Average Medicaid Eye Exam Payments in Des Plaines, IL: $22.51
Avg. Paid
$22.51
Range
$1.14 – $33.16
Total Claims
52,390
Providers
23
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 Des Plaines, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vlada Z Nakhlis
782 W Oakton St |
$33.16 | 12,868 | 11,836 |
|
Michael P Blair
2454 E Dempster St |
$21.55 | 9,342 | 7,847 |
|
John Galasso
2454 E Dempster St |
$20.74 | 5,088 | 4,474 |
|
Bryan M Kim
8901 W. Golf Rd |
$8.99 | 4,956 | 4,669 |
|
Enrique Garcia-Valenzuela
8901 W. Golf Road |
$13.84 | 4,038 | 3,696 |
|
Michael J. Shapiro
2454 E Dempster St |
$24.11 | 3,631 | 3,167 |
|
Stephen A. Vile
940 Lee St |
$18.98 | 3,336 | 2,905 |
|
Janet Yen Ling Tseng
1553 Market Street |
$32.84 | 1,935 | 1,815 |
|
Kyle Cox Blair
2454 E Dempster St Ste 400 |
$23.18 | 1,442 | 1,260 |
|
George J Wyhinny
8901 Golf Rd |
$9.94 | 1,062 | 1,016 |
|
Robert Garoon
9301 Golf Rd |
$19.55 | 1,039 | 897 |
|
Anand Gopal
8901 W. Golf Road #206 |
$18.12 | 946 | 902 |
|
Daniel C Alter
8901 W. Golf Rd |
$11.33 | 525 | 475 |
|
Syeda Rabab Fatima
865 Elmhurst Rd |
$22.95 | 457 | 437 |
|
Maria Paula Fernandez
2454 E Dempster St Ste 400 |
$19.86 | 363 | 307 |
|
Gabrielle Monica Szwajca
1906 S Tures Ln |
$31.75 | 352 | 349 |
|
Rakhi Patil
8901 Golf Rd Ste 300 |
$16.65 | 286 | 283 |
|
Joan Kim
73 N Broadway St |
$19.91 | 254 | 220 |
|
Ira Garoon
9301 Golf Rd |
$10.78 | 213 | 188 |
|
Dana Hobi
782 W Oakton St Ste A |
$1.14 | 143 | 142 |
|
Michael Joseph Paxhia
1400 E Golf Rd |
$20.99 | 62 | 51 |
|
Saira Khanna
2454 E Dempster St Ste 400 |
$23.70 | 38 | 35 |
|
Kathryn Winkler
940 Lee St |
$26.53 | 14 | 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 Des Plaines, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Des Plaines, IL is $22.51 per claim, based on 52,390 claims from 23 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 Des Plaines, IL?
There are 23 Medicaid providers offering Eye Exam related services in Des Plaines, IL according to public payment data.
What is the price range for Eye Exam in Des Plaines, IL?
Medicaid reimbursement for Eye Exam in Des Plaines, IL ranges from $1.14 to $33.16 per claim, with an average of $22.51. 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
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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
752,879 claims · 284 providers
Flushing, NY
Avg $55.73
752,320 claims · 93 providers
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Avg $32.86
186,241 claims
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Avg $20.02
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Avg $176.54
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Avg $577.99
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