Average Medicaid Eye Exam Payments in Fond Du Lac, WI: $16.52
Avg. Paid
$16.52
Range
$3.49 – $69.96
Total Claims
6,185
Providers
15
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 Fond Du Lac, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tristan G Brown
421 Camelot Dr |
$16.63 | 3,027 | 2,577 |
|
Benjamin R Scoresby
421 Camelot Dr |
$14.03 | 1,332 | 1,072 |
|
Carin M Lacount
616 W Johnson St |
$9.00 | 435 | 383 |
|
Nicole L Amidon
459 W Johnson St |
$36.57 | 370 | 358 |
|
Julie M Henry
210 Wisconsin American Dr |
$12.71 | 319 | 275 |
|
Adam M Strittmatter
421 Camelot Dr |
$15.10 | 272 | 215 |
|
Nina J Sera
421 Camelot Dr |
$11.70 | 241 | 187 |
|
Michael K Zoelle
210 Wisconsin American Dr |
$5.68 | 43 | 37 |
|
Amber Nicole Denell
N6663 Rolling Meadows Dr Ste I |
$44.33 | 29 | 29 |
|
Shoptikal Llc
N6663 Rolling Meadows Dr Ste I |
$42.90 | 29 | 29 |
|
Jessica Kulick
355 N Peters Ave |
$7.91 | 28 | 26 |
|
Shoptikal Llc
1073 E Johnson St |
$39.40 | 18 | 18 |
|
Stuart A Kosikowski
421 Camelot Dr |
$9.82 | 16 | 13 |
|
Cortney D Birschbach
355 N Peters Ave |
$3.49 | 14 | 13 |
|
Clarence G Tam
421 Camelot Dr |
$69.96 | 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 Fond Du Lac, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Fond Du Lac, WI is $16.52 per claim, based on 6,185 claims from 15 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 Fond Du Lac, WI?
There are 15 Medicaid providers offering Eye Exam related services in Fond Du Lac, WI according to public payment data.
What is the price range for Eye Exam in Fond Du Lac, WI?
Medicaid reimbursement for Eye Exam in Fond Du Lac, WI ranges from $3.49 to $69.96 per claim, with an average of $16.52. 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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Avg $43.97
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