Average Medicaid Eye Exam Payments in Bismarck, ND: $35.35
Avg. Paid
$35.35
Range
$9.92 – $295.71
Total Claims
28,543
Providers
33
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 Bismarck, ND
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mitchell Weigel
200 S 5Th St |
$24.94 | 5,741 | 5,422 |
|
Thomas J Samson
3119 N 14Th St |
$39.89 | 4,257 | 3,784 |
|
Sharon C Beattie
200 S 5Th St |
$38.78 | 3,150 | 2,824 |
|
Kyle M Otteson
200 S 5Th St |
$36.74 | 3,136 | 2,854 |
|
Wesley Schwartz
3119 N 14Th St |
$33.51 | 2,384 | 2,141 |
|
Michael Ranum
200 S 5Th St |
$35.03 | 2,149 | 1,935 |
|
Paul A Balliet
200 S 5Th St |
$30.13 | 2,139 | 1,910 |
|
Cynthia Jean Roles
3119 N 14Th St |
$30.01 | 1,001 | 918 |
|
Krista Renae Heil
111 E Century Ave |
$30.63 | 745 | 675 |
|
Elena Raluca Raducu
200 S 5Th St |
$22.99 | 507 | 423 |
|
Tyler Charles Clairmont
111 E Century Ave |
$32.21 | 357 | 339 |
|
Guy G Otteson
200 S 5Th St |
$31.12 | 338 | 298 |
|
Wayne D Aberle
2304 Clydesdale Dr |
$27.31 | 326 | 290 |
|
Kellen Elaine Pathroff
1221 W Divide Ave |
$10.58 | 262 | 199 |
|
Thomas S Hansted
620 N 9Th St |
$21.89 | 205 | 162 |
|
Reid A Mollman
200 S 5Th St |
$28.33 | 188 | 160 |
|
Amy Marie Fleck
111 E Century Ave |
$295.71 | 182 | 172 |
|
Timothy L Tello
1221 W Divide Ave |
$32.44 | 172 | 160 |
|
Jason D Erhardt
2717 Rock Island Pl |
$13.36 | 169 | 140 |
|
Steven J Towle
620 N 9Th St |
$25.21 | 164 | 114 |
|
Josh E Borstad
2717 Rock Island Pl Ste 2 |
$11.39 | 158 | 124 |
|
Joel Neumiller
2717 Rock Island Pl |
$285.89 | 154 | 138 |
|
Joel H Springan
3119 N 14Th St |
$25.83 | 148 | 129 |
|
Danelle F Moch
1221 W Divide Ave |
$54.21 | 111 | 88 |
|
Douglas W Litchfield
200 S 5Th St |
$35.23 | 100 | 82 |
|
Leslie Rae Hellebush
204 W Century Ave |
$17.56 | 58 | 53 |
|
Dakota Eye Institute Pc
200 S 5Th St |
$9.92 | 51 | 42 |
|
Paul D Selid
3119 N 14Th St |
$19.30 | 48 | 39 |
|
George Gero
111 E Century Ave |
$10.22 | 44 | 27 |
|
Aaron C Fortney
3119 N 14Th St |
$27.10 | 32 | 27 |
|
Monte John Leidenix
620 N 9Th St |
$31.40 | 24 | 13 |
|
Tom L Deis
204 West Century Ave |
$52.54 | 24 | 24 |
|
Brian C Beattie
1929 N Washington St Ste Aa |
$12.85 | 19 | 15 |
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 Bismarck, ND?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Bismarck, ND is $35.35 per claim, based on 28,543 claims from 33 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 Bismarck, ND?
There are 33 Medicaid providers offering Eye Exam related services in Bismarck, ND according to public payment data.
What is the price range for Eye Exam in Bismarck, ND?
Medicaid reimbursement for Eye Exam in Bismarck, ND ranges from $9.92 to $295.71 per claim, with an average of $35.35. 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
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Bronx, NY
Avg $51.98
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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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