Average Medicaid Eye Exam Payments in Coeur D Alene, ID: $31.48
Avg. Paid
$31.48
Range
$9.77 – $63.15
Total Claims
26,648
Providers
19
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 Coeur D Alene, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John L Calderwood
1814 Lincoln Way |
$44.78 | 7,476 | 7,156 |
|
John C Weisel
1814 Lincoln Way |
$31.17 | 2,919 | 2,781 |
|
Drew Dalton Thomas
1814 Lincoln Way |
$19.14 | 2,370 | 1,973 |
|
Robert John Johnson
1801 N 3Rd St |
$35.56 | 2,003 | 1,954 |
|
Lance William Fagan
1801 N 3Rd St |
$35.07 | 1,937 | 1,911 |
|
Alison Marie Granier
1814 Lincoln Way |
$25.74 | 1,767 | 1,652 |
|
Wayne D Ellenbecker
1250 W Ironwood Dr |
$22.92 | 1,288 | 1,287 |
|
David Gerald Dance
1814 Lincoln Way |
$9.77 | 1,288 | 1,078 |
|
Golden Thaddeus Buckland
1814 Lincoln Way |
$15.79 | 1,148 | 920 |
|
Sonya Thomas Blizzard
2175 N Main St |
$49.45 | 1,127 | 1,043 |
|
Sara Duke
1814 Lincoln Way |
$16.39 | 926 | 802 |
|
Raymond Karl Greene
850 W Ironwood Dr |
$25.85 | 906 | 888 |
|
Chad Louis Schobert
7115 N Windy Pines St |
$20.35 | 647 | 647 |
|
Cindy L Ellenbecker
1250 W Ironwood Dr |
$11.60 | 395 | 395 |
|
Whitney Smith Myers
1814 Lincoln Way |
$11.26 | 255 | 194 |
|
Patrick John Parden
1814 Lincoln Way |
$42.23 | 127 | 111 |
|
Jared Lambert
1801 N 3Rd St |
$63.15 | 28 | 28 |
|
Ronda Westcott
980 W Ironwood Dr |
$17.80 | 24 | 24 |
|
Jared Edward Bruder
1110 W Park Pl Ste 320 |
$21.08 | 17 | 17 |
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 Coeur D Alene, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Coeur D Alene, ID is $31.48 per claim, based on 26,648 claims from 19 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 Coeur D Alene, ID?
There are 19 Medicaid providers offering Eye Exam related services in Coeur D Alene, ID according to public payment data.
What is the price range for Eye Exam in Coeur D Alene, ID?
Medicaid reimbursement for Eye Exam in Coeur D Alene, ID ranges from $9.77 to $63.15 per claim, with an average of $31.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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