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 |
|---|---|---|---|
|
Hitesh K Patel
228 Plainfield Ave |
$28.54 | 42,748 | 41,589 |
|
Himanshu S Shah
228 Plainfield Ave |
$28.06 | 14,016 | 13,598 |
|
Martin Goldman
550 Old Post Rd |
$7.21 | 10,136 | 9,547 |
|
Charles M Cummins Od Pa
561 Route 1 Ste E1 |
$0.04 | 5,968 | 5,836 |
|
Gary Arthur Steinberg
228 Plainfield Ave |
$30.75 | 5,316 | 5,083 |
|
John C Park
2177 Oak Tree Rd |
$4.57 | 2,844 | 2,468 |
|
Jean Claudy Louis
883 Us Highway 1 |
$35.67 | 1,546 | 1,531 |
|
Benjamin David Spirn
1656 Oak Tree Rd |
$16.91 | 1,511 | 1,253 |
|
Patel Eye Associates Llc
228 Plainfield Ave |
$18.21 | 860 | 857 |
|
Hmh Hospitals Corporation
65 James St |
$40.87 | 653 | 621 |
|
Nidha Nathani
55 Parsonage Rd Unit 275 |
$4.38 | 470 | 470 |
|
National Vision, Inc.
775 Route 1 Ste 13 |
$0.00 | 359 | 356 |
|
Community Hospital Group Inc
65 James St |
$62.09 | 348 | 340 |
|
Hoang Capital Management
55 Parsonage Rd |
$0.00 | 153 | 153 |
|
Esther C. Ha
1945 Route 27 Ste 2 |
$0.00 | 144 | 144 |
|
Francesca Kim Lee
2177 Oak Tree Rd Ste 203 |
$22.69 | 123 | 100 |
|
Purvi Shah
775 Route 1 Ste 13 |
$0.00 | 95 | 93 |
|
Ming He
65 James St |
$22.84 | 88 | 86 |
|
Lydia Songprasit
55 Parsonage Rd |
$0.00 | 85 | 85 |
|
Colleen Mary Sica
100 Menlo Park Ste 408 |
$3.25 | 42 | 39 |
|
Edison Eyecare & Vision Center
1945 State Route 27 |
$0.00 | 13 | 13 |
|
Nathaniel Ross
1465 Us Highway 1 |
$0.00 | 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 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
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
1,594,602 claims · 257 providers
San Diego, CA
Avg $18.12
776,876 claims · 232 providers
Las Vegas, NV
Avg $34.73
752,879 claims · 284 providers
Flushing, NY
Avg $55.73
752,320 claims · 93 providers
Other Procedures in Edison, NJ
Home Health Visit
Avg $72.70
1,738,327 claims
Office Visit
Avg $46.03
753,071 claims
Blood Work & Lab Tests
Avg $8.48
735,324 claims
Physical Therapy
Avg $26.81
302,797 claims
Emergency Room Visit
Avg $201.48
285,731 claims
Ambulance Transport
Avg $135.04
200,274 claims
Vaccines & Immunizations
Avg $13.11
181,694 claims
Dental Cleaning & Exam
Avg $26.48
177,448 claims