Average Medicaid Eye Exam Payments in Great Falls, MT: $52.62
Avg. Paid
$52.62
Range
$17.33 – $69.35
Total Claims
84,219
Providers
25
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 Great Falls, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gerald Earl Meguire
523 9Th St S |
$33.90 | 85 | 74 |
|
Shon Anthony Weaver
701 Smelter Ave Ne |
$35.30 | 125 | 92 |
|
Matthew Dooper
2012 14Th St Sw |
$69.35 | 271 | 267 |
|
Michelle R. Scott
3000 15Th Ave S |
$54.70 | 352 | 317 |
|
Tyler Sorensen
3000 15Th Ave S |
$17.33 | 567 | 475 |
|
Anthony Charles Turk
1012 1St Ave North |
$54.28 | 923 | 896 |
|
Carl J Roth
2800 11Th Ave S Ste 14 |
$31.23 | 1,110 | 932 |
|
Mark Francis Ozog
1417 9Th St S Ste 100 |
$40.92 | 1,253 | 1,089 |
|
Jade Brunsvold
523 9Th St S |
$65.54 | 1,808 | 1,790 |
|
Donald Michael Hager
509 2Nd Ave N |
$42.77 | 2,058 | 1,983 |
|
Robert M. Newkirk
523 9Th St S |
$48.46 | 2,223 | 2,103 |
|
David A Boes
2800 11Th Ave S |
$44.13 | 2,344 | 1,922 |
|
Fred D. Abraham
2800 11Th Ave S Ste 14 |
$59.74 | 2,658 | 2,580 |
|
Justine Elise Redlin
523 9Th St S |
$50.33 | 3,595 | 3,503 |
|
Mindy Sterner Leach
2012 14Th St Sw |
$53.18 | 4,157 | 3,887 |
|
Joseph William Vincent
523 9Th St S |
$49.16 | 4,341 | 4,190 |
|
Joshua A Hager
509 2Nd Ave N |
$56.45 | 4,415 | 4,308 |
|
Thomas H Matsko
2800 11Th Ave S |
$30.80 | 4,775 | 3,593 |
|
Abby Elizabeth Thompson
509 2Nd Ave N |
$57.30 | 5,079 | 4,936 |
|
Robert J Sherer
3226 10Th Ave S |
$56.37 | 5,158 | 5,016 |
|
Morgan R. Leach
1900 4Th St Ne |
$46.13 | 6,271 | 5,777 |
|
Kenneth A Ethier
1525 10Th Ave S |
$51.67 | 6,416 | 5,772 |
|
John E Reeves
1211 5Th St S |
$57.62 | 7,422 | 7,137 |
|
Audra Nicole Sexton
3000 15Th Ave S |
$59.95 | 8,330 | 7,940 |
|
Jordan Neiffer
523 9Th St S |
$61.58 | 8,483 | 8,183 |
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 Great Falls, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Great Falls, MT is $52.62 per claim, based on 84,219 claims from 25 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 Great Falls, MT?
There are 25 Medicaid providers offering Eye Exam related services in Great Falls, MT according to public payment data.
What is the price range for Eye Exam in Great Falls, MT?
Medicaid reimbursement for Eye Exam in Great Falls, MT ranges from $17.33 to $69.35 per claim, with an average of $52.62. 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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