Average Medicaid Eye Exam Payments in Bronx, NY: $51.98
Avg. Paid
$51.98
Range
$0.00 – $198.68
Total Claims
1,594,602
Providers
257
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 Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Anthony Pisacano
2590 Frisby Ave |
$35.22 | 73,007 | 70,243 |
|
John J Kim
Mmc - Dept. Of Ophthalmology |
$67.72 | 59,637 | 58,538 |
|
Peter S. Bae
103 W Kingsbridge Rd |
$50.26 | 49,195 | 48,361 |
|
Eugene Orloff
665 Pelham Pkwy North |
$46.31 | 46,989 | 46,084 |
|
Guillermo G. Gallardo
2015 Grand Ave |
$44.32 | 46,238 | 46,068 |
|
Queens Optometric Care Pllc
665 Pelham Pkwy N |
$44.91 | 41,936 | 41,332 |
|
Gotham Eye Medical, P.C.
329 E 149Th St Fl 2 |
$67.20 | 36,579 | 35,707 |
|
Montefiore Medical Center
111 E 210Th St |
$129.34 | 35,064 | 33,494 |
|
Bronxcare Health System
1650 Grand Concourse |
$87.00 | 34,484 | 30,215 |
|
Ralph Elijah Murray
390 E Fordham Rd |
$64.39 | 34,102 | 34,064 |
|
Simon Wu
2100 Bartow Ave |
$56.21 | 32,673 | 32,554 |
|
Bronx Family Eye Care Inc
2336 Grand Concourse |
$49.52 | 30,571 | 30,408 |
|
Bronx Vista Inc
455 E 149Th St |
$46.61 | 27,490 | 27,218 |
|
New York City Health And Hospitals Corporation
1400 Pelham Pkwy S |
$91.65 | 26,753 | 25,478 |
|
Eva Yan
25 Westchester Sq |
$29.76 | 26,707 | 26,490 |
|
Bronxcare Dr. Martin Luther King Jr. Health Center
1265 Franklin Ave |
$82.60 | 26,082 | 24,228 |
|
Austin Matthew Ciaz White
961 E 174Th St |
$51.51 | 25,906 | 25,491 |
|
Elona Dhrami
2221 Boston Rd |
$29.85 | 25,901 | 23,745 |
|
Oleg Lisitsyn
731 Lydig Ave |
$39.06 | 23,218 | 22,809 |
|
Daniel Chechik
3725 Henry Hudson Pkwy W |
$30.55 | 22,852 | 20,057 |
|
Jonathan Sheindlin
3651 Bruckner Boulevard |
$27.52 | 22,837 | 22,276 |
|
Edward Alexander Lacorte
811 Southern Blvd |
$47.53 | 22,193 | 21,425 |
|
New York City Health And Hospitals Corporation
234 E 149Th St |
$88.32 | 21,559 | 20,975 |
|
Justin Lewis
862 E Tremont Ave |
$52.89 | 19,900 | 19,799 |
|
Nicanor Anthony Lacsina
3083 Bainbridge Ave |
$41.48 | 19,780 | 19,562 |
|
Bainbridge Optical Corp
3083 Bainbridge Ave |
$46.93 | 19,325 | 19,018 |
|
Kingsbridge Optometric Eye Care P.C.
103 W Kingsbridge Rd |
$49.56 | 18,926 | 18,669 |
|
David Alevi
860 Grand Concourse Apt 1N |
$50.15 | 18,525 | 17,897 |
|
Renee D. Yearwood
4422 3Rd Ave |
$87.07 | 18,266 | 10,971 |
|
Issac Eshagh Moradi
2221 Boston Rd |
$32.75 | 18,121 | 16,259 |
|
Tammy Bui
2015 Grand Concourse |
$31.66 | 16,951 | 16,876 |
|
Navid Hakimian
2221 Boston Rd |
$26.93 | 16,771 | 14,560 |
|
Tehilla Steiner
3332 Rochambeau Ave |
$65.92 | 16,653 | 14,842 |
|
Fiona Pathay
1526 Waring Ave |
$32.02 | 16,290 | 16,189 |
|
St. Barnabas Hospital
4422 Third Avenue |
$95.48 | 16,033 | 15,902 |
|
Vivien Van Vu
43 E 167Th St |
$57.56 | 15,845 | 15,805 |
|
Tod Mathew Haller
3220 Fairfield Ave Ste C1 |
$41.26 | 15,490 | 15,301 |
|
Eleonora Zusman Orloff
665 Pelham Pkwy North |
$47.21 | 15,269 | 14,943 |
|
Viren R Patel
665 Pelham Pkwy N |
$48.82 | 14,277 | 13,979 |
|
Eye Medical P.C.
2100 Bartow Ave |
$56.15 | 14,257 | 14,218 |
|
Leon Aleksandrovich
930 East Tremont Avenue |
$43.90 | 13,358 | 13,232 |
|
Nikola Ragusa
1625 Saint Peters Ave |
$42.66 | 13,306 | 13,062 |
|
David Scott Ketner
1276 Fulton Ave Rm 208 |
$32.39 | 12,390 | 9,123 |
|
Alanna Marie Khattar- Sullivan
1650 Grand Concourse |
$57.76 | 12,303 | 6,928 |
|
Marina Kotlyar
2100 Bartow Ave |
$48.24 | 12,171 | 12,106 |
|
Umar K Mian
Mmg - Bronx East |
$59.98 | 12,078 | 11,663 |
|
Alan Vilinsky
220 E 161St St |
$45.04 | 11,579 | 11,528 |
|
Katari Campbell
85 W Burnside Ave |
$30.13 | 11,367 | 10,269 |
|
Jeffrey S Schultz
Medical Arts Pavilion |
$19.32 | 9,755 | 8,739 |
|
Yelena Pinkhasova
3083 Bainbridge Ave |
$43.93 | 9,719 | 9,581 |
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 Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Bronx, NY is $51.98 per claim, based on 1,594,602 claims from 257 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 Bronx, NY?
There are 257 Medicaid providers offering Eye Exam related services in Bronx, NY according to public payment data.
What is the price range for Eye Exam in Bronx, NY?
Medicaid reimbursement for Eye Exam in Bronx, NY ranges from $0.00 to $198.68 per claim, with an average of $51.98. 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
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
Phoenix, AZ
Avg $48.59
745,675 claims · 180 providers
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Home Health Visit
Avg $150.53
23,767,796 claims
Office Visit
Avg $82.40
13,626,712 claims
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Avg $9.72
7,432,399 claims
Substance Abuse Treatment
Avg $38.59
6,144,578 claims
Non-Emergency Medical Transportation
Avg $52.94
4,662,523 claims
Physical Therapy
Avg $33.00
3,372,618 claims
Dental Cleaning & Exam
Avg $31.12
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Emergency Room Visit
Avg $138.65
3,278,500 claims