Average Medicaid Eye Exam Payments in Charleston, SC: $58.46
Avg. Paid
$58.46
Range
$9.47 – $87.91
Total Claims
157,115
Providers
49
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 Charleston, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medical University Hospital Authority
169 Ashley Ave |
$87.91 | 57,853 | 55,051 |
|
Blake Daniel Forcina
171 Ashley Ave |
$64.98 | 21,690 | 21,626 |
|
Scott Alan Davis
171 Ashley Ave |
$58.02 | 15,948 | 14,874 |
|
John Kerrison
3531 Mary Ader Ave |
$19.27 | 7,700 | 7,148 |
|
Michael Johnson
3531 Mary Ader Ave Ste D |
$14.26 | 6,339 | 6,128 |
|
James Bowsher
171 Ashley Ave |
$46.75 | 4,752 | 4,714 |
|
M Edward Wilson
171 Ashley Ave |
$53.93 | 4,574 | 4,533 |
|
James Freddie Hill
171 Ashley Ave |
$31.72 | 4,450 | 4,338 |
|
Emil Anthony T Say
171 Ashley Ave |
$23.50 | 3,970 | 3,831 |
|
Daniel Alfaro
3531 Mary Ader Ave |
$16.34 | 3,716 | 3,575 |
|
Robert J Black
171 Ashley Ave |
$25.62 | 2,829 | 2,651 |
|
Eric Jablon
3531 Mary Ader Ave |
$11.18 | 2,654 | 2,489 |
|
Jennifer Smith Zolman
1470 Tobias Gadson Blvd |
$31.48 | 2,355 | 2,258 |
|
Jeremy David Walz
171 Ashley Ave |
$42.43 | 2,044 | 2,009 |
|
Mae M Peterseim
171 Ashley Ave |
$14.66 | 1,638 | 1,611 |
|
Patrick W Smith
3531 Mary Ader Ave |
$30.82 | 1,622 | 1,555 |
|
Hao Tang
167 Ashley Ave # Msc676 |
$26.93 | 1,246 | 1,113 |
|
Amber Egbert
171 Ashley Ave |
$45.75 | 1,174 | 1,154 |
|
Eric Lee Berman
171 Ashley Ave |
$22.31 | 1,094 | 1,075 |
|
Leigh Purvis
1470 Tobias Gadson Blvd Ste 115 |
$40.72 | 1,084 | 1,074 |
|
Erica Ryan Juras
3951 W Ashley Cir |
$37.18 | 1,075 | 1,067 |
|
Carolina Adams
171 Ashley Ave |
$47.48 | 1,032 | 933 |
|
Kristen Gayeski Tinkler
171 Ashley Ave |
$41.43 | 962 | 943 |
|
Jeffrey P. Blice
171 Ashley Ave |
$24.53 | 686 | 669 |
|
Lynn Janet Poole Perry
171 Ashley Ave |
$32.42 | 605 | 587 |
|
James D Elliott
3531 Mary Ader Ave |
$22.55 | 502 | 463 |
|
Malack Hamade
171 Ashley Ave |
$31.83 | 483 | 446 |
|
Rahul Kumar Gupta
1890 Sam Rittenberg Blvd Ste 107 |
$22.17 | 458 | 443 |
|
Julianne Catherine Gant
109 Bee St |
$28.47 | 331 | 322 |
|
Andrew Steven Eiseman
171 Ashley Ave |
$28.04 | 268 | 251 |
|
Matthew John Nutaitis
171 Ashley Ave |
$26.93 | 256 | 251 |
|
Elyse Dewitt
1470 Tobias Gadson Blvd Ste 115 |
$15.90 | 241 | 234 |
|
Laura Magnuson
171 Ashley Ave |
$18.40 | 178 | 162 |
|
Alexander R Kent
125 Doughty St |
$23.65 | 158 | 138 |
|
Tala Marie Kassm
171 Ashley Ave |
$31.21 | 154 | 148 |
|
Michele Ann Donovan
2015 Sam Rittenberg Blvd |
$25.75 | 136 | 131 |
|
Karolinne Maia Rocha
171 Ashley Ave |
$37.07 | 119 | 110 |
|
Karen Brian Fernandez
171 Ashley Ave |
$32.72 | 113 | 82 |
|
Michael Wayne Zolman
325 Folly Rd |
$25.90 | 110 | 105 |
|
Karen Menzer Ullian
1548 Ashley River Rd |
$20.78 | 104 | 104 |
|
Ashley Brooke Fazzary
88 Folly Road Blvd |
$36.91 | 86 | 86 |
|
George Nathaniel Magrath
171 Ashley Ave |
$41.13 | 86 | 82 |
|
Neil William Draisin
1470 Tobias Gadson Blvd |
$9.47 | 67 | 67 |
|
Jensen Elizabeth Rafool
1470 Tobias Gadson Blvd Ste 115 |
$9.98 | 48 | 44 |
|
William Terry Allen
3951 W Ashley Cir |
$23.95 | 36 | 32 |
|
Sanjana Vitta
1251 Savannah Hwy |
$10.71 | 32 | 27 |
|
Joanna Lynn Corbit
1951 Clements Ferry Rd Ste 203 |
$28.46 | 27 | 27 |
|
Charles Medlock Proctor
171 Ashley Ave |
$15.42 | 15 | 12 |
|
Mona L Camacci
3531 Mary Ader Ave |
$14.55 | 15 | 14 |
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 Charleston, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Charleston, SC is $58.46 per claim, based on 157,115 claims from 49 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 Charleston, SC?
There are 49 Medicaid providers offering Eye Exam related services in Charleston, SC according to public payment data.
What is the price range for Eye Exam in Charleston, SC?
Medicaid reimbursement for Eye Exam in Charleston, SC ranges from $9.47 to $87.91 per claim, with an average of $58.46. 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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Avg $64.67
2,228,092 claims
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Avg $65.50
1,335,995 claims
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Avg $21.35
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Avg $153.64
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Avg $33.80
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