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 |
|---|---|---|---|
|
Eyecare Associates, Inc.
1825 Tin Valley Circle |
$0.00 | 12 | 12 |
|
Lindsay Anne Rhodes
1720 University Blvd Ste 200 |
$15.22 | 12 | 12 |
|
Sara Lynn Mcgowan
4647 Highway 280 Ste C |
$6.92 | 13 | 12 |
|
Mark Richard Ortiz
1716 University Blvd # G080A |
$1.69 | 16 | 12 |
|
Terri Lynn Call
1716 University Blvd |
$4.74 | 19 | 12 |
|
Blythe Elizabeth Monheit
1720 University Blvd Ste 200 |
$27.82 | 27 | 26 |
|
Eyecare Associates, Inc.
225 State Farm Pkwy Ste 109 |
$0.00 | 28 | 24 |
|
Veronica Oltmanns
1201 11Th Ave S |
$4.66 | 29 | 29 |
|
John Essinger
2531 Rocky Ridge Rd |
$45.15 | 30 | 30 |
|
Retina Consultants Of Alabama P.C.
700 18Th St S |
$11.32 | 30 | 27 |
|
Sheila W Kirk
4500 Valleydale Rd Ste 700 |
$7.31 | 32 | 27 |
|
Elizabeth Steele
1716 University Blvd |
$3.50 | 36 | 24 |
|
Eyecare Associates, Inc.
2525 Center Point Pkwy |
$0.00 | 45 | 45 |
|
Carol E Rosenstiel
1720 University Blvd Ste 200 |
$3.52 | 46 | 24 |
|
Suzanne Simms
1716 University Boulevard |
$15.84 | 50 | 45 |
|
Harshvardhan Chawla
2208 University Blvd Ste 101 |
$40.92 | 53 | 47 |
|
Michael Christopher Eddins
250 State Farm Pkwy |
$16.43 | 57 | 41 |
|
Marissa Kaye Locy
700 18Th St S |
$5.10 | 60 | 45 |
|
Gerald Simon
1716 University Boulevard |
$33.69 | 60 | 51 |
|
James Daniel Perry
805 Saint Vincents Dr |
$0.00 | 66 | 57 |
|
Robert Hogan Knox
1720 University Blvd Ste 200 |
$22.09 | 67 | 37 |
|
Kristy Y-Van Nguyen
1716 University Blvd G080A |
$19.20 | 71 | 71 |
|
Robert Kleinstein
1716 University Blvd |
$18.68 | 72 | 63 |
|
Kristin Carroll Bains
1000 19Th St S |
$10.83 | 73 | 56 |
|
John M Laurent
1716 University Boulevard |
$26.41 | 74 | 66 |
|
Cora Elizabeth Mchugh-Morrison
1716 University Blvd G080A |
$28.40 | 75 | 75 |
|
Clark Douglas Witherspoon
1720 University Blvd |
$14.69 | 81 | 47 |
|
Alex J Wright
1720 University Blvd |
$25.67 | 94 | 59 |
|
Tyler Andrew Hall
1720 University Blvd Ste 200 |
$35.79 | 97 | 40 |
|
Julia H Gannon
1201 11Th Ave S |
$19.37 | 102 | 95 |
|
Valencia Robertson Wells
2014 Morris Ave |
$7.44 | 104 | 94 |
|
Cecil James Mccollum
619 19Th Street South |
$5.23 | 105 | 94 |
|
Trenton Stuart Cleghern
1716 University Blvd G080A |
$18.55 | 119 | 107 |
|
Brian Roland Pettie
9248 Parkway E |
$10.41 | 121 | 85 |
|
Dawn K Decarlo
619 19Th Street South |
$7.19 | 124 | 118 |
|
Stacy Clark Heller
5335 Highway 280 |
$13.73 | 124 | 124 |
|
Blue Vision Center Llc
2818 Lakeshore Pkwy |
$44.96 | 145 | 143 |
|
Jordan Claire Ladnier
1716 University Blvd G080A |
$35.49 | 178 | 173 |
|
Joy Chuang
700 18Th St S |
$6.08 | 191 | 172 |
|
Daisy Kipkemboi
3431 Colonnade Pkwy Ste 100 |
$26.74 | 193 | 162 |
|
Keisha Brown
1716 University Blvd |
$16.85 | 196 | 190 |
|
The University Of Alabama At Birmingham
1716 University Blvd |
$0.95 | 200 | 184 |
|
Mark Swanson
1716 University Blvd |
$19.68 | 222 | 206 |
|
Joshua Tinsley
5919 Trussville Crossings Pkwy |
$0.00 | 245 | 215 |
|
Fred B Setzer
One West Lakeshore Drive |
$19.74 | 272 | 235 |
|
Benjamin W Roberts
700 18Th St S |
$10.66 | 281 | 162 |
|
Ashley Jones Newman
1627 Center Point Pkwy |
$63.36 | 288 | 275 |
|
Brittany Jackson Love
2660 10Th Ave S |
$28.83 | 311 | 307 |
|
Patricia C. Benjamin
2019 Highland Ave S |
$22.49 | 364 | 323 |
|
Jessica Palmer
13521 Old Highway 280 |
$11.20 | 369 | 339 |
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
Other Procedures in Birmingham, AL
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Avg $7.02
11,525,259 claims
Office Visit
Avg $74.46
1,976,328 claims
Urinalysis & Urine Tests
Avg $3.70
1,952,357 claims
Behavioral & Mental Health Therapy
Avg $60.93
1,487,720 claims
Emergency Room Visit
Avg $80.96
1,417,392 claims
Culture & Microbiology Tests
Avg $6.38
1,389,745 claims
X-Ray
Avg $7.59
810,731 claims
Pathology & Lab Services
Avg $26.99
763,384 claims