Average Medicaid Eye Exam Payments in Grand Rapids, MI: $31.33
Avg. Paid
$31.33
Range
$0.00 – $71.19
Total Claims
295,169
Providers
41
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 Grand Rapids, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Blue Sky Vision Eye Care, P.C
750 East Beltline Ne |
$32.47 | 129,120 | 126,924 |
|
Spectrum Health Primary Care Partners
1840 Wealthy St Se |
$46.80 | 46,453 | 45,576 |
|
Cherry Street Services, Inc.
100 Cherry St Se |
$3.77 | 23,426 | 23,138 |
|
Retina Specialists Of Michigan Pc
5030 Cascade Rd Se |
$25.63 | 23,050 | 22,008 |
|
Pediatric Ophthalmology Pc
5050 Cascade Rd Se |
$30.06 | 15,441 | 15,070 |
|
Maria E Sicco
100 Cherry St Se |
$45.09 | 9,389 | 8,439 |
|
Vitreo-Retinal Associates P.C.
2505 East Paris Ave Se |
$21.98 | 8,059 | 7,390 |
|
Morgan Dewit
750 E Beltline Ave Ne |
$44.93 | 7,564 | 7,062 |
|
Marko Habekovic Md, Pllc
1000 E Paris Ave Se Ste 111 |
$35.51 | 4,566 | 4,501 |
|
Advantage Health Saint Mary'S Medical Group
200 Jefferson Se |
$13.04 | 4,349 | 4,205 |
|
James A Ness
2860 E Beltline Ave Ne |
$10.60 | 3,789 | 2,608 |
|
Verdier Eye Center, Plc
1000 E Paris Ave Se |
$42.10 | 3,236 | 2,897 |
|
Saint Mary'S Health Services
200 Jefferson Ave Se |
$3.66 | 3,217 | 3,177 |
|
Cherry Street Services, Inc.
550 Cherry St Se |
$39.58 | 2,898 | 2,898 |
|
Advanced Eye Care Of Grand Rapids, Plc
5258 Plainfield Ave Ne |
$21.81 | 1,997 | 1,949 |
|
West Michigan Eyecare Associates Llc
2112 East Paris Ave Se |
$21.65 | 1,941 | 1,930 |
|
Richard H Benninger Md Pc
833 Michigan St Ne Ste 101 |
$16.50 | 986 | 943 |
|
Laura L Lokey
1335 Union Ave Ne |
$14.94 | 734 | 634 |
|
Greg Bever
5030 Cascade Rd Se |
$3.59 | 483 | 456 |
|
Maxwell Edward Rennaker
2700 5 Mile Rd Ne Ste 102 |
$44.79 | 462 | 446 |
|
Glaucoma Eye Center Pc
2727 E Beltline Ave Ne |
$28.62 | 451 | 399 |
|
Sonia Kalia
750 E Beltline Ave Ne |
$71.19 | 448 | 443 |
|
Cascade Ophthalmology Pc
791 Kenmoor Ave Se |
$13.43 | 416 | 415 |
|
Roman Igorevich Krivochenitser
1000 E Paris Avenue Se |
$56.36 | 382 | 363 |
|
Personaleyes Vision Care Llc
2860 E Beltline Ave Ne |
$33.00 | 376 | 370 |
|
Jacquelyn Lee Cosgrove Malleis
2820 E Beltline Ln Ne |
$27.51 | 360 | 356 |
|
Family & Pediatric Eye Care Plc
144 Monroe Center |
$51.65 | 344 | 344 |
|
Allegra Paige Burgher
35 Michigan St Ne Ste 5101 |
$8.33 | 311 | 311 |
|
Cherry Street Services Inc
550 Cherry St Se |
$1.58 | 284 | 281 |
|
W. Optical 2 Llc
3233 Alpine Ave Nw Ste A |
$43.94 | 136 | 136 |
|
Spectrum Health Primary Care Partners
426 Michigan St Ne |
$49.07 | 108 | 106 |
|
Joseph Daniel Boss
5030 Cascade Rd Se |
$44.18 | 92 | 84 |
|
Priyanka Hiten Parekh
750 E Beltline Ave Ne |
$19.38 | 67 | 64 |
|
Jordan L Marentette
1000 E Paris Avenue Se |
$42.10 | 63 | 49 |
|
Cherry Street Services Inc
100 Cherry St Se |
$47.58 | 62 | 60 |
|
Cherry Street Services Inc
2303 Kalamazoo Ave Se |
$48.28 | 29 | 29 |
|
Clear Sky Holdings, Llc
632 Fulton St W Ste 644 |
$51.73 | 26 | 26 |
|
Grand Rapids Eye Care 2820 Pllc
2820 E Beltline Ln Ne |
$0.00 | 17 | 16 |
|
Michigan Optical Llc
511 Wilson Ave Nw |
$70.72 | 13 | 13 |
|
James Stanley Smith
833 Leonard St Nw |
$0.00 | 12 | 12 |
|
Myeyedr Optometry Of Michigan, Llc
3083 28Th St Se |
$8.62 | 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 Grand Rapids, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Grand Rapids, MI is $31.33 per claim, based on 295,169 claims from 41 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 Grand Rapids, MI?
There are 41 Medicaid providers offering Eye Exam related services in Grand Rapids, MI according to public payment data.
What is the price range for Eye Exam in Grand Rapids, MI?
Medicaid reimbursement for Eye Exam in Grand Rapids, MI ranges from $0.00 to $71.19 per claim, with an average of $31.33. 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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