Average Medicaid Eye Exam Payments in Carolina, PR: $21.29
Avg. Paid
$21.29
Range
$0.00 – $91.09
Total Claims
100,526
Providers
28
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 Carolina, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Juana Elizabeth Echeverria
Jesus Fragoso Avenue Hwy # 3 Loiza |
$29.25 | 26 | 26 |
|
Bernardo Antonio Depaz Reyes
Gp3 Ave Campo Rico |
$91.09 | 53 | 52 |
|
Linnette M De Jesus Ramos
506 Blvd Media Luna Apt 602 |
$28.33 | 61 | 60 |
|
Rossie L Rivera Nieves
Los Colobos Shopping Center |
$0.00 | 81 | 81 |
|
Recinto De Ciencias Medicas
Ave. 65 De Infanteria Carr. #3 |
$49.53 | 108 | 94 |
|
Delmari Rivera Fernandez
Ave Monserrate |
$9.12 | 250 | 236 |
|
Francisco J Martinez Rios
7 Ave Laguna |
$0.00 | 324 | 316 |
|
Rosa M. Ojeda Annexy
Vision World Ave. Fragoso |
$27.78 | 386 | 381 |
|
Ana Cristina Toro-Ortiz
Ave 65 De Infanteria Km 12.3 |
$21.17 | 574 | 526 |
|
Elvin Antonio Lugo-Baez
200 Ave Fragoso Ste 157 |
$7.77 | 607 | 564 |
|
Ilsa J Figueroa
3Fs1 Via Myrta |
$39.84 | 753 | 653 |
|
Irma E Lopez - Soto
Ave. Fragoso #14 Villa Fontana |
$32.16 | 778 | 717 |
|
Elsie Noemi De La Texera
Cohen'S Fashion Optical Plaza Carolina |
$28.19 | 1,209 | 1,033 |
|
Daphne Aponte-Ramos
Baldorioty De Castro-Exp. |
$37.80 | 1,403 | 915 |
|
Hector Ruben Leon
Calle Fernandez Juncos B-3 |
$65.53 | 1,464 | 1,281 |
|
Instituto De Ojos Y Piel
Carr #3 Km 12.3 |
$15.74 | 1,502 | 1,338 |
|
Nayda E Vega
Ave 65Th Infanteria Km12.3 |
$31.64 | 2,343 | 2,107 |
|
Angel Rivera - Castro
11310 Ave. 65 Infanteria |
$18.91 | 2,761 | 2,564 |
|
Mirla K Erausquin Colon
Plaza Carolina Mall Local 245 Second Floor |
$0.43 | 3,511 | 3,484 |
|
Maria L Barbosa Santos
11-8 Blq 33 |
$0.00 | 4,604 | 4,452 |
|
Jaime Enrique Colon Casasnovas
11310 Ave 65 Infanteria # Km12.3 |
$22.36 | 6,245 | 5,503 |
|
Rafael A Fernandez
Baldorioty De Castro-Exp |
$25.66 | 6,432 | 6,137 |
|
Ana H. Mejias - Soto
Carr 3 Km 8.3 Ave 65 De Inftanteria |
$37.95 | 6,633 | 5,543 |
|
Pedro David Salib
Carolina Shopp Ctr |
$22.18 | 6,960 | 6,607 |
|
Jose N. Lugo
10000 Ave 65 Infanteria Ste 112 |
$33.34 | 7,473 | 6,859 |
|
Luis Edgardo Padilla Zapata
J C Penney Optical Department |
$30.32 | 8,817 | 7,415 |
|
Norma Iris Rodriguez Maisonet
Monaco 620 |
$1.33 | 15,573 | 14,917 |
|
Miguel A Santiago-Garcia
Road #3 Km 12.3 |
$23.46 | 19,595 | 17,500 |
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 Carolina, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Carolina, PR is $21.29 per claim, based on 100,526 claims from 28 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 Carolina, PR?
There are 28 Medicaid providers offering Eye Exam related services in Carolina, PR according to public payment data.
What is the price range for Eye Exam in Carolina, PR?
Medicaid reimbursement for Eye Exam in Carolina, PR ranges from $0.00 to $91.09 per claim, with an average of $21.29. 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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