Average Medicaid Eye Exam Payments in Elizabethtown, KY: $38.47
Avg. Paid
$38.47
Range
$6.62 – $71.69
Total Claims
58,900
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 Elizabethtown, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Caylen T Craft
1709 N Dixie Ave Ste 101 |
$31.08 | 10,277 | 8,606 |
|
Dale Souleyrette
1709 N Dixie Ave Ste 101 |
$48.84 | 8,699 | 7,965 |
|
Richard Henderson
1609 N Dixie Hwy |
$47.46 | 7,719 | 7,162 |
|
Rebecca Ruth Williams
1705 N Dixie Hwy |
$31.50 | 6,794 | 4,997 |
|
Sara Rene' Borders
1609 N Dixie Ave |
$46.58 | 6,327 | 5,469 |
|
Hiral Patel Badiwala
2618 Ring Rd Ste 108 |
$48.80 | 4,799 | 4,453 |
|
Britt Austin Borders
611 W Poplar St Ste C4A |
$38.91 | 3,768 | 3,554 |
|
Sarah Rae Byrd
1109 Woodland Dr |
$17.53 | 2,422 | 2,090 |
|
Kristen Lauerman
1709 N Dixie Ave |
$26.36 | 2,061 | 1,581 |
|
William Jason Ward
100 Walmart Dr |
$38.67 | 1,539 | 1,372 |
|
Mattie Katherine Adams
1000 Johnstown Rd Ste 102 |
$16.54 | 1,364 | 1,058 |
|
Lexie Turpin Honey
1709 N Dixie Ave Ste 101 |
$26.51 | 1,350 | 958 |
|
Kevin Crawford
1705 N Dixie Hwy |
$40.10 | 941 | 878 |
|
Benjamin L Proctor
1109 Woodland Dr |
$10.04 | 644 | 515 |
|
Donald Anthony Smith
1109 Woodland Dr |
$6.62 | 106 | 81 |
|
Teresa Ann Wise
2904 Dolphin Dr |
$71.69 | 90 | 86 |
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 Elizabethtown, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Elizabethtown, KY is $38.47 per claim, based on 58,900 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 Elizabethtown, KY?
There are 16 Medicaid providers offering Eye Exam related services in Elizabethtown, KY according to public payment data.
What is the price range for Eye Exam in Elizabethtown, KY?
Medicaid reimbursement for Eye Exam in Elizabethtown, KY ranges from $6.62 to $71.69 per claim, with an average of $38.47. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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