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Based on public Medicaid payment data.

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

Other Procedures in Carolina, PR