Average Medicaid Eye Exam Payments in Birmingham, AL: $27.16
Avg. Paid
$27.16
Range
$0.00 – $63.36
Total Claims
262,368
Providers
112
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 Birmingham, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John R Clasen
840 Montclair Rd |
$41.12 | 30,947 | 29,387 |
|
Chad Allen Frazier
2200 Bessemer Road |
$41.02 | 23,306 | 22,894 |
|
Nathan E Parvin
1716 University Blvd |
$38.61 | 18,189 | 17,347 |
|
Marcela Frazier
700 18Th St S |
$5.28 | 12,158 | 8,082 |
|
Colette Jackson
1000 19Th St S |
$27.19 | 12,050 | 10,520 |
|
Jennifer Dudney Davidson
1000 19Th St S |
$23.48 | 10,759 | 9,089 |
|
Tiffany M Rhyne
1716 University Blvd |
$36.60 | 8,230 | 7,987 |
|
John O Mason
700 18Th St S |
$7.30 | 7,302 | 3,747 |
|
Margaret Kathleen Bailey
1716 University Blvd G080A |
$37.06 | 6,916 | 6,248 |
|
Nicholas Martin Onken
2019 Highland Ave S |
$29.70 | 6,805 | 5,844 |
|
Jeffrey J Fuller
250 State Farm Pkwy |
$7.36 | 6,290 | 4,724 |
|
Frank Francisco
1825 Tin Valley Cir Ste A |
$32.71 | 5,111 | 4,567 |
|
Alexander Hodges
2100 Bessemer Rd |
$41.11 | 4,926 | 4,677 |
|
Caitlin Gregory
9709 Parkway E Ste A&B |
$38.18 | 4,857 | 4,691 |
|
Rebecca J Doss
3240 Edwards Lake Pkwy |
$31.76 | 4,729 | 4,214 |
|
Latandra Blue
1686 Montgomery Hwy |
$29.93 | 4,273 | 3,999 |
|
Ann Marie Arciniegas-Bernal
700 18Th St S Ste 601 |
$9.66 | 4,210 | 3,154 |
|
Krupa Hasmukh Patel
700 18Th St S Ste 601 |
$5.49 | 4,200 | 2,872 |
|
Richard Thomas Williams
3439 Colonnade Parkway |
$37.73 | 4,139 | 3,992 |
|
Martin Steven Cogen
619 19Th Street South |
$4.79 | 3,798 | 2,437 |
|
Richard M Feist
700 18Th St S |
$7.74 | 3,640 | 2,152 |
|
Natalie Nichole West
1716 University Blvd |
$32.50 | 3,286 | 3,079 |
|
Kennedy Rhyne Walker
4226 Mountaindale Road |
$29.78 | 3,206 | 2,971 |
|
Michael A Albert
700 18Th St S |
$5.68 | 3,023 | 1,483 |
|
Leah P. Kirkemier
1716 University Blvd |
$34.57 | 3,003 | 2,510 |
|
Lori Alyse Jasper
2226 1St Ave S |
$8.59 | 2,950 | 2,749 |
|
Richard Minton Feist
700 18Th St S Ste 707 |
$6.89 | 2,862 | 1,502 |
|
Mathew Ryan Sapp
2208 University Blvd Ste 101 |
$6.00 | 2,643 | 1,765 |
|
Kristine T. Hopkins
1716 University Blvd |
$29.02 | 2,639 | 2,426 |
|
Katherine Weise
1716 University Blvd |
$29.46 | 2,623 | 2,454 |
|
Michael Steven Vaphiades
700 18Th St S |
$46.63 | 2,571 | 1,692 |
|
Russell W Read
700 18Th St S Ste 601 |
$8.27 | 2,462 | 1,639 |
|
Whitney Lowe
2525 Center Point Pkwy |
$32.49 | 2,440 | 2,279 |
|
Elise Debruler Agostinelli
1720 University Blvd |
$11.67 | 2,369 | 1,787 |
|
Juanakee Raedell Adams
1712 5Th Ave N |
$23.19 | 2,366 | 2,253 |
|
Latisha Marbuary
1737 Driftwood Ln |
$29.64 | 2,300 | 2,162 |
|
Tamara S Oechslin
1716 University Blvd G080A |
$30.57 | 2,065 | 1,949 |
|
Matthew Henry Oltmanns
2208 University Blvd Ste 101 |
$9.26 | 2,032 | 1,459 |
|
Larezia Denise Williams
3595 Grandview Pkwy Ste 125 |
$44.33 | 1,982 | 1,956 |
|
Kristin Berlin Madonia
250 State Farm Pkwy |
$31.26 | 1,860 | 1,567 |
|
Sarah Dille Lee
700 18Th St S |
$3.98 | 1,800 | 1,023 |
|
Richard Mithchell Martindale
1720 University Blvd |
$10.15 | 1,784 | 1,078 |
|
Larry Dale Brown
250 State Farm Pkwy |
$7.85 | 1,756 | 1,476 |
|
Danielle Gonzalez Ledet
1654 Gadsden Hwy |
$54.82 | 1,608 | 1,608 |
|
Alabama Ophthalmology Associates, P.C.
1000 19Th St S |
$12.46 | 1,497 | 1,456 |
|
Robert Tauscher
1720 University Blvd |
$9.32 | 1,371 | 830 |
|
Sarah M. Berry
1960 Gadsden Hwy Ste 120 |
$26.49 | 1,292 | 1,200 |
|
Parisa Tackett Dudley
700 18Th St S Ste 601 |
$8.16 | 1,104 | 678 |
|
University Of Alabama Ophthalmology Services Foundation
700 18Th Street South |
$2.15 | 1,065 | 1,027 |
|
Janene Sims
1716 University Blvd |
$22.90 | 1,030 | 939 |
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 Birmingham, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Birmingham, AL is $27.16 per claim, based on 262,368 claims from 112 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 Birmingham, AL?
There are 112 Medicaid providers offering Eye Exam related services in Birmingham, AL according to public payment data.
What is the price range for Eye Exam in Birmingham, AL?
Medicaid reimbursement for Eye Exam in Birmingham, AL ranges from $0.00 to $63.36 per claim, with an average of $27.16. 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
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Avg $74.46
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