Average Medicaid Eye Exam Payments in Hampton, VA: $32.74
Avg. Paid
$32.74
Range
$0.00 – $50.38
Total Claims
42,605
Providers
17
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 Hampton, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey Robertson
115 Coliseum Xing Spc 58 |
$43.27 | 26 | 26 |
|
Nicholas & Meland Family Eyecare, Llc
1 Coliseum Xing |
$0.00 | 32 | 27 |
|
Edgewater Eyecare Llc
4700 Kilgore Ave |
$34.77 | 273 | 271 |
|
John S. Lowitz
1610-C Aberdeen Rd |
$20.14 | 485 | 392 |
|
David J Hogge
2040 Coliseum Dr Ste 33 |
$50.38 | 658 | 647 |
|
Russel E Bessell
1613 Hardy Cash Dr |
$16.52 | 667 | 561 |
|
Julia Michelle White
850 Enterprise Pkwy Ste 1200 |
$32.01 | 875 | 832 |
|
Mark Dennis Woodward
850 Enterprise Parkway |
$33.29 | 1,253 | 1,089 |
|
John H Kauffman
2157 Cunningham Dr |
$32.82 | 1,386 | 1,382 |
|
Lisa G. Wallace-Davis
1134 Big Bethel Rd |
$17.54 | 1,429 | 1,407 |
|
Joy Poonvongprasert
5001 Holt Ave |
$39.19 | 1,584 | 1,530 |
|
Wade Erwin Bellflower
208 Fox Hill Rd |
$24.42 | 2,431 | 2,319 |
|
Karlotta Allyce Thurman
115 Coliseum Xing # 58 |
$39.34 | 5,208 | 4,964 |
|
Austin J Smith
229 Fox Hill Rd Ste B |
$32.06 | 5,993 | 5,749 |
|
Stacey Carabello
2200 Executive Dr Ste A |
$32.03 | 6,203 | 5,881 |
|
Roxanne Chalifoux
850 Enterprise Pkwy Ste 1200 |
$34.59 | 6,692 | 6,546 |
|
Richard Andrew Nicholas
4700 Kilgore Ave |
$32.58 | 7,410 | 7,209 |
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 Hampton, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Hampton, VA is $32.74 per claim, based on 42,605 claims from 17 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 Hampton, VA?
There are 17 Medicaid providers offering Eye Exam related services in Hampton, VA according to public payment data.
What is the price range for Eye Exam in Hampton, VA?
Medicaid reimbursement for Eye Exam in Hampton, VA ranges from $0.00 to $50.38 per claim, with an average of $32.74. 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
Other Procedures in Hampton, VA
Non-Emergency Medical Transportation
Avg $19.03
880,362 claims
Office Visit
Avg $59.16
496,065 claims
Behavioral & Mental Health Therapy
Avg $199.00
391,475 claims
Emergency Room Visit
Avg $131.74
387,050 claims
Blood Work & Lab Tests
Avg $4.54
369,065 claims
Substance Abuse Treatment
Avg $104.01
364,655 claims
Physical Therapy
Avg $103.32
313,986 claims
Dental Cleaning & Exam
Avg $24.94
245,938 claims