Average Medicaid Eye Exam Payments in East Stroudsburg, PA: $15.45
Avg. Paid
$15.45
Range
$3.23 – $31.35
Total Claims
1,790
Providers
6
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 Stroudsburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Derek J Pyle
300 Plaza Court |
$14.57 | 1,016 | 988 |
|
Israel Rose Moore
300 Plaza Ct Ste A |
$14.25 | 359 | 345 |
|
Douglas A Young
300 Plaza Court Suite A |
$21.70 | 208 | 183 |
|
Gerald J Negvesky
300 Plaza Court Suite A |
$15.36 | 180 | 176 |
|
Richard C James
214 Washington St |
$3.23 | 14 | 14 |
|
Ethan Payne
300 Plaza Ct |
$31.35 | 13 | 13 |
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 Stroudsburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in East Stroudsburg, PA is $15.45 per claim, based on 1,790 claims from 6 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 Stroudsburg, PA?
There are 6 Medicaid providers offering Eye Exam related services in East Stroudsburg, PA according to public payment data.
What is the price range for Eye Exam in East Stroudsburg, PA?
Medicaid reimbursement for Eye Exam in East Stroudsburg, PA ranges from $3.23 to $31.35 per claim, with an average of $15.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in East Stroudsburg, PA
Office Visit
Avg $51.74
178,807 claims
Emergency Room Visit
Avg $121.03
49,927 claims
Home Health Visit
Avg $179.15
45,338 claims
EKG / ECG (Electrocardiogram)
Avg $7.87
40,825 claims
Blood Work & Lab Tests
Avg $7.02
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Avg $10.84
24,449 claims
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Avg $12.22
24,448 claims
CT Scan (Computed Tomography)
Avg $47.83
20,570 claims