Average Medicaid Eye Exam Payments in Hialeah, FL: $34.37
Avg. Paid
$34.37
Range
$0.00 – $46.67
Total Claims
84,763
Providers
24
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 Hialeah, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Keri Marie Pomella
1550 W 84Th St Ste 14 |
$33.97 | 23,509 | 21,840 |
|
Matthew Rodriguez
366 E 4Th Ave |
$30.77 | 10,936 | 10,262 |
|
Lanh Thi Nguyen
555 E 25Th St |
$42.72 | 10,671 | 10,190 |
|
Michelle Levin
777 E 25Th St Ste 412-414 |
$45.89 | 9,767 | 8,479 |
|
Bradley Alan Peltzer
5952 W 16Th Ave |
$26.75 | 9,225 | 8,533 |
|
Giannie Marie Castellanos
3751 W 5Th Ave |
$42.32 | 5,756 | 5,409 |
|
Wendy Sosa Guzman
777 E 25Th St Ste 412 |
$46.67 | 2,934 | 2,671 |
|
Smith Blanc
18610 Nw 67Th Ave |
$7.54 | 2,161 | 1,655 |
|
Justo Carlos Felipe
4526 Palm Ave |
$3.60 | 2,123 | 1,785 |
|
Michael Alexander Gomez
1770 W 32Nd Pl |
$28.18 | 2,093 | 1,987 |
|
Balmary Vazquez
1770 W 32Nd Pl |
$35.40 | 1,585 | 482 |
|
Janet Cabanas
383 W 34Th St |
$42.07 | 976 | 860 |
|
Christopher Justin Holcomb
5952 W 16Th Ave |
$1.63 | 761 | 558 |
|
Nhu Truong Beteta
5961 Nw 173Rd Dr |
$23.02 | 759 | 659 |
|
Abel Cabrera-Martinez
1165 W 49Th St Ste 210 |
$29.93 | 549 | 371 |
|
Herman L Deanna
7100 W 20Th Ave Ste 702 |
$35.44 | 260 | 218 |
|
Damaris Santoni
7160 W 20Th Ave Ste M135 |
$39.02 | 240 | 229 |
|
Rodrigo Antonio Aristizabal
591 W 49Th St |
$44.25 | 171 | 171 |
|
Ingrid Simshauser
2750 W 68Th St |
$13.70 | 144 | 137 |
|
Betty Lynn Borsky-Berko
7535 West 4Th Avenue |
$35.28 | 72 | 72 |
|
Jeanmarie Davis
1558 W 68Th St |
$35.00 | 27 | 27 |
|
Michelle Levin Od Pa
777 E 25Th St Ste 414 |
$8.42 | 17 | 14 |
|
Jessica C Hayward
5851 Nw 177Th St |
$0.00 | 15 | 15 |
|
Sandra Maria Finale
1550 W 84Th St Ste 15 |
$6.16 | 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 Hialeah, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Hialeah, FL is $34.37 per claim, based on 84,763 claims from 24 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 Hialeah, FL?
There are 24 Medicaid providers offering Eye Exam related services in Hialeah, FL according to public payment data.
What is the price range for Eye Exam in Hialeah, FL?
Medicaid reimbursement for Eye Exam in Hialeah, FL ranges from $0.00 to $46.67 per claim, with an average of $34.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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Avg $50.07
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Avg $43.97
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Chicago, IL
Avg $26.50
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Avg $18.49
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