Average Medicaid Eye Exam Payments in Fall River, MA: $28.90
Avg. Paid
$28.90
Range
$16.66 – $56.50
Total Claims
109,654
Providers
23
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 Fall River, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Iman Ali
373 New Boston Rd |
$30.21 | 18,426 | 17,012 |
|
Nicole O. Aguiar
289 Pleasant St |
$25.09 | 14,835 | 14,779 |
|
Brittany A Frere
933 Pleasant St |
$28.77 | 10,467 | 10,412 |
|
Philbrook S. Mason
1565 N Main St Ste 406 |
$32.47 | 9,130 | 8,743 |
|
Christina Marie Herald
3950 N Main St |
$30.99 | 8,955 | 8,914 |
|
Christina Maria Benevides
1565 N Main St |
$28.13 | 8,416 | 8,369 |
|
Robert V. Peyton
1554 Pleasant St |
$32.41 | 7,454 | 7,398 |
|
Robert M Kelly
1565 N Main St |
$20.51 | 6,042 | 4,920 |
|
Eudoxia E Tsongalis-Arruda
920 Plymouth Ave |
$29.34 | 5,221 | 5,146 |
|
Louis Aguiar
289 Pleasant St |
$24.12 | 5,027 | 5,010 |
|
Emily Cardone
1565 N Main St Ste 406 |
$27.67 | 3,139 | 2,942 |
|
Paul E Beade
1030 President Ave |
$40.76 | 2,637 | 2,527 |
|
Keegan Johnson
1565 N Main St |
$30.39 | 1,660 | 1,578 |
|
Monserrat Arias
1565 N Main St Ste 406 |
$25.81 | 1,439 | 1,373 |
|
Joseph J Levy
1030 President Ave |
$39.56 | 1,405 | 1,382 |
|
Gregory Todd Hofeldt
1565 N Main St |
$36.19 | 1,379 | 1,345 |
|
Fatima Raposo
1565 N Main St |
$26.63 | 1,263 | 1,261 |
|
Robert Martin Wilcox
56 N Main St |
$25.58 | 1,199 | 1,182 |
|
Lisa A. Marques
1741 President Ave |
$21.56 | 1,081 | 1,080 |
|
Caroline Coutu
1565 N Main St Ste 406 |
$17.80 | 211 | 189 |
|
Claire A Bergus
231 New Boston Rd |
$16.66 | 123 | 122 |
|
Sean Patrick Thomas
1030 President Ave |
$56.50 | 118 | 117 |
|
Cvs Pharmacy Inc
245 William S Canning Blvd |
$34.04 | 27 | 27 |
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 Fall River, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Fall River, MA is $28.90 per claim, based on 109,654 claims from 23 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 Fall River, MA?
There are 23 Medicaid providers offering Eye Exam related services in Fall River, MA according to public payment data.
What is the price range for Eye Exam in Fall River, MA?
Medicaid reimbursement for Eye Exam in Fall River, MA ranges from $16.66 to $56.50 per claim, with an average of $28.90. 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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Brooklyn, NY
Avg $43.97
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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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Las Vegas, NV
Avg $34.73
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Avg $55.73
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