Average Medicaid Eye Exam Payments in Cookeville, TN: $34.15
Avg. Paid
$34.15
Range
$7.82 – $48.11
Total Claims
53,649
Providers
24
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 Cookeville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jason C Clopton
1080 Neal St |
$42.79 | 15,375 | 14,515 |
|
Ronald Miranda
377 W Jackson St |
$33.43 | 8,268 | 7,899 |
|
Andrew David Johnson
999 Guardian Way |
$13.60 | 5,612 | 4,110 |
|
Garrett Clark Shepherd
45 N Dixie Ave |
$41.92 | 4,083 | 3,859 |
|
Jonathan Adam Coble
45 N Dixie Ave |
$40.74 | 3,518 | 3,387 |
|
Alissa Craft Hudson
600 E Veterans Dr |
$20.99 | 3,311 | 2,787 |
|
Stephen M Richardson
430 Neal St |
$31.21 | 2,486 | 2,382 |
|
Malena Landon Erickson
600 E Veterans Dr |
$38.58 | 2,302 | 1,957 |
|
Joshua Oliver
999 Guardian Way |
$37.81 | 2,236 | 2,103 |
|
Heather Kay Brown-Conner
999 Guardian Way |
$40.04 | 1,642 | 1,540 |
|
Dennis L. Cosgrove
1059 Neal St |
$11.55 | 1,185 | 865 |
|
Charles R Norman
125 S Jefferson Ave |
$12.73 | 951 | 914 |
|
Stephen Rich Mullins
585 E 10Th St |
$40.57 | 835 | 794 |
|
Matthew Kurt Mosteller
768 S Jefferson Ave |
$27.37 | 458 | 428 |
|
Kelly A Martin
600 E Veterans Dr Ste A |
$48.11 | 341 | 331 |
|
Dr. Mark Lynn & Associates, Pllc
377 West Jackson Street |
$37.96 | 328 | 304 |
|
Amanda J Kirk
430 Neal St |
$40.42 | 272 | 254 |
|
Brittany B Denaro
1125 Perimeter Park Dr Ste 200 |
$7.82 | 84 | 50 |
|
Rachel Marie Wakefield
585 E 10Th St |
$31.17 | 79 | 79 |
|
Tn Doctors Of Optometry, Pllc
377 West Jackson St |
$21.09 | 78 | 78 |
|
Michael Paul Jones
1125 Perimeter Park Dr |
$24.97 | 63 | 50 |
|
James M Grisolano
999 Guardian Way |
$8.79 | 50 | 40 |
|
Pushpendra K Jain
225 N Willow Ave Ste 3 |
$9.12 | 46 | 28 |
|
Deanna Apple Risher
585 E 10Th St |
$38.65 | 46 | 41 |
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 Cookeville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Cookeville, TN is $34.15 per claim, based on 53,649 claims from 24 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 Cookeville, TN?
There are 24 Medicaid providers offering Eye Exam related services in Cookeville, TN according to public payment data.
What is the price range for Eye Exam in Cookeville, TN?
Medicaid reimbursement for Eye Exam in Cookeville, TN ranges from $7.82 to $48.11 per claim, with an average of $34.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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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
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Los Angeles, CA
Avg $18.49
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Bronx, NY
Avg $51.98
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San Diego, CA
Avg $18.12
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Las Vegas, NV
Avg $34.73
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Avg $55.73
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Avg $38.32
1,005,828 claims
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Avg $70.87
344,852 claims
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Avg $124.74
336,719 claims
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Avg $39.29
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Avg $28.54
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Avg $29.79
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