Average Medicaid Eye Exam Payments in Guaynabo, PR: $30.30
Avg. Paid
$30.30
Range
$0.00 – $44.15
Total Claims
50,793
Providers
16
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 Guaynabo, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ana Martha Rutzen
Asturias Str. 7 |
$0.00 | 24 | 24 |
|
Anouk Underwood
Profesional Hospital Num 10 |
$7.25 | 353 | 236 |
|
Pedro Javier Migenes Varona
31 Calle Carazo |
$27.36 | 581 | 576 |
|
Juan A Nevarez Marrero
19 Calle Fray Angelico |
$36.50 | 587 | 493 |
|
Carlos Roberto Pou
100 Carr 165 |
$25.08 | 817 | 652 |
|
Wandsy Milagros Velez
101 Ave San Patricio Ste 990 |
$41.26 | 887 | 759 |
|
Luis J Vazquez Urquia
Los Arcos De Suchville # 105 |
$0.79 | 1,880 | 1,803 |
|
Sarah M Acevedo-Roman
35 Calle Juan C Borbon |
$11.28 | 2,538 | 2,091 |
|
Miguel H Cardona Silva
100 Ave San Patricio Ste E13 |
$26.79 | 3,093 | 2,845 |
|
Jose A Ferrer Tanco
C9 Calle Acuarela |
$27.10 | 3,227 | 2,947 |
|
Sharlene Monique Miranda
Infinity Laser Center |
$17.66 | 4,149 | 2,817 |
|
Ramon R Berrios
1510 Ave F D Roosevelt |
$44.15 | 4,418 | 3,971 |
|
Gian Carlo Murati Herrera
L7 Calle Ter |
$32.56 | 4,519 | 3,894 |
|
Noel S De Leon
Pmb 644 1353, Rd 19 |
$42.81 | 6,799 | 5,542 |
|
Karla C Alejandro
101 Ave San Patricio |
$33.56 | 7,385 | 5,899 |
|
Blanca Perez
35 Calle Juan C Borbon Suite 67 |
$30.14 | 9,536 | 8,810 |
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 Guaynabo, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Guaynabo, PR is $30.30 per claim, based on 50,793 claims from 16 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 Guaynabo, PR?
There are 16 Medicaid providers offering Eye Exam related services in Guaynabo, PR according to public payment data.
What is the price range for Eye Exam in Guaynabo, PR?
Medicaid reimbursement for Eye Exam in Guaynabo, PR ranges from $0.00 to $44.15 per claim, with an average of $30.30. 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
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Chicago, IL
Avg $26.50
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Los Angeles, CA
Avg $18.49
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Avg $51.98
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San Diego, CA
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Las Vegas, NV
Avg $34.73
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Flushing, NY
Avg $55.73
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