Average Medicaid Eye Exam Payments in Buffalo, NY: $42.88
Avg. Paid
$42.88
Range
$0.00 – $134.95
Total Claims
117,869
Providers
48
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 Buffalo, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristin Alyse Amabile
2064 Seneca St |
$36.31 | 28,860 | 28,492 |
|
Brian Madow
1176 Main St |
$39.62 | 10,736 | 10,049 |
|
John Hunt Lillvis
1176 Main St |
$78.23 | 9,599 | 9,537 |
|
David Jeffrey Rodman
85 High St |
$42.99 | 7,704 | 7,474 |
|
David P Montesanti
932 Elmwood Ave |
$46.51 | 7,259 | 7,230 |
|
Allison Marie Mcgraw
1176 Main St |
$37.09 | 6,465 | 6,431 |
|
Mankiran Singh
1176 Main St |
$43.80 | 5,177 | 5,134 |
|
Arnold Kraden
20/20 Westside Eyecare |
$51.58 | 4,246 | 4,201 |
|
Sandra Fernando Sieminski
1176 Main St |
$42.23 | 4,145 | 4,097 |
|
Shannon Lyn Schug
945 Broadway St |
$34.76 | 4,122 | 4,035 |
|
Steven Isaac Bench
324 W Ferry St |
$47.34 | 3,745 | 3,729 |
|
Danielle R. Smith
64 Hager St |
$15.04 | 3,611 | 3,608 |
|
Andrew Lindell Reynolds
1176 Main St |
$23.89 | 3,479 | 3,472 |
|
Robert H Hornberger
902 Main St |
$47.35 | 2,749 | 2,728 |
|
Avani Dave
1176 Main St |
$43.23 | 2,509 | 2,500 |
|
Ruth M Mattern
1176 Main St |
$65.19 | 2,052 | 1,917 |
|
James A Mcdonel
1176 Main St |
$24.91 | 1,799 | 1,799 |
|
Saralyn Notaro-Rietz
4476 Main St |
$19.10 | 1,704 | 1,482 |
|
Joseph W Battin
1161 Abbott Rd |
$61.96 | 1,325 | 1,323 |
|
Lindsay Ann Wittman
1161 Abbott Rd |
$58.62 | 1,146 | 1,144 |
|
Mark Sorrentino
403 Main St |
$30.63 | 816 | 790 |
|
Empire Vision Center, Inc.
2680 Delaware Ave |
$31.89 | 663 | 659 |
|
Kaleida Health
818 Ellicott St |
$134.95 | 661 | 646 |
|
Melina Perez
1569 Niagara St |
$34.80 | 607 | 410 |
|
Johnson & Amabile Od, Pllc
2064 Seneca St |
$19.89 | 280 | 255 |
|
Main Place Optical Inc.
390 Main St # 350 |
$26.76 | 272 | 272 |
|
Eyes Downtown
902 Main St |
$38.15 | 238 | 237 |
|
Golam Mostafa Waris
2200 Genesee St |
$12.21 | 209 | 208 |
|
Alicia Ann Supernault-Sarker
1021 Broadway St |
$0.87 | 200 | 194 |
|
Dilip J. Patel
65 Wehrle Dr |
$43.22 | 194 | 189 |
|
Calogera Leonarda Mendola
924 Kenmore Ave |
$27.43 | 172 | 171 |
|
David Alan Burstein
924 Kenmore Ave |
$41.43 | 166 | 165 |
|
Mohammed Momin Ullah
2200 Genesee St |
$12.56 | 128 | 128 |
|
Kaleida Health
100 High St |
$115.82 | 110 | 106 |
|
Christiane H Dagher
34 Benwood Ave |
$0.00 | 104 | 104 |
|
Norah Lincoff-Cohen
100 High St |
$29.95 | 81 | 79 |
|
Irena Maria Woszczak
999 Broadway St |
$38.08 | 80 | 78 |
|
Fahim Tazwar
462 Grider St |
$11.03 | 80 | 80 |
|
Melissa Ada Louise Neal
410 Elmwood Ave |
$82.69 | 74 | 73 |
|
Vaitheeswaran Ganesa Lalgudi
1176 Main St |
$65.16 | 73 | 70 |
|
Broadway Opticians
999 Broadway St |
$38.74 | 65 | 65 |
|
Brendan Farnand
564 Niagara St |
$36.16 | 46 | 46 |
|
Daniel Anthony Fells
564 Niagara St |
$33.07 | 28 | 28 |
|
John M. Sullivan
3495 Bailey Ave |
$55.22 | 28 | 28 |
|
Park Sher Optical Co Of Buffalo Ny Inc
280 Delaware Ave |
$54.33 | 24 | 24 |
|
Paul Michael Pronti
280 Delaware Ave |
$111.31 | 13 | 13 |
|
Am-Clar Optical, Inc
7088 Transit Rd |
$40.00 | 13 | 13 |
|
Steven I Bench Od, Pc
324 West Ferry Street |
$40.00 | 12 | 12 |
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 Buffalo, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Buffalo, NY is $42.88 per claim, based on 117,869 claims from 48 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 Buffalo, NY?
There are 48 Medicaid providers offering Eye Exam related services in Buffalo, NY according to public payment data.
What is the price range for Eye Exam in Buffalo, NY?
Medicaid reimbursement for Eye Exam in Buffalo, NY ranges from $0.00 to $134.95 per claim, with an average of $42.88. 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 Buffalo, NY
Home Health Visit
Avg $138.93
2,641,639 claims
Office Visit
Avg $60.22
2,438,221 claims
Blood Work & Lab Tests
Avg $8.36
2,385,372 claims
Substance Abuse Treatment
Avg $44.27
1,684,325 claims
Emergency Room Visit
Avg $120.86
1,082,052 claims
Dental Cleaning & Exam
Avg $30.59
790,427 claims
Case Management Services
Avg $250.24
760,219 claims
Psychiatric Evaluation
Avg $135.39
730,584 claims