Average Medicaid Eye Exam Payments in Brockton, MA: $32.00
Avg. Paid
$32.00
Range
$12.93 – $63.54
Total Claims
101,181
Providers
32
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 Brockton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brockton Neighborhood Health Center
63 Main St |
$31.95 | 29,392 | 28,685 |
|
Beth A. Berlin
21 Torrey St |
$16.48 | 14,311 | 14,151 |
|
Bruce Micley
495 Westgate Dr |
$33.48 | 8,673 | 8,599 |
|
Amy Gurland
179 Quincy St |
$33.40 | 5,189 | 5,172 |
|
Richard M Lubas
700 Oak St |
$32.99 | 4,496 | 4,466 |
|
Lynn Brandes
21 Torrey St |
$31.81 | 4,093 | 4,081 |
|
Vikas Tewari
110 Liberty St |
$51.31 | 3,822 | 3,800 |
|
Julie Anne Devita
940 Belmont St |
$46.62 | 3,748 | 3,592 |
|
Bryanna Morgan Caron
940 Belmont St |
$26.99 | 3,530 | 1,776 |
|
Ashley May Walecka
1 Pearl St Ste 1100 |
$63.54 | 3,224 | 3,218 |
|
Jared Koga
940 Belmont St |
$26.71 | 2,925 | 2,919 |
|
Aliya Zul Jiwani
179 Quincy St |
$29.74 | 2,309 | 2,202 |
|
Robert D Crawford
110 Liberty St |
$28.11 | 2,043 | 2,042 |
|
Rachel Nora Berkowitz
63 Main St |
$34.39 | 1,885 | 1,868 |
|
Robert Peter Kupsc
21 Torrey St Ste 10 |
$38.09 | 1,471 | 1,468 |
|
Paul Barry Cotter
22 Christy Dr Ste 1 |
$36.11 | 1,461 | 1,403 |
|
Karina A Lund
110 Liberty St |
$41.84 | 1,424 | 1,401 |
|
Edna Chiu
21 Torrey Street |
$32.30 | 1,328 | 1,323 |
|
Hope E. Rittichier
21 Torrey St |
$26.51 | 1,033 | 1,029 |
|
Sharmila Srinivasan
1 Pearl St Ste 1300 |
$28.78 | 965 | 896 |
|
Michael Gene Miller
940 Belmont St |
$19.37 | 964 | 927 |
|
Carolyn Te
21 Torrey St |
$38.71 | 802 | 711 |
|
Stephen Hebert Wise
940 Belmont St |
$36.80 | 718 | 697 |
|
Daniel Arthur Bastian
940 Belmont St |
$16.17 | 623 | 620 |
|
Kristina M Dephilippo
940 Belmont St |
$28.84 | 276 | 276 |
|
Lawrence E. Weene
59 N Pearl St |
$52.01 | 238 | 232 |
|
Henry E Woodcome
63 Main St |
$39.68 | 77 | 77 |
|
Brockton Hospital, Inc.
680 Centre St |
$34.18 | 53 | 53 |
|
Thomas Andrea
940 Belmont St |
$12.93 | 29 | 29 |
|
Sara Youssef
21 Torrey St |
$13.39 | 27 | 27 |
|
Apothecare Pharmacy Llc
629 Centre St |
$52.25 | 26 | 25 |
|
Michael Cianca
63 Main St |
$28.58 | 26 | 26 |
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 Brockton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Brockton, MA is $32.00 per claim, based on 101,181 claims from 32 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 Brockton, MA?
There are 32 Medicaid providers offering Eye Exam related services in Brockton, MA according to public payment data.
What is the price range for Eye Exam in Brockton, MA?
Medicaid reimbursement for Eye Exam in Brockton, MA ranges from $12.93 to $63.54 per claim, with an average of $32.00. 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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