Average Medicaid Eye Exam Payments in Guayama, PR: $36.56
Avg. Paid
$36.56
Range
$3.93 – $58.05
Total Claims
80,519
Providers
10
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 Guayama, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Heriberto Martinez Lebron
3 Albizu Campos |
$58.05 | 21,536 | 19,320 |
|
Luis Alberto Santiago Caban
27 Calle Enrique Gonzalez |
$56.38 | 20,925 | 17,462 |
|
Fernando Luis Rosario
Plaza Guayama Mall #48 |
$3.93 | 20,458 | 19,981 |
|
Ericberto Cotto
El Molino Shopping Center Carr Pr54 Km 0.6, Bo. Pueblo |
$48.06 | 4,764 | 4,450 |
|
Maria I Flores
46 West Enrique Gonzalez |
$6.74 | 4,745 | 4,655 |
|
Betsy A Feliciano Colon
Vicente Pales 59 |
$15.76 | 3,994 | 3,986 |
|
Magda Iris Diaz Velazquez
Ave Los Veteranos Carr. #3 Km 134.7 |
$26.82 | 2,444 | 2,387 |
|
Jose Guillermo Santini
Urb. Green Hills |
$29.27 | 1,207 | 1,167 |
|
Kelvin Santos Roman
Family Vision Center Plaza Guayama Mall |
$15.29 | 299 | 205 |
|
Toperbee Corporation
Ave. Los Veteranos |
$26.94 | 147 | 147 |
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 Guayama, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Guayama, PR is $36.56 per claim, based on 80,519 claims from 10 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 Guayama, PR?
There are 10 Medicaid providers offering Eye Exam related services in Guayama, PR according to public payment data.
What is the price range for Eye Exam in Guayama, PR?
Medicaid reimbursement for Eye Exam in Guayama, PR ranges from $3.93 to $58.05 per claim, with an average of $36.56. 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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