Average Medicaid Eye Exam Payments in Elmhurst, IL: $24.78
Avg. Paid
$24.78
Range
$13.09 – $32.61
Total Claims
49,644
Providers
19
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 Elmhurst, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Saad Ahmad
152 N Addison Ave |
$22.68 | 7,553 | 6,727 |
|
Mateen K Aliniazee
152 N Addison Ave |
$26.57 | 7,483 | 6,642 |
|
Mary G Burgos
400 W Lake St |
$29.89 | 6,109 | 5,774 |
|
Mohamed Adenwalla
133 E Brush Hill Rd Ste 300 |
$20.05 | 5,588 | 4,942 |
|
Kevin J Kovach
152 N Addison Ave |
$27.21 | 4,471 | 3,679 |
|
Kevin Hasmukh Patel
133 E Brush Hill Rd Ste 300 |
$22.03 | 3,788 | 3,406 |
|
Robert J Marselle
1200 S York St Ste 2000 |
$31.83 | 3,302 | 3,068 |
|
Aaron B. Weinberg
133 E Brush Hill Rd Ste 300 |
$13.09 | 2,093 | 1,785 |
|
Florianne Pacheco Burns
138 N York St |
$27.96 | 1,846 | 1,808 |
|
Edward Yavitz
152 N Addison Ave |
$24.12 | 1,561 | 1,503 |
|
Marius Dorin Gradianu
152 N Addison Ave |
$23.56 | 1,386 | 1,338 |
|
Kenneth I Resnick
133 E Brush Hill Rd Ste 300 |
$14.95 | 1,102 | 963 |
|
Li-Chiung Kao
265 S. Kingery |
$32.61 | 927 | 901 |
|
Neil Patel
138 N York St |
$23.84 | 770 | 763 |
|
Hudson David Stern
133 E Brush Hill Rd Ste 300 |
$23.06 | 590 | 530 |
|
Marlyn F Goldberg
152 N Addison Ave Ste 100 |
$24.90 | 424 | 412 |
|
Fatima Hadi Ali
152 N Addison Ave |
$26.96 | 397 | 360 |
|
Jeffrey Scott Greenfield
138 N York St |
$24.81 | 242 | 241 |
|
Jason H. Greenberg
657 W Belden Ave |
$17.96 | 12 | 12 |
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 Elmhurst, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Elmhurst, IL is $24.78 per claim, based on 49,644 claims from 19 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 Elmhurst, IL?
There are 19 Medicaid providers offering Eye Exam related services in Elmhurst, IL according to public payment data.
What is the price range for Eye Exam in Elmhurst, IL?
Medicaid reimbursement for Eye Exam in Elmhurst, IL ranges from $13.09 to $32.61 per claim, with an average of $24.78. 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 Elmhurst, IL
Ambulance Transport
Avg $114.09
806,275 claims
Blood Work & Lab Tests
Avg $12.24
546,805 claims
Durable Medical Equipment (DME)
Avg $53.21
248,648 claims
Office Visit
Avg $53.87
197,533 claims
Emergency Room Visit
Avg $69.11
175,398 claims
Urinalysis & Urine Tests
Avg $2.52
125,449 claims
X-Ray
Avg $9.68
83,829 claims
EKG / ECG (Electrocardiogram)
Avg $10.89
52,006 claims