Average Medicaid Eye Exam Payments in Edinburg, TX: $43.27
Avg. Paid
$43.27
Range
$0.00 – $95.63
Total Claims
42,534
Providers
16
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 Edinburg, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Luis Silbiano Navarro
2301 S Hwy 281 |
$43.10 | 15,242 | 13,485 |
|
Joseph Christopher Buentello
2301 S Us Highway 281 |
$53.61 | 10,259 | 9,912 |
|
Parul S Desai
2609 W Trenton Rd |
$24.30 | 6,351 | 5,956 |
|
Guadalupe Alejandra Flores
3804 S Jackson Rd Ste 4 |
$27.01 | 4,557 | 4,391 |
|
Alfredo Trejo
2518 W Trenton Rd |
$95.63 | 2,394 | 2,067 |
|
Sonia A Brito
1724 W University Dr |
$48.58 | 1,024 | 956 |
|
Joshua Jacob Cedillo
2301 S Business Highway 281 |
$31.77 | 755 | 548 |
|
Syed Gibran Khurshid
2609 W Trenton Rd |
$6.60 | 606 | 475 |
|
Imtiaz A Mehkri
510 S Closner Blvd |
$19.44 | 491 | 478 |
|
William Justus Head
2518 W Trenton Rd |
$80.31 | 309 | 308 |
|
Carlos Manrique De Lara
2518 W Trenton Rd |
$26.41 | 232 | 228 |
|
Lorena Zenaida Flores-Hernandez
3804 S Jackson Rd Ste 4 |
$36.60 | 130 | 108 |
|
Renee Michelle Clark
2609 W Trenton Rd |
$36.15 | 79 | 77 |
|
Monzer Hassan Yazji
502 S Closner Blvd |
$20.36 | 49 | 46 |
|
George Peter Amegin
2005 W University Dr |
$8.47 | 40 | 38 |
|
Mae E Wesson
2005 West University Drive |
$0.00 | 16 | 16 |
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 Edinburg, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Edinburg, TX is $43.27 per claim, based on 42,534 claims from 16 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 Edinburg, TX?
There are 16 Medicaid providers offering Eye Exam related services in Edinburg, TX according to public payment data.
What is the price range for Eye Exam in Edinburg, TX?
Medicaid reimbursement for Eye Exam in Edinburg, TX ranges from $0.00 to $95.63 per claim, with an average of $43.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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