Average Medicaid Eye Exam Payments in Edison, NJ: $23.02
Avg. Paid
$23.02
Range
$0.00 – $62.09
Total Claims
87,531
Providers
22
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 Edison, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nathaniel Ross
1465 Us Highway 1 |
$0.00 | 13 | 13 |
|
Edison Eyecare & Vision Center
1945 State Route 27 |
$0.00 | 13 | 13 |
|
Colleen Mary Sica
100 Menlo Park Ste 408 |
$3.25 | 42 | 39 |
|
Lydia Songprasit
55 Parsonage Rd |
$0.00 | 85 | 85 |
|
Ming He
65 James St |
$22.84 | 88 | 86 |
|
Purvi Shah
775 Route 1 Ste 13 |
$0.00 | 95 | 93 |
|
Francesca Kim Lee
2177 Oak Tree Rd Ste 203 |
$22.69 | 123 | 100 |
|
Esther C. Ha
1945 Route 27 Ste 2 |
$0.00 | 144 | 144 |
|
Hoang Capital Management
55 Parsonage Rd |
$0.00 | 153 | 153 |
|
Community Hospital Group Inc
65 James St |
$62.09 | 348 | 340 |
|
National Vision, Inc.
775 Route 1 Ste 13 |
$0.00 | 359 | 356 |
|
Nidha Nathani
55 Parsonage Rd Unit 275 |
$4.38 | 470 | 470 |
|
Hmh Hospitals Corporation
65 James St |
$40.87 | 653 | 621 |
|
Patel Eye Associates Llc
228 Plainfield Ave |
$18.21 | 860 | 857 |
|
Benjamin David Spirn
1656 Oak Tree Rd |
$16.91 | 1,511 | 1,253 |
|
Jean Claudy Louis
883 Us Highway 1 |
$35.67 | 1,546 | 1,531 |
|
John C Park
2177 Oak Tree Rd |
$4.57 | 2,844 | 2,468 |
|
Gary Arthur Steinberg
228 Plainfield Ave |
$30.75 | 5,316 | 5,083 |
|
Charles M Cummins Od Pa
561 Route 1 Ste E1 |
$0.04 | 5,968 | 5,836 |
|
Martin Goldman
550 Old Post Rd |
$7.21 | 10,136 | 9,547 |
|
Himanshu S Shah
228 Plainfield Ave |
$28.06 | 14,016 | 13,598 |
|
Hitesh K Patel
228 Plainfield Ave |
$28.54 | 42,748 | 41,589 |
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 Edison, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Edison, NJ is $23.02 per claim, based on 87,531 claims from 22 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 Edison, NJ?
There are 22 Medicaid providers offering Eye Exam related services in Edison, NJ according to public payment data.
What is the price range for Eye Exam in Edison, NJ?
Medicaid reimbursement for Eye Exam in Edison, NJ ranges from $0.00 to $62.09 per claim, with an average of $23.02. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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Avg $50.07
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Brooklyn, NY
Avg $43.97
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Chicago, IL
Avg $26.50
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Los Angeles, CA
Avg $18.49
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Avg $51.98
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San Diego, CA
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Las Vegas, NV
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Flushing, NY
Avg $55.73
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