Average Medicaid Eye Exam Payments in Clifton, NJ: $23.84
Avg. Paid
$23.84
Range
$0.01 – $50.24
Total Claims
181,437
Providers
30
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 Clifton, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Stegman
403 Clifton Ave |
$36.36 | 62,763 | 54,904 |
|
Merna Marlin Refat Khilla
1016 Main Ave |
$3.33 | 18,073 | 16,971 |
|
Melissa Ochlan
1430 Main Ave |
$12.91 | 13,228 | 13,147 |
|
Sierra Jin
1016 Main Ave |
$34.09 | 12,088 | 8,113 |
|
Alessandra Bertolucci
1033 Clifton Ave Ste 107 |
$21.86 | 11,315 | 10,673 |
|
National Vision Administrators, Llc
1200 Route 46 |
$21.74 | 9,355 | 9,195 |
|
Nirupa C Cuttler
1016 Main Ave Unit 1 |
$50.19 | 8,439 | 8,058 |
|
Delia M. Ferrer Garcia
1160 Main Ave |
$6.27 | 6,118 | 6,094 |
|
Laila F Abbas
1135 Main Ave Fl 1 |
$6.94 | 5,905 | 5,893 |
|
Jolie Nickel
1161 Main Ave |
$9.83 | 5,611 | 5,352 |
|
Judith M. Skinner
251 Clifton Ave |
$4.79 | 5,227 | 5,004 |
|
Khelly Savant
1016 Main Ave |
$25.59 | 4,281 | 3,075 |
|
Fatima Lucila Constante-Gonzalez
251 Clifton Ave |
$4.50 | 3,636 | 3,324 |
|
Charles M Cummins Od Pa
251 Clifton Ave |
$0.01 | 2,879 | 2,853 |
|
Neha Madhiwala
251 Clifton Ave |
$16.56 | 2,675 | 2,650 |
|
Jennifer Ann Vicente
1033 Clifton Ave Ste 107 |
$33.35 | 1,877 | 1,803 |
|
Kathy Moreira
251 Clifton Ave |
$6.61 | 1,653 | 1,579 |
|
Larry Scharf
251 Clifton Ave |
$12.72 | 1,261 | 1,214 |
|
Theresa Radtke
1053 Bloomfield Ave |
$8.06 | 1,106 | 1,055 |
|
Palak Majmudar
1005 Clifton Ave |
$42.88 | 1,048 | 829 |
|
Shoshana Pinsky
1161 Main Ave |
$3.26 | 636 | 636 |
|
Optical Outlet Llc
1430 Main Ave |
$26.48 | 595 | 594 |
|
John C Scaramia
20 Bridewell Pl |
$5.11 | 521 | 520 |
|
Molly Lenny Golz
777 Passaic Ave Ste 485 |
$4.04 | 264 | 252 |
|
Attefa Sultani Delgiodice
1033 Clifton Ave |
$49.63 | 255 | 255 |
|
Patricia Cucci
1005 Clifton Ave |
$50.24 | 254 | 227 |
|
Michael L Mund
1187 Main Ave |
$18.22 | 236 | 236 |
|
Ma Le Trieu
134 Kingsland Rd Ste 3 |
$4.69 | 99 | 99 |
|
Ruba H. Hanna
1033 Route 46 |
$24.84 | 24 | 24 |
|
Rodger H Silverstein
777 Passaic Ave |
$0.59 | 15 | 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 Clifton, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Clifton, NJ is $23.84 per claim, based on 181,437 claims from 30 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 Clifton, NJ?
There are 30 Medicaid providers offering Eye Exam related services in Clifton, NJ according to public payment data.
What is the price range for Eye Exam in Clifton, NJ?
Medicaid reimbursement for Eye Exam in Clifton, NJ ranges from $0.01 to $50.24 per claim, with an average of $23.84. 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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