Average Medicaid Eye Exam Payments in Garden City, NY: $44.85
Avg. Paid
$44.85
Range
$12.85 – $55.89
Total Claims
108,768
Providers
19
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 Garden City, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Di Zhou
450 Endo Blvd |
$55.15 | 74,966 | 73,912 |
|
David Lelonek
928 Old Country Rd |
$14.41 | 15,040 | 14,886 |
|
Mark Fleckner
520 Franklin Ave |
$20.11 | 9,739 | 9,366 |
|
Empire Vision Center Inc
600 Old Country Rd |
$22.92 | 3,426 | 3,410 |
|
Roosevelt Field Vision Express, Llc
630 Old Country Rd Unit 493A |
$55.89 | 2,423 | 2,411 |
|
Shyam Patel
825 E Gate Blvd Ste 111 |
$51.03 | 1,019 | 1,013 |
|
Marissa Zimmerman
300 Garden City Plz Ste 404 |
$36.75 | 517 | 517 |
|
Eric D Donnenfeld
711 Stewart Ave |
$26.92 | 481 | 476 |
|
Marc S Werner
450 Endo Blvd |
$21.31 | 299 | 293 |
|
William S. Kasper
520 Franklin Ave |
$26.27 | 226 | 224 |
|
Sima Doshi-Carnevale
1055 Franklin Ave Ste 100 |
$41.83 | 185 | 184 |
|
Linda Ann Zilli
600 Old Country Rd |
$28.84 | 172 | 171 |
|
Paul P Svitra
1055 Franklin Ave Ste 100 |
$26.70 | 58 | 55 |
|
Angela Blanco
600 Old Country Rd |
$40.82 | 50 | 50 |
|
Thierry John Hufnagel
450 Endo Blvd |
$12.85 | 46 | 46 |
|
Tressa Varghese
630 Old Country Rd |
$40.00 | 42 | 42 |
|
Benjamin Chang
450 Endo Blvd |
$29.95 | 38 | 38 |
|
Vicki Spivack Gelberg
600 Old Country Rd |
$38.62 | 29 | 29 |
|
Lita Huh
600 Old Country Rd |
$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 Garden City, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Garden City, NY is $44.85 per claim, based on 108,768 claims from 19 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 Garden City, NY?
There are 19 Medicaid providers offering Eye Exam related services in Garden City, NY according to public payment data.
What is the price range for Eye Exam in Garden City, NY?
Medicaid reimbursement for Eye Exam in Garden City, NY ranges from $12.85 to $55.89 per claim, with an average of $44.85. 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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Avg $2.37
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