Average Medicaid Eye Exam Payments in Charleston, WV: $38.01
Avg. Paid
$38.01
Range
$3.46 – $99.31
Total Claims
105,846
Providers
40
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, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
West Virginia Eye Consultants, Llc
501 Summers St |
$47.96 | 13,759 | 12,755 |
|
Abraham S Mitias
331 Laidley St |
$27.92 | 10,586 | 6,624 |
|
Richard Mark Hatfield
331 Laidley St |
$35.65 | 10,036 | 6,481 |
|
Retina Consultants, Pllc
331 Laidley St |
$31.26 | 9,688 | 8,261 |
|
David J Hunt
331 Laidley St |
$28.84 | 8,346 | 5,389 |
|
Scott Conrad Jamerson
331 Laidley St. |
$24.77 | 7,398 | 4,735 |
|
Robert F Dundervill
331 Laidley St |
$33.10 | 7,298 | 4,601 |
|
Drs Whittington & Whittington Ptr
3840 Pennsylvania Ave |
$51.53 | 5,908 | 5,517 |
|
Huseyin Kadikoy
1220 Lee St E |
$50.57 | 4,937 | 4,671 |
|
Charleston Area Medical Center, Inc.
501 Morris St |
$36.98 | 4,307 | 4,059 |
|
Charleston Area Medical Center Inc
501 Morris St |
$32.94 | 3,791 | 3,540 |
|
Daniel Russell Richardson
333 Laidley St Ste 208 |
$3.46 | 3,170 | 1,974 |
|
Greenbrier Vision Center Inc
806 Greenbrier St |
$93.16 | 2,248 | 2,140 |
|
Christopher Alan Stansbury
501 Summers St |
$48.82 | 2,036 | 1,933 |
|
Sandra H Whittington
3840 Pennsylvania Ave |
$42.17 | 1,497 | 1,403 |
|
Audrey Lilian Hunt
1220 Lee St E |
$58.41 | 1,133 | 1,054 |
|
Paul Frederick Francke
1220 Lee St E Ste 203 |
$38.01 | 1,044 | 934 |
|
Kent K Hall
3840 Pennsylvania Ave |
$35.84 | 851 | 818 |
|
Mark Jeffery Whittington
3840 Pennsylvania Ave |
$45.36 | 830 | 786 |
|
Lynn Ellen Engle-Laneve
300 Association Dr |
$83.40 | 769 | 751 |
|
Jeffery Lee Whittington
3840 Pennsylvania Ave |
$40.26 | 712 | 688 |
|
Joseph Jefferds Sinclair
501 Summers St |
$27.74 | 711 | 449 |
|
Charity V Hix
1306 Kanawha Blvd E |
$57.49 | 659 | 603 |
|
Steven James Hosman
1301 Lee St East |
$59.05 | 640 | 588 |
|
Kay Ellen Frank
331 Laidley St |
$55.06 | 483 | 295 |
|
Lawrence Matthew Minardi
500 Donnally St |
$38.85 | 469 | 401 |
|
Brian Keith Griffith
4522 Maccorkle Ave Se |
$52.43 | 359 | 311 |
|
Richard Mcmaster Francis
1306 Kanawha Blvd E |
$19.84 | 314 | 303 |
|
Stephen Paul Cassis
301 49Th St Se |
$38.93 | 312 | 292 |
|
Jason Paul Ludlow
501 Summers St |
$24.07 | 311 | 224 |
|
Dennis Wayne Hedrick
806 Greenbrier St |
$79.98 | 285 | 282 |
|
James White Caudill
501 Summers St |
$47.29 | 265 | 209 |
|
Moderneyes, Pllc
4202 Maccorkle Ave Se |
$43.60 | 205 | 204 |
|
Mountain State Eye Associates, Pllc
1306 Kanawha Blvd East |
$63.81 | 188 | 152 |
|
Sarah Elizabeth Heath
501 Summers St |
$32.08 | 166 | 155 |
|
Abigail Donigian
501 Summers St |
$14.06 | 31 | 27 |
|
Minardi Eye Center, Inc.
500 Donnally St Bldg B |
$77.52 | 28 | 24 |
|
Stephen P Cassis Md
301 49Th St Se Ste A |
$18.46 | 27 | 12 |
|
Summer D Jones
1301 Lee St E |
$99.31 | 25 | 25 |
|
Marlene B Mowery
1306 Kanawha Blvd E |
$62.75 | 24 | 24 |
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, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Charleston, WV is $38.01 per claim, based on 105,846 claims from 40 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, WV?
There are 40 Medicaid providers offering Eye Exam related services in Charleston, WV according to public payment data.
What is the price range for Eye Exam in Charleston, WV?
Medicaid reimbursement for Eye Exam in Charleston, WV ranges from $3.46 to $99.31 per claim, with an average of $38.01. 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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