Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Caguas, PR: $35.93

Avg. Paid

$35.93

Range

$0.00 – $74.77

Total Claims

153,676

Providers

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 Caguas, PR

Provider	Avg. Paid	Claims	Patients
The Looks Optical Llc 12 Ave Luis Munoz Marin	$37.57	42	28
Gabriela R De Boer Pr 1 Ave Sakura	$4.48	74	69
Armando Luis Lugo Loyola Paseo Gautier Benitez	$0.00	88	88
Eva Josefina Lopez-Mendez 200 Ave.Rafael Cordero	$19.70	98	98
Carmen Elba Garcia Alvarado Acosta St	$26.52	100	100
Sandra I. Rodriguez 28101 Urb Serenna	$0.00	154	152
Luz J Rivera Ave Rafael Cordero	$28.77	216	212
Grimanessa Cruz-Cabanas Hima Plaza Uno, 500 Ave Degetau	$64.97	381	330
Victor J. Quinones-Colon Ave Gautier Benitez 112	$25.98	425	412
Odalys Mendoza Villahermosa Hima Plaza Uno Oficina 411	$43.65	447	366
Carlos R Ortiz-Torres 400 Calle Betances	$21.16	610	376
Frances Marie Marrero Barrera 1 Ave Fomento Ste 245	$56.86	896	563
Guillermo A Torres Cabrera Munoz Rivera Ave #1A	$55.19	1,134	979
Pedro Luis Correa Amil 2D33 Ave Pino	$26.18	1,135	1,040
Evelyn Ortiz 45 Calle Ruiz Belvis	$25.84	1,148	1,023
Emilio A Baez Rivera 81 Ave Luis Munoz Marin Ste 201	$62.91	2,162	1,885
Maria De La Altagracia Hernandez Ab12 Calle Nebraska	$5.93	2,205	2,106
Jose Luis Jimenez Avenida Luis Munoz Marin Num 50	$48.33	2,625	2,290
Ana Fernandez Plaza Villa Blanca #K-2	$28.93	2,672	2,204
Alexander Franquiz Ave Bairoa Ab 9	$24.60	2,835	2,628
Cesar Tort Sola D4 Ave Degetau	$67.28	2,926	2,630
Maria Gabriela Velazquez Lamela Plaza Bairoa	$55.32	2,943	2,506
Johanna Loyola Martinez 16 Paseo Gautier Benitez	$32.76	3,245	2,703
Jorge M Sanchez Condominio Vista Real I	$14.69	3,614	3,412
Caroline Perez Aleman 3B4 Calle Borgona	$32.13	3,700	2,985
Juan M. Vazquez C22 Ave Gautier Benitez	$31.47	3,704	3,378
Terry Ann Rivera Rodriguez 19 Street Y-18	$26.46	3,865	3,532
Maria De Lourdes Ortiz 500 Avenida Degetau	$74.77	5,505	4,955
Vivianne M Garcia Fernandez Calle Munoz Rivera 9 C2	$32.97	5,893	5,076
Grace M Wiley Carr.172 De Caguas A Cidra ; Urb. Turabo Gardens	$34.53	6,340	5,925
Maria Eugenia Latoni Benedetti Las Catalinas Mall	$32.25	7,109	5,881
Luis Alberto Lugo Ortiz Paseo Gautier Benitez 16	$25.00	7,114	5,871
Stephanie Camille Vale Pr #1, Sakura Street	$52.64	7,340	5,768
Wilfredo Cruz-Martinez Calle Aquamarina	$30.92	8,454	7,422
Hojat Olah Zarkani Urb. Altos De La Fuente	$17.95	8,596	7,601
Carlos Javier Fernandez Santos Plaza Bairoa	$53.65	12,034	9,818
Sorivett Cotto Rosario Los Prados Plaza Blvd Los Prados Ste. 780	$32.17	15,829	13,873
Cesar R. Quinones 112 Pd Plaza Ave. Gautier Benitez	$30.71	26,018	22,861

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 Caguas, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Caguas, PR is $35.93 per claim, based on 153,676 claims from 38 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 Caguas, PR?

There are 38 Medicaid providers offering Eye Exam related services in Caguas, PR according to public payment data.

What is the price range for Eye Exam in Caguas, PR?

Medicaid reimbursement for Eye Exam in Caguas, PR ranges from $0.00 to $74.77 per claim, with an average of $35.93. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Eye Exam Payments in Caguas, PR: $35.93

Providers Offering Eye Exam in Caguas, PR

What to Expect: Eye Exam

Cost Components

Frequently Asked Questions

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