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Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Cape Coral, FL: $40.52

Avg. Paid

$40.52

Range

$2.57 – $233.37

Total Claims

49,366

Providers

10

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 Cape Coral, FL

Provider Avg. Paid Claims Patients
Tan-Long Pham

316 Del Prado Blvd S

$41.31 41,085 39,166
Alyssa Keating

2301 Del Prado Blvd S Ste 820

$30.72 5,045 4,589
Rachel Fredericks

316 Del Prado Blvd S

$20.71 723 723
Farrell C Tyson

4120 Del Prado Blvd S

$2.57 686 663
Christopher Eric Williamson

3218 Del Prado Blvd S

$16.55 460 345
Jessica A Cameron

923 Del Prado Blvd. S

$233.37 449 440
Janice I Birr

4120 Del Prado Blvd S

$20.87 387 387
Jennifer L. Gallo

900 Pine Island Road

$11.36 215 207
Stuart I Kaplan

4120 Del Prado Blvd S

$10.35 203 201
Melissa Sue Green

614 Se 33Rd St

$55.26 113 113

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 Cape Coral, FL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Cape Coral, FL is $40.52 per claim, based on 49,366 claims from 10 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 Cape Coral, FL?

There are 10 Medicaid providers offering Eye Exam related services in Cape Coral, FL according to public payment data.

What is the price range for Eye Exam in Cape Coral, FL?

Medicaid reimbursement for Eye Exam in Cape Coral, FL ranges from $2.57 to $233.37 per claim, with an average of $40.52. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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