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Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Detroit, MI: $33.38

Avg. Paid

$33.38

Range

$0.00 – $124.53

Total Claims

350,035

Providers

40

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 Detroit, MI

Provider Avg. Paid Claims Patients
University Physician Group

4201 St. Antoine St.

$38.21 133,794 130,391
Henry Ford Health System

2799 W Grand Blvd

$24.51 68,673 66,871
Henry Ford Health System

2799 W Grand Blvd

$34.09 68,585 65,732
Children'S Eye Care Pc

3901 Beaubien St

$41.82 38,710 38,452
Universal Pediatrics Pc

4727 Saint Antoine St

$17.06 8,014 7,939
Heritage Optical Center Inc

19010 Livernois Ave

$14.24 4,864 4,768
University Physician Group

4717 Saint Antoine St

$27.04 3,826 3,684
Jartll Corp

15336 Grand River Ave

$19.94 3,572 3,541
Community Health And Social Services Center, Inc

5635 W Fort St

$4.85 2,718 2,703
Dexter Pediatrics Llc

12632 Dexter Ave

$16.34 2,225 2,220
Robert Fredrick Lee

15157 Gratiot Ave

$34.14 2,034 2,032
Bilal Ahmad Khan

2799 W Grand Blvd

$29.44 1,976 1,731
Michael James Coleman

4717 Saint Antoine St

$24.99 1,692 1,528
Otis B. Ferguson Iii Md Pc

7633 East Jefferson

$67.35 1,664 1,643
El Valle Optical, Llc

1940 Campbell St

$54.96 1,476 1,472
Laura Romain

15631 Grand River Ave

$29.33 1,180 1,178
Daniel Seth Zuckerbrod

14400 West Mcnichols

$29.33 978 964
Professional Plaza Clinic Corporation

2395 W Grand Blvd

$16.91 655 630
Sura Hassan

4717 St. Antoine

$5.02 570 570
Junction Clinic

4771 Michigan Ave

$18.98 510 499
Talal M Derani

2799 W Grand Blvd

$6.98 276 258
The Wellness Plan Medical Centers

2888 W Grand Blvd

$10.88 259 249
Wce, Llc

660 Woodward

$33.44 249 249
Tara Jacqueline Schaab

2799 W Grand Blvd

$28.00 224 199
Sharmila Segar

2799 W Grand Blvd

$12.84 196 171
Universal Medical Physicians, P.C.

4727 Saint Antoine St

$19.38 195 194
Daniel Benjamin Apple

4717 Saint Antoine St

$16.68 172 163
Covenant Community Care, Inc.

5716 Michigan Ave

$11.64 165 164
D And R Optical Corp

4201 Saint Antoine

$6.15 145 145
Ruby Parikh

2799 W Grand Blvd

$124.53 125 125
Henry Ford Health System

2799 W Grand Blvd

$6.59 78 78
Rachel Shah

2799 W Grand Blvd

$15.29 74 72
Uma M Jasty

2799 W Grand Blvd

$16.47 38 32
Xiaofan Mi

4717 Saint Antoine St

$39.14 29 27
Kevin Roumayah

4717 Saint Antoine St

$13.28 25 25
Professional Medical Center Pc

3956 Mount Elliott St

$12.55 18 17
Madeleine Hasbrook

2799 W Grand Blvd

$23.98 14 14
Patrick G Murray Eye Center Pc

4777 E Outer Dr

$59.58 13 13
Rosedale Vision

19950 Grand River

$0.00 12 12
Ca Murphy, Do Pc

11148 Harper Ave

$19.41 12 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 Detroit, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Detroit, MI is $33.38 per claim, based on 350,035 claims from 40 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 Detroit, MI?

There are 40 Medicaid providers offering Eye Exam related services in Detroit, MI according to public payment data.

What is the price range for Eye Exam in Detroit, MI?

Medicaid reimbursement for Eye Exam in Detroit, MI ranges from $0.00 to $124.53 per claim, with an average of $33.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Eye Exam in Other Cities

Other Procedures in Detroit, MI