Average Medicaid Eye Exam Payments in Erie, PA: $19.43
Avg. Paid
$19.43
Range
$0.24 – $47.77
Total Claims
35,672
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 Erie, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicholas Sala
128 W 12Th St |
$14.45 | 5,600 | 5,528 |
|
John Thomas Fischer
2203 W 38Th St |
$5.16 | 4,612 | 4,321 |
|
James J Piersol
2203 W 38Th St |
$3.50 | 3,517 | 3,389 |
|
Carl Gary Berkowitz
7360 Peach St |
$22.45 | 3,399 | 2,986 |
|
Christopher Robert Buzas
4000 Sterrettania Rd Lowr Level |
$25.81 | 2,868 | 2,799 |
|
Ryan Constantine
300 State St |
$27.32 | 2,495 | 2,153 |
|
David R Almeida
300 State St Ste 302 |
$26.87 | 2,279 | 2,071 |
|
Robert C Baldwin
300 State St |
$28.26 | 2,170 | 2,137 |
|
Douglas B. Babel
300 State St. |
$30.35 | 1,639 | 1,593 |
|
William T Lenart
147 W 18Th St |
$34.06 | 1,566 | 1,526 |
|
Amanda Lee Madurski
4000 Sterrettania Rd Lowr Lvl |
$23.13 | 1,251 | 1,214 |
|
Michael E Sala
128 W 12Th St |
$32.02 | 882 | 867 |
|
Douglas J Villella
300 State St |
$21.77 | 549 | 514 |
|
Community Health Net
1202 State St |
$0.24 | 414 | 405 |
|
Jason Wayne Hull
200 Millcreek Plz |
$29.94 | 329 | 329 |
|
Meredith Anne Marcincin
4000 Sterrettania Rd |
$11.59 | 303 | 292 |
|
Allison Marie Benacci
2640 W 38Th St |
$1.44 | 262 | 262 |
|
Bethany Hilterman Brady
1600 Peninsula Dr Ste 15 |
$25.16 | 230 | 228 |
|
Julie Ellen Lillie
2576 West 8Th Street |
$40.50 | 204 | 201 |
|
Visionworks, Inc.
560 Millcreek Mall |
$44.23 | 200 | 197 |
|
Frank A Fatica
Gary T Brotherson Md Inc Niagara Eye Assoc |
$22.04 | 170 | 169 |
|
Gary D Hawk
1825 Downs Dr |
$41.69 | 160 | 160 |
|
Vincent Michael Imbrogno
2640 Zuck Rd |
$21.74 | 149 | 145 |
|
James P Dailey
300 State St |
$11.19 | 128 | 121 |
|
Visionworks, Inc.
560 Millcreek Mall |
$45.00 | 84 | 84 |
|
Emily Starr Washek
2640 Zuck Rd |
$47.77 | 62 | 62 |
|
Gary T Brotherson
1801 West 8Th Street |
$15.78 | 29 | 26 |
|
Ravinder S Sabherwal
2640 Zuck Rd |
$38.66 | 27 | 27 |
|
Anthony D Sala
128 W 12Th St |
$4.25 | 16 | 16 |
|
Tracie Lorraine Jones
1839 W 26Th St |
$36.59 | 16 | 16 |
|
Seth David Fox
128 West 12 St |
$26.82 | 13 | 13 |
|
Precision Vision Center Inc.
2049 Interchange Rd |
$40.00 | 13 | 13 |
|
Wal-Mart Stores East, Lp
2711 Elm St |
$41.06 | 12 | 12 |
|
Edward Matthew Zimm
300 State St |
$32.01 | 12 | 12 |
|
Emily J Hosack
560 Millcreek Mall |
$40.00 | 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 Erie, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Erie, PA is $19.43 per claim, based on 35,672 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 Erie, PA?
There are 35 Medicaid providers offering Eye Exam related services in Erie, PA according to public payment data.
What is the price range for Eye Exam in Erie, PA?
Medicaid reimbursement for Eye Exam in Erie, PA ranges from $0.24 to $47.77 per claim, with an average of $19.43. 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
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Avg $51.98
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San Diego, CA
Avg $18.12
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Las Vegas, NV
Avg $34.73
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Flushing, NY
Avg $55.73
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