Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Durham, NC: $28.22

Avg. Paid

$28.22

Range

$4.96 – $112.32

Total Claims

35,120

Providers

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 Durham, NC

Provider	Avg. Paid	Claims	Patients
Mays Antoine Dairi 4101 N Roxboro St	$21.95	4,737	3,849
Nathan Lollins Cheung 2351 Erwin Rd	$34.28	3,450	2,679
Michelle Go 2351 Erwin Rd	$46.20	2,689	1,828
Lejla Vajzovic 2100 Erwin Rd	$14.11	2,573	2,169
Glenn Jaffe 2100 Erwin Rd	$19.33	2,000	1,696
Ramiro Sergio Maldonado Duke University Medical Ctr	$16.94	1,859	1,476
Majda Hadziahmetovic 2351 Erwin Rd	$10.21	1,630	1,228
Priyatham S Mettu 2351 Erwin Rd	$13.68	1,624	1,420
Sara Fransen Grace 4102 N Roxboro St	$58.69	1,594	1,470
Scott Cousins 2100 Erwin Rd	$9.13	1,502	1,224
Pratap Challa 2351 Erwin Rd	$17.70	1,383	1,212
Dwight Dean Perry 4102 N Roxboro St	$10.73	916	837
Sarah Fowler 6910 Fayetteville Rd	$43.71	872	828
Jeremy Shaw Duke Eye Center Dumc 3802	$56.97	869	688
Miguel Angel Materin 2351 Erwin Rd	$7.69	732	564
Adriana Ferreira 2351 Erwin Rd	$70.97	728	686
Nathan T Tagg 2351 Erwin Rd	$20.48	716	581
Michelle Jangmi Kim 2351 Erwin Rd	$112.32	672	632
Anupama Betkerur Horne 6104 Fayetteville Rd	$24.94	579	517
Sasapin Grace Prakalapakorn 2351 Erwin Rd; Dumc 3802	$72.94	458	435
James Anthony Wrzosek 6104 Fayetteville Rd	$5.41	426	293
Cynthia Toth 2100 Erwin Rd	$16.23	415	327
Karen Elizabeth Grove 2351 Erwin Rd	$54.66	411	274
Sharon Freedman 2100 Erwin Rd	$23.97	357	284
Michael Sena Quist 2351 Erwin Rd	$8.55	241	221
Stuart James Mckinnon Duke University Eye Ctr	$18.69	237	181
Yvonne Ou 2100 Erwin Rd	$34.30	229	226
Milton James 4102 N Roxboro St	$7.70	200	163
Henry Hsien-Chun Tseng 2351 Erwin Rd	$18.77	161	148
Sidney Maloch Gospe 2351 Erwin Rd	$16.76	151	134
Michael John Allingham 2301 Erwin Rd	$6.66	130	108
Melissa B Daluvoy 2351 Erwin Rd	$23.61	116	103
Asra Shabana Firozvi 4102 N Roxboro Rd	$20.44	83	78
Kelly Walton Muir 2351 Ewin Rd	$11.72	54	52
Victor L Perez Quinones Duke Eye Center Dumc3802 2351 Erwin Road	$26.03	48	43
Divakar Gupta 2351 Erwin Rd	$13.90	42	37
Aftab Khan 1122 Commack Dr	$10.01	36	35
Eleonora G Lad 121 Crimson Oak Dr	$13.84	27	24
Lisa Cowan 2351 Erwin Rd	$12.55	20	20
Jason Fan 2351 Erwin Rd	$12.33	20	14
Daniel J Simon 4102 N Roxboro St	$47.31	19	14
Qiaohui Wei White 2351 Erwin Rd	$25.43	18	17
Anna Hong Bordelon 2351 Erwin Road Dumc Box 3802	$40.45	15	13
Rabia Y Ali 2351 Erwin Rd	$27.10	15	12
Anthony N Kuo 4101 N Roxboro St	$23.70	14	13
Laura Enyedi Duke University Medical Ctr	$62.57	14	14
Alan Carlson 2100 Erwin Rd	$17.99	13	12
Liangbo Shen 2351 Erwin Rd	$28.39	13	13
Thomas George Lamont Hunter 2100 Erwin St	$4.96	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 Durham, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Durham, NC is $28.22 per claim, based on 35,120 claims from 49 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 Durham, NC?

There are 49 Medicaid providers offering Eye Exam related services in Durham, NC according to public payment data.

What is the price range for Eye Exam in Durham, NC?

Medicaid reimbursement for Eye Exam in Durham, NC ranges from $4.96 to $112.32 per claim, with an average of $28.22. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Eye Exam Payments in Durham, NC: $28.22

Providers Offering Eye Exam in Durham, NC

What to Expect: Eye Exam

Cost Components

Frequently Asked Questions

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