Average Medicaid Eye Exam Payments in East Orange, NJ: $23.45
Avg. Paid
$23.45
Range
$0.00 – $42.77
Total Claims
26,115
Providers
10
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 East Orange, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Caroline Uche Okonkwo
444 Williams Street |
$36.87 | 15 | 15 |
|
Utenzi Miller-Johnson
560 Dr Martin Luther King Blvd |
$0.00 | 130 | 130 |
|
For Your Eyes Only
507 Martin Luther King |
$0.00 | 255 | 255 |
|
Alexander G Salerno
613 Park Ave |
$16.52 | 335 | 334 |
|
Erin Renee Sherman
385 Tremont Ave |
$11.82 | 352 | 338 |
|
Heta Patel
385 Tremont Ave |
$22.59 | 2,306 | 2,271 |
|
Poonam Varsani
385 Tremont Ave |
$13.15 | 3,360 | 3,346 |
|
Jessica Alana Scott
310 Central Ave Ste 206 |
$42.77 | 4,233 | 3,768 |
|
Winston J Scott
310 Central Ave |
$36.44 | 4,897 | 4,595 |
|
Spiro Antonacos
582 Central Ave |
$14.30 | 10,232 | 10,100 |
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 East Orange, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in East Orange, NJ is $23.45 per claim, based on 26,115 claims from 10 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 East Orange, NJ?
There are 10 Medicaid providers offering Eye Exam related services in East Orange, NJ according to public payment data.
What is the price range for Eye Exam in East Orange, NJ?
Medicaid reimbursement for Eye Exam in East Orange, NJ ranges from $0.00 to $42.77 per claim, with an average of $23.45. 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
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San Diego, CA
Avg $18.12
776,876 claims · 232 providers
Las Vegas, NV
Avg $34.73
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Flushing, NY
Avg $55.73
752,320 claims · 93 providers
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