Average Medicaid Eye Exam Payments in Fairfield, CT: $33.20
Avg. Paid
$33.20
Range
$0.00 – $43.73
Total Claims
104,381
Providers
20
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 Fairfield, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph James Thimons
Ophthalmic Consultants Of Connecticut |
$25.30 | 19,922 | 16,258 |
|
Kim P Robbins
1 Sasco Hill Rd Ofc 202 |
$33.86 | 19,076 | 16,879 |
|
Jessica Ariel Schonfeld
1 Sasco Hill Rd Ste 202 |
$37.13 | 9,233 | 8,632 |
|
Sidet Sou
1482 Post Rd |
$43.61 | 8,910 | 8,602 |
|
Nelson Leonard Gould
2379 Black Rock Tpke |
$41.02 | 8,370 | 7,967 |
|
Jeffrey L Oberman
1 Sasco Hill Rd # 202 |
$28.51 | 6,192 | 5,113 |
|
Ian Gorovoy
2371 Black Rock Tpke |
$29.64 | 5,723 | 5,293 |
|
Mark Charles Steckel
140 Sherman Street |
$40.80 | 4,814 | 4,264 |
|
Marc Lawrence Weitzman
2371 Black Rock Tpke |
$18.88 | 4,627 | 4,204 |
|
Kathryn Brogan
2379 Black Rock Tpke |
$43.73 | 4,569 | 4,514 |
|
Nicholas Ernest Sostilio
2379 Black Rock Tpke |
$36.82 | 4,133 | 3,903 |
|
Judith F Elson
1482 Post Rd |
$38.49 | 2,747 | 2,382 |
|
Jonathan Stein
75 Kings Highway Cutoff |
$19.02 | 2,553 | 2,032 |
|
Joanna Lumba Sarracino
2371 Black Rock Tpke |
$31.09 | 1,408 | 1,338 |
|
Larissa Ann Habib
1817 Black Rock Tpke Ste 204 |
$26.68 | 934 | 876 |
|
Elisse Park
2371 Black Rock Turnpike |
$32.26 | 635 | 556 |
|
Stephen Mark Rabinowitz
2371 Black Rock Turnpike |
$29.83 | 356 | 340 |
|
Shelley K Driesman
2371 Black Rock Tpke |
$31.13 | 90 | 87 |
|
Shreya Jayasimha
1 Sasco Hill Rd # 202 |
$32.22 | 75 | 53 |
|
Ophthalmic Consultants Of Connecticut Pc
1375 Kings Hwy |
$0.00 | 14 | 14 |
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 Fairfield, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Fairfield, CT is $33.20 per claim, based on 104,381 claims from 20 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 Fairfield, CT?
There are 20 Medicaid providers offering Eye Exam related services in Fairfield, CT according to public payment data.
What is the price range for Eye Exam in Fairfield, CT?
Medicaid reimbursement for Eye Exam in Fairfield, CT ranges from $0.00 to $43.73 per claim, with an average of $33.20. 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
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