Average Medicaid Eye Exam Payments in Carlisle, PA: $29.73
Avg. Paid
$29.73
Range
$3.98 – $40.02
Total Claims
22,997
Providers
13
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 Carlisle, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julian A Procope
220 Wilson St |
$22.83 | 8,774 | 8,563 |
|
Andrew Jarrod Franson
319 York Rd |
$34.35 | 3,390 | 3,345 |
|
Daniel Korn
40 Noble Blvd Ste 120 |
$30.22 | 2,856 | 2,746 |
|
David Russell Wilson
650 E High St |
$32.10 | 2,548 | 2,501 |
|
Joseph Paul Winberry
40 Noble Blvd |
$39.17 | 2,412 | 2,370 |
|
Gretchen Lynn Albert
60 Noble Blvd |
$40.02 | 1,704 | 1,692 |
|
Jason Blankenship
40 Noble Blvd Ste 120 |
$22.65 | 576 | 564 |
|
David E Paden
319 York Rd |
$36.00 | 350 | 346 |
|
Kimberly Kay Harris
319 York Rd |
$26.91 | 167 | 165 |
|
Vladislav Petcov
40 Noble Blvd Ste 120 |
$27.64 | 121 | 121 |
|
Gretchen L. Albert, Od, Incorporated
60 Noble Blvd |
$40.00 | 55 | 55 |
|
David Leigh Hartzell
37 Brookwood Ave |
$3.98 | 31 | 25 |
|
Melvin Wagner
338 Alexander Spring Rd |
$26.30 | 13 | 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 Carlisle, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Carlisle, PA is $29.73 per claim, based on 22,997 claims from 13 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 Carlisle, PA?
There are 13 Medicaid providers offering Eye Exam related services in Carlisle, PA according to public payment data.
What is the price range for Eye Exam in Carlisle, PA?
Medicaid reimbursement for Eye Exam in Carlisle, PA ranges from $3.98 to $40.02 per claim, with an average of $29.73. 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
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Office Visit
Avg $31.90
67,249 claims
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Avg $82.05
41,512 claims
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Avg $84.19
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Avg $1.82
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Avg $7.77
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Avg $172.30
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