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Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Denver, CO: $36.17

Avg. Paid

$36.17

Range

$0.00 – $113.84

Total Claims

352,392

Providers

118

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 Denver, CO

Provider Avg. Paid Claims Patients
Eleanor Burton

777 Bannock St

$16.68 28,609 23,765
Amanda Haney

1407 W 84Th Ave Unit B8

$53.93 26,621 24,444
Esteban Sandoval

1601 E 19Th Ave Ste 4525

$55.91 23,314 20,584
Uyen Thu Cao

5790 W 44Th Ave

$43.04 21,080 19,577
Matthew Thomas Peterson

1400 Grove St

$54.19 18,484 15,589
Danelle Marie Habhab

2005 Franklin Street

$10.16 17,035 14,067
Bryan Crosby

777 Bannock St

$10.85 16,276 13,616
Russell K Williams

2480 S Downing St

$9.95 15,814 12,824
Mariam Syed Ahmad

777 Bannock St # Mc0156

$11.16 15,701 13,115
Jesse M Smith

777 Bannock St

$15.96 15,054 12,524
David William Himel

1407 W 84Th Ave Unit B8

$51.65 13,425 12,540
Maria Lavalle

4804 Chambers Rd

$26.99 12,749 9,638
Amanda Kay Huston

2373 Central Park Blvd

$53.42 12,484 11,659
Caitlyn Anna Lee Wong

1407 W 84Th Ave Unit B8

$51.78 10,222 9,520
Cuong Bui

1068 S Federal Blvd

$76.98 9,746 9,611
Cristos Ifantides

777 Bannock St

$11.71 6,388 4,517
Mark S Dacey

425 S Cherry St Ste 907

$58.01 4,704 4,070
Diana Reeves

4500 Cherry Creek Drive South

$35.43 4,380 3,490
Magina Tepliz

9888 E Vassar Dr Apt E304

$50.15 4,100 3,013
Chester Thomas Roe

4999 E Kentucky Ave

$15.80 3,799 3,606
Jennifer Diane Owen

545 S Broadway

$50.81 3,752 3,222
Justin Paul Coco

2480 S Downing St

$28.69 3,579 2,970
Frank J Gardner

545 South Broadway

$51.69 3,337 2,944
James Kani

5790 W 44Th Ave

$44.30 2,966 2,869
Eric John Wiessner

5075 Leetsdale Dr

$29.75 2,854 2,592
Jay Steven Megard

820 S Monaco Pkwy

$113.84 2,559 2,509
Nancy J Christmas

8101 E Lowry Blvd Ste 210

$19.73 2,329 1,881
Deidre St Peter

777 Bannock St

$22.45 2,006 1,740
Michael Jansen

5150 E Yale Cir Ste 400

$29.77 1,884 1,313
Miriah Michael Teeter

8101 E Lowry Blvd Ste 210

$27.06 1,777 1,598
Rozaliya Shimonova

2480 S Downing St Ste G30

$33.46 1,630 1,552
Melinda Bui Rodriguez

1407 W 84Th Ave Unit B8

$55.41 1,629 1,617
Eric Cross

910 16Th St Ste 524

$53.11 1,621 1,555
Travis Chadwick Lipscomb

1685 S Colorado Blvd

$44.23 1,583 1,433
David W Johnson

8101 E Lowry Blvd

$18.92 1,567 1,331
Mark E Patron

4999 E Kentucky Ave Ste 200

$16.17 1,477 1,118
Kathryn Lynn Lachenman

2375 E 1St Ave

$63.03 1,475 1,457
Michael Carl Chen

777 Bannock St

$14.08 1,425 1,148
Valencia Z Lo

5560 W 44Th Ave

$25.65 1,374 1,331
Eric Michael Ross

9400 E Hampden Ave

$61.57 1,238 1,195
Curtis L Hagedorn

2005 Franklin St

$29.84 1,222 1,090
Sharnelle Naomi Kamibayashi

1033 S Gaylord St

$43.60 1,175 1,097
Bradley L Schuster

2045 Franklin St

$13.78 1,165 920
Look Optical, Pc

4804 Chambers Rd

$0.00 1,143 1,134
Michelle L Essex

12075 E 45Th Ave

$113.81 1,138 1,106
Brian C Joondeph

8101 E Lowry Blvd Ste 210

$22.83 1,110 911
Alicia A Adams

2045 N Franklin St

$109.17 1,106 1,084
Valerie A Valenzuela

5560 W 44Th Ave

$32.25 1,095 1,059
One Hour Optical Medical Services, Pc

1685 S Colorado Blvd

$0.38 1,066 999
Charles A Wilson

2045 Franklin St

$8.83 1,059 829

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 Denver, CO?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Denver, CO is $36.17 per claim, based on 352,392 claims from 118 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 Denver, CO?

There are 118 Medicaid providers offering Eye Exam related services in Denver, CO according to public payment data.

What is the price range for Eye Exam in Denver, CO?

Medicaid reimbursement for Eye Exam in Denver, CO ranges from $0.00 to $113.84 per claim, with an average of $36.17. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Eye Exam in Other Cities

Other Procedures in Denver, CO