Average Medicaid Eye Exam Payments in Danville, PA: $27.03
Avg. Paid
$27.03
Range
$0.00 – $37.78
Total Claims
45,225
Providers
25
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 Danville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas William Wilson
16 Woodbine Lane |
$26.97 | 5,659 | 5,532 |
|
Brian E Harry
16 Woodbine Lane |
$26.95 | 5,554 | 5,453 |
|
Alisha Martin
16 Woodbine Ln |
$37.78 | 5,335 | 5,203 |
|
James F Wilmarth
16 Woodbine Lane |
$28.66 | 5,118 | 5,045 |
|
Christine Anne Gallagher
100 N Academy Ave |
$24.51 | 3,850 | 3,757 |
|
Matthew James Delong
16 Woodbine Lane |
$23.97 | 3,589 | 3,531 |
|
Jared W Schneider
16 Woodbine Lane |
$28.22 | 3,435 | 3,377 |
|
Keith E Shalongo
16 Woodbine Lane |
$25.55 | 3,155 | 3,119 |
|
Michael Peter Higgins
16 Woodbine Lane |
$24.97 | 3,140 | 3,072 |
|
Tamara Vrabec
16 Woodbine Ln |
$16.40 | 1,006 | 982 |
|
Benjamin Hale
16 Woodbine Ln |
$20.50 | 985 | 968 |
|
Steven J. Marks
16 Woodbine Ln |
$14.58 | 805 | 787 |
|
David Jeffrey Axe
100 N Academy Ave |
$20.94 | 791 | 769 |
|
Christopher Thomas Cessna
100 N Academy Ave |
$20.41 | 751 | 734 |
|
Peter Costarelli
16 Woodbine Ln |
$37.02 | 639 | 637 |
|
Judith B. Bowser
16 Woodbine Lane |
$14.99 | 439 | 430 |
|
Wells T. Reinheimer
16 Woodbine Ln |
$21.49 | 308 | 287 |
|
Spencer Onishi
16 Woodbine Lane |
$23.94 | 217 | 212 |
|
William Ensor
16 Woodbine Ln |
$33.50 | 214 | 206 |
|
Tarika Thareja
16 Woodbine Ln |
$24.99 | 120 | 112 |
|
Sarah Ullah
16 Woodbine Lane |
$33.25 | 43 | 41 |
|
Ana Maritza Rubin Panvini
100 N Academy Ave |
$21.81 | 28 | 26 |
|
Gregory Matthew Notz
16 Woodbine Lane |
$29.06 | 16 | 16 |
|
Robert G. Notz
16 Woodbine Lane |
$23.16 | 15 | 13 |
|
Geisinger Medical Center
16 Woodbine Lane |
$0.00 | 13 | 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 Danville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Danville, PA is $27.03 per claim, based on 45,225 claims from 25 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 Danville, PA?
There are 25 Medicaid providers offering Eye Exam related services in Danville, PA according to public payment data.
What is the price range for Eye Exam in Danville, PA?
Medicaid reimbursement for Eye Exam in Danville, PA ranges from $0.00 to $37.78 per claim, with an average of $27.03. 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
Other Procedures in Danville, PA
Office Visit
Avg $52.78
342,242 claims
Emergency Room Visit
Avg $91.85
280,993 claims
X-Ray
Avg $8.73
241,218 claims
Blood Work & Lab Tests
Avg $7.75
194,005 claims
CT Scan (Computed Tomography)
Avg $44.57
110,516 claims
EKG / ECG (Electrocardiogram)
Avg $6.78
108,676 claims
Ultrasound
Avg $48.66
86,840 claims
Pathology & Lab Services
Avg $34.89
67,136 claims