Average Medicaid Eye Exam Payments in Burlington, MA: $45.38
Avg. Paid
$45.38
Range
$4.21 – $61.63
Total Claims
20,802
Providers
24
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 Burlington, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lahey Clinic Hospital, Inc.
41 Mall Rd |
$61.63 | 13,466 | 13,096 |
|
Kendra Klein-Mascia
41 Mall Road |
$24.13 | 1,897 | 1,691 |
|
Kush Patel
101 Middlesex Tpke Ste 8 |
$4.66 | 1,122 | 977 |
|
David James Ramsey
41 Mall Rd |
$9.75 | 998 | 905 |
|
Pierre Pellerin
41 Mall Road |
$13.83 | 868 | 868 |
|
Jeffrey Chang
Lahey Clinic |
$8.36 | 498 | 490 |
|
Jiayi Zhou
31 Mall Rd |
$21.14 | 380 | 378 |
|
Bradley M Howerter
31 Burlington Mall Rd |
$13.24 | 222 | 222 |
|
Gwynn M Horsburgh
41 Mall Rd |
$19.87 | 219 | 218 |
|
Michael L Cooper
41 Mall Rd |
$4.21 | 219 | 218 |
|
Phillip M Gendelman
172 Cambridge St |
$17.17 | 183 | 180 |
|
Julie Morgan Freiman
Lahey Clinic Inc |
$47.77 | 120 | 120 |
|
Kathleen Prendergast
41 Mall Rd |
$30.21 | 112 | 106 |
|
Patrick Luke Bessette
Lahey Clinic |
$14.62 | 98 | 98 |
|
Tamara Jade Granner
50 Burlington Mall Rd |
$25.65 | 93 | 93 |
|
Alec J Smail
172 Cambridge St |
$12.59 | 70 | 70 |
|
Jeffrey L Marx
Lahey Clinic |
$12.46 | 64 | 50 |
|
Geetha K Athappilly
41 Mall Road |
$18.65 | 41 | 39 |
|
Lahey Clinic, Inc.
41 Mall Rd |
$8.87 | 40 | 40 |
|
Imad Rahman
41 Mall Rd |
$13.22 | 36 | 36 |
|
Katie Suzanne Capecci
2 Wayside Rd |
$42.58 | 16 | 16 |
|
Naveen Kalipatnam Rao
41 Mall Rd |
$46.31 | 14 | 14 |
|
Mark A. Traveis
385 Cambridge St |
$9.16 | 14 | 12 |
|
Carmen Huang
50 Burlington Mall Rd Ste 101 |
$12.88 | 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 Burlington, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Burlington, MA is $45.38 per claim, based on 20,802 claims from 24 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 Burlington, MA?
There are 24 Medicaid providers offering Eye Exam related services in Burlington, MA according to public payment data.
What is the price range for Eye Exam in Burlington, MA?
Medicaid reimbursement for Eye Exam in Burlington, MA ranges from $4.21 to $61.63 per claim, with an average of $45.38. 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 Burlington, MA
Blood Work & Lab Tests
Avg $10.09
375,899 claims
Office Visit
Avg $95.84
354,634 claims
EKG / ECG (Electrocardiogram)
Avg $5.13
128,245 claims
Emergency Room Visit
Avg $129.97
104,721 claims
X-Ray
Avg $9.87
96,273 claims
Non-Emergency Medical Transportation
Avg $26.15
88,835 claims
Dental Cleaning & Exam
Avg $34.37
51,649 claims
Pathology & Lab Services
Avg $42.69
51,588 claims