Average Medicaid Eye Exam Payments in Bayamon, PR: $30.22
Avg. Paid
$30.22
Range
$0.00 – $90.76
Total Claims
176,798
Providers
55
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 Bayamon, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gian Murati
50 Calle Isabel Ii |
$8.84 | 32,052 | 30,227 |
|
Lourdes Denise Fuxench
B7 Calle Santa Cruz |
$26.80 | 17,084 | 15,418 |
|
Madeleine M Lopez-Jimenez
B9 Calle Santa Cruz |
$33.24 | 14,709 | 11,717 |
|
Robert Boada
1845 Carr 2 Ste 810 |
$44.15 | 14,243 | 11,738 |
|
Wilda Ivette Santiago
Cc36 Calle Ceibas |
$14.64 | 8,160 | 7,326 |
|
Leyda I Franceschini
Sam'S Club 830 St. |
$26.81 | 7,871 | 7,276 |
|
Damaris Pagan Torres
Escuela De Optometria Instituto Interamericano Del Ojo |
$35.60 | 6,555 | 5,035 |
|
Luis R Hernandez-Cott
68 Calle Santa Cruz |
$39.91 | 5,193 | 4,837 |
|
Jose Antonio Cotto
Carretera 167 Za -28 Calle #36 Urb Riverview |
$25.91 | 5,171 | 4,724 |
|
Mary Merced
Urb Lomas Verdes Nogal Ave. |
$32.36 | 4,519 | 3,687 |
|
Juan A Ocasio-Rodriguez
Ave Lomas Verdes |
$61.27 | 4,430 | 3,716 |
|
Marcel P. Tollinche
Carretera 2 Kmil.9 Suite 208 |
$53.78 | 4,411 | 3,824 |
|
Ruben Neil Nieves
Calle 2 J-20 |
$32.49 | 4,037 | 3,645 |
|
Rebecca Murati Herrera
50 Calle Isabel Ii |
$39.44 | 3,864 | 3,761 |
|
Jose Ramon Miranda
100 Paseo San Pablo |
$57.79 | 3,548 | 3,207 |
|
Hiram Maldonado
Centro De Vision Canton Mall Betances |
$27.64 | 3,165 | 3,096 |
|
Magda Matos Caliz
500 John Will Harris |
$2.86 | 2,894 | 2,853 |
|
Luis A. Ortiz Whatts
73 Calle Dr Veve |
$30.88 | 2,852 | 2,771 |
|
Orlando Gonzalez Vazquez
1845 Carr 2 |
$46.23 | 2,691 | 2,449 |
|
Ricardo J Cumba-Bermudez
12-20 Ave Aguas Buenas |
$50.54 | 2,592 | 2,263 |
|
Hector Javier Villarrubia
73 Calle Santa Cruz Suite 312 |
$90.76 | 2,349 | 2,148 |
|
Glenda Damaris Santini Rodriguez
Ave 830 Km0.1 Barrio Cerro Gordo |
$30.09 | 2,104 | 2,003 |
|
Enrique J Rivera Rivera
100 Paseo San Pablo Ste 502 |
$58.49 | 1,822 | 1,608 |
|
Fernando Benitez Muniz
Eye Concept Forest Hills Plaza |
$23.74 | 1,699 | 1,606 |
|
Luis Hernandez-Rios
B1 Calle Santa Cruz Ste 502 |
$32.38 | 1,598 | 1,334 |
|
Maria C Prieto
Santa Rosa Mall Local #7 |
$9.98 | 1,531 | 1,510 |
|
Claudia Colon
500 John Will Harris |
$35.45 | 1,294 | 1,006 |
|
Nilse Maria Vilar
New Vision Bayamon Medical Building |
$7.20 | 1,206 | 1,172 |
|
Maria L Robles Rodriguez
San Fernando |
$10.38 | 1,177 | 1,066 |
|
Rosa M. Camacho Mendez
1500 Ave Comerio Ste 70 |
$26.15 | 1,114 | 1,062 |
|
Jose Ramon Cumba
20-12 Ave Aguas Buenas |
$70.42 | 1,093 | 966 |
|
Jose Ricardo Llado-Diaz
K 11.7 Carr. Num. 2 |
$55.54 | 1,077 | 881 |
|
Roberto Enrique Latimer Arsuaga
25St.Dd16 |
$28.30 | 1,048 | 979 |
|
Isela Nieves
Ave Comerio # Cc-33 |
$20.77 | 1,034 | 920 |
|
Rosaleen Marie Bobonis Quiles
P60 Ave Santa Juanita |
$36.64 | 904 | 719 |
|
Gilberto Melendez Sanchez
Edificio Tomas Quilan Calle Parque #32 |
$37.86 | 789 | 784 |
|
Frank Abella
Santa Rosa Mall Local 7 |
$32.49 | 785 | 745 |
|
Awilda Lopez Rivera
Drive In Plaza 2135 Carr 2 |
$29.07 | 584 | 510 |
|
Denise S. Pagan-Diaz
Local 39 Santa Rosa Mall |
$31.28 | 462 | 377 |
|
Anaeli Casablanca
Walmart Centro Visual |
$44.56 | 418 | 212 |
|
Magda Elaine De Pool
B1 Calle Santa Cruz |
$30.17 | 397 | 289 |
|
Luis R Ruiz-Cruz
500 John Will Harris |
$0.00 | 294 | 294 |
|
Ariette Acevedo
500 John Will Harris |
$21.80 | 293 | 293 |
|
Armando Torres-Vazquez
B-13 Santa Cruz St. |
$35.98 | 292 | 180 |
|
Isamalish Espino Torres
3009 Ave Ramon Luis Rivera |
$31.31 | 268 | 197 |
|
Maria I Rivera Sanchez
Betances #11 |
$57.15 | 251 | 222 |
|
Maria T. Ocasio
L56 Ave Santa Juanita |
$35.35 | 232 | 230 |
|
Muriel Rosa
Cond Las Torres Sur 5 E |
$63.17 | 218 | 186 |
|
Lydia M Roman Robles
San Fernando |
$14.70 | 99 | 86 |
|
Cdt Gmsp Inc
B7 Calle Santa Cruz |
$0.00 | 97 | 96 |
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 Bayamon, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Bayamon, PR is $30.22 per claim, based on 176,798 claims from 55 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 Bayamon, PR?
There are 55 Medicaid providers offering Eye Exam related services in Bayamon, PR according to public payment data.
What is the price range for Eye Exam in Bayamon, PR?
Medicaid reimbursement for Eye Exam in Bayamon, PR ranges from $0.00 to $90.76 per claim, with an average of $30.22. 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 Bayamon, PR
Office Visit
Avg $18.30
1,369,233 claims
Blood Work & Lab Tests
Avg $10.90
880,654 claims
Dental Cleaning & Exam
Avg $20.42
320,813 claims
Urinalysis & Urine Tests
Avg $3.85
212,403 claims
Vaccines & Immunizations
Avg $7.38
172,718 claims
Emergency Room Visit
Avg $52.66
130,431 claims
X-Ray
Avg $8.69
124,303 claims
Psychiatric Evaluation
Avg $5.48
117,045 claims