Average Medicaid Eye Exam Payments in Elkhart, IN: $52.92
Avg. Paid
$52.92
Range
$7.20 – $72.83
Total Claims
40,638
Providers
14
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 Elkhart, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer Houseknecht
3701 S Main St |
$58.71 | 21,228 | 20,097 |
|
Heidi M Park
3701 S Main St |
$54.18 | 7,482 | 6,910 |
|
Marwa Choucair
3701 S Main St |
$58.16 | 2,487 | 1,967 |
|
Mark Allan Walker
2746 Old Us 20 W |
$20.42 | 2,188 | 1,670 |
|
Whitney Boling
2746 Old Us 20 W |
$11.55 | 1,741 | 1,221 |
|
City Optical Co., Inc.
206 Concord Mall Dr |
$72.83 | 1,529 | 1,501 |
|
Olivia Elston
3701 S Main St |
$64.33 | 1,136 | 1,034 |
|
Boling Vision Center, Llc
2746 Old Us 20 W |
$61.45 | 1,093 | 1,040 |
|
Kevin H Egan
2746 Old Us 20 W |
$15.43 | 1,074 | 781 |
|
Matthew Ryan Austin
4542 Elkhart Rd Ste 100 |
$42.47 | 199 | 172 |
|
Myeyedr Optometry Of Indiana, Llc
3701 S Main St |
$52.62 | 190 | 181 |
|
Melissa A Henderson
2222 W Lexington Ave |
$12.08 | 111 | 102 |
|
Amy H Layman
2746 Old Us 20 W |
$9.62 | 107 | 82 |
|
Richard Clayton Boling
2746 Old Us 20 W |
$7.20 | 73 | 52 |
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 Elkhart, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Elkhart, IN is $52.92 per claim, based on 40,638 claims from 14 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 Elkhart, IN?
There are 14 Medicaid providers offering Eye Exam related services in Elkhart, IN according to public payment data.
What is the price range for Eye Exam in Elkhart, IN?
Medicaid reimbursement for Eye Exam in Elkhart, IN ranges from $7.20 to $72.83 per claim, with an average of $52.92. 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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