfe St |
$55.04 | 36 | 36 |
|
Behrad Garmsiri
1800 Orleans St |
$1.62 | 36 | 36 |
|
Greater Baltimore Medical Center, Inc.
6701 N Charles St |
$4.40 | 37 | 37 |
|
Colin Kane
600 N Wolfe Street |
$44.31 | 37 | 36 |
|
Thomas Vincent Johnson
Wilmer Eye Institute, Johns Hopkins Hospital |
$54.26 | 38 | 38 |
|
Lily T Im
419 W Redwood St |
$53.33 | 38 | 37 |
|
Joseph Anaya
600 N Wolfe St |
$37.76 | 46 | 42 |
|
Farhan Merali
600 N Wolfe St |
$84.99 | 51 | 45 |
|
Total Health Care Inc
1501 Division St |
$0.64 | 58 | 53 |
|
Dankner Eye Associates P A
2 Hamill Rd |
$4.19 | 59 | 59 |
|
Chesapeake Eye Care & Laser Center Llc
6231 N Charles St |
$8.35 | 65 | 65 |
|
Michael G Pharris Od Pc
1253 W Pratt St |
$0.00 | 66 | 33 |
|
Tin Yan Alvin Liu
600 N Wolfe St Rm 205 |
$35.91 | 66 | 60 |
|
Andrew Rising Carey
600 N Wolfe St |
$37.94 | 72 | 70 |
|
Marjorie Klaver Warden
1001 Pine Heights Ave |
$50.88 | 83 | 82 |
|
Peter Louis Gehlbach
600 N Wolfe St |
$34.90 | 83 | 83 |
|
Bryn Melissa Burkholder
600 N Wolfe St |
$94.24 | 83 | 83 |
|
Elia J Duh
600 N Wolfe St |
$22.42 | 88 | 78 |
|
Joyce Lammlein M.D., P.A.
5601 Loch Raven Blvd |
$35.45 | 89 | 88 |
|
Allan David Jensen
200 East 33Rd St |
$17.44 | 89 | 29 |
|
Raymond Nicholas Sjaarda
6569 N Charles St |
$28.94 | 95 | 78 |
|
Ross Fischer
100 Park Ave |
$20.26 | 115 | 111 |
|
Baltimore Ophthalmology, Llc
6418 Reisterstown Rd |
$2.39 | 117 | 116 |
|
Sams Specs Inc
5646 Baltimore National Pike |
$88.98 | 119 | 119 |
|
Farah Gulaid
2400 Boston Street |
$15.89 | 128 | 126 |
|
Sinai Hospital Of Baltimore, Inc.
515 Fairmount Ave |
$0.00 | 141 | 101 |
|
Emerson Tan Que
1800 Orleans St |
$56.52 | 147 | 130 |
|
Jonathan Ekedahl
100 Park Ave |
$49.08 | 158 | 141 |
|
Newman Joshua Sund
6115 Falls Rd |
$40.27 | 159 | 151 |
|
Matthew Alfred Speicher
6115 Falls Rd |
$58.97 | 160 | 140 |
|
Jeffrey L Wexler
1001 Pine Heights Ave |
$44.76 | 163 | 152 |
|
Bruce Eric Jones
1005 N Point Blvd |
$32.68 | 169 | 138 |
|
Mary Louise Collins
6569 N Charles St |
$35.98 | 172 | 158 |
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 Baltimore, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Baltimore, MD is $34.16 per claim, based on 361,053 claims from 167 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 Baltimore, MD?
There are 167 Medicaid providers offering Eye Exam related services in Baltimore, MD according to public payment data.
What is the price range for Eye Exam in Baltimore, MD?
Medicaid reimbursement for Eye Exam in Baltimore, MD ranges from $0.00 to $176.70 per claim, with an average of $34.16. 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
Other Procedures in Baltimore, MD
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Avg $107.97
7,464,932 claims
Office Visit
Avg $85.10
6,638,810 claims
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Avg $100.67
6,065,385 claims
Blood Work & Lab Tests
Avg $9.87
4,046,251 claims
Emergency Room Visit
Avg $96.82
1,908,492 claims
Dental Cleaning & Exam
Avg $39.08
1,772,038 claims
X-Ray
Avg $6.77
1,399,097 claims
EKG / ECG (Electrocardiogram)
Avg $6.98
1,098,202 claims