Average Medicaid Eye Exam Payments in Elmhurst, NY: $38.26
Avg. Paid
$38.26
Range
$0.00 – $92.50
Total Claims
188,529
Providers
35
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, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adriana Carpeniseanu
7911 41St Ave |
$35.17 | 40,337 | 40,286 |
|
Neelofar Ghaznawi
8626 Queens Blvd |
$52.35 | 21,176 | 20,544 |
|
Ronni M. Lieberman
7901 Broadway |
$29.16 | 14,577 | 8,489 |
|
Jeffrey Charles Paccione
8806 55Th Ave |
$20.17 | 14,237 | 13,896 |
|
Orysya Protas
40-60 Elbertson St. |
$9.54 | 13,009 | 12,667 |
|
New York City Health And Hospitals Corporation
79-01 Broadway |
$92.50 | 10,708 | 10,009 |
|
Annette Perea
4008 Forley St |
$5.49 | 8,373 | 8,362 |
|
Charles Kim
94-07A 46 Avenue |
$49.10 | 8,101 | 8,055 |
|
Jonathan Nicholas Kruh
8305 Grand Ave |
$54.58 | 8,083 | 7,656 |
|
David Jiang Tsai
8529 Broadway |
$37.67 | 5,245 | 5,195 |
|
Eyes & Optics Elmhurst Inc
4028 82Nd St |
$31.75 | 4,700 | 4,697 |
|
Robert Fischer
7901 Broadway |
$28.97 | 4,698 | 4,014 |
|
Liwu Chen
4277 Hampton St Apt 1 |
$88.70 | 4,584 | 4,570 |
|
Nadezhda Nisimova
9119 Queens Blvd |
$54.55 | 4,032 | 4,014 |
|
Dr Neelofar Ghaznawi Md Pc
8626 Queens Blvd |
$51.29 | 3,982 | 3,859 |
|
Empire Vision Center, Inc.
9141 Queens Blvd |
$21.05 | 3,500 | 3,481 |
|
Bora A. Yurter
9015 Queens Blvd |
$49.09 | 3,057 | 3,050 |
|
Advanced Pediatrics, Pc
9436 59Th Ave |
$0.00 | 2,427 | 2,420 |
|
James Chuang
8330 Vietor Avenue, Suite P1 |
$40.16 | 2,373 | 2,345 |
|
Alice Ballesteros Gomez
7901 Broadway |
$24.36 | 2,234 | 1,347 |
|
Daniel Simhaee
88-31 55Th Avenue |
$37.88 | 2,048 | 1,951 |
|
Michael Jeffrey Weiner
8831 55Th Ave Ste 201 |
$35.19 | 1,940 | 1,804 |
|
Liyi Li
9001 Queens Blvd |
$12.49 | 1,436 | 1,411 |
|
Sihyun Kang
9141 Queens Blvd |
$22.61 | 1,039 | 1,025 |
|
Marina Boruhova
9141 Queens Blvd |
$19.60 | 927 | 925 |
|
Dr. David Tsai, Optometrist, Pllc
8529 Broadway |
$18.42 | 476 | 475 |
|
Cono M Grasso
8305 Grand Ave |
$74.60 | 263 | 261 |
|
Queens Vision Center Inc
8112 Broadway |
$86.88 | 263 | 262 |
|
Abraham T Winter
86 35 Queens Blvd |
$66.01 | 225 | 220 |
|
Real Optical, Llc
9015 Queens Blvd |
$15.88 | 204 | 204 |
|
Alain A Sosa
4008 Forley Street |
$8.61 | 84 | 84 |
|
Cono M.Grasso, M.D.P.C.
8305 Grand Ave |
$85.81 | 68 | 64 |
|
Malvika Arya
8831 55Th Ave Ste 201 |
$31.79 | 49 | 49 |
|
Oscar Pelaez
4037 74Th St |
$43.37 | 49 | 49 |
|
Leonard S. Goldstein
5910 Junction Blvd |
$46.24 | 25 | 25 |
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, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Elmhurst, NY is $38.26 per claim, based on 188,529 claims from 35 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, NY?
There are 35 Medicaid providers offering Eye Exam related services in Elmhurst, NY according to public payment data.
What is the price range for Eye Exam in Elmhurst, NY?
Medicaid reimbursement for Eye Exam in Elmhurst, NY ranges from $0.00 to $92.50 per claim, with an average of $38.26. 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
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Los Angeles, CA
Avg $18.49
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Avg $51.98
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San Diego, CA
Avg $18.12
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Avg $34.73
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Avg $55.73
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