Average Medicaid Eye Exam Payments in Houston, TX: $34.54
Avg. Paid
$34.54
Range
$0.00 – $103.50
Total Claims
396,448
Providers
250
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 Houston, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Faheem Inayatali
10101 Bissonnet St |
$32.27 | 47,740 | 31,622 |
|
James Z. Lai
2855 Gramercy St |
$55.82 | 16,905 | 16,379 |
|
David Dao
13600 East Fwy |
$58.13 | 16,855 | 16,375 |
|
Linh Boi Hong
15655 Cypress Wood Medical Dr |
$12.56 | 14,641 | 14,226 |
|
Kara Dehn
4635 Southwest Fwy |
$15.50 | 12,121 | 11,663 |
|
Chike R Mordi
4899 Griggs Rd |
$48.14 | 11,885 | 11,119 |
|
Megan Xue Law
2855 Gramercy St |
$56.37 | 11,316 | 10,936 |
|
Kelsie Morrison
505 J Davis Armistead Bldg |
$30.53 | 10,932 | 10,639 |
|
Honey H Herce
6701 Fannin St Ste 510 |
$39.98 | 10,349 | 9,894 |
|
Carlos A. Gonzales
2855 Gramercy St |
$63.27 | 10,299 | 10,067 |
|
Nhu Nguyen
8200 Wilcrest Dr |
$21.41 | 9,321 | 8,930 |
|
Mary Kathryn Kelinske
1312 Bomar St |
$34.86 | 8,760 | 8,441 |
|
Jena Nguyen
505 J Davis Armistead Bldg |
$10.15 | 7,700 | 7,480 |
|
Hung H Le
6002 Rogerdale Rd Ste 150 |
$15.87 | 7,679 | 7,570 |
|
Nicole Alexandra Karson
4401 Martin Luther King Blvd |
$29.61 | 7,550 | 7,112 |
|
Tuyen Phuong Tran
9598 Rowlett Rd |
$56.38 | 7,503 | 6,930 |
|
Frank Lin
4000 N Shepherd Dr |
$38.69 | 7,226 | 6,609 |
|
Vy Le
3118 Ashton Park Dr |
$1.98 | 7,067 | 6,799 |
|
Harris County Hospital District
1504 Taub Loop |
$22.68 | 6,768 | 6,130 |
|
Madhuri Chilakapati
6701 Fannin St |
$35.15 | 6,732 | 6,453 |
|
Charity Halphen Grannis
2855 Gramercy St |
$63.53 | 6,204 | 5,848 |
|
Mark Sherstinsky
915 Gessner Rd Ste 100 |
$13.57 | 6,091 | 6,078 |
|
Clayton Tyler Boyd
915 Gessner Rd Ste 100 |
$59.80 | 5,520 | 5,515 |
|
Glenn Edgar Bulan
7710 Beechnut St |
$103.50 | 5,383 | 5,166 |
|
Rokeisha Joseph
5505 W Orem Dr |
$0.96 | 5,345 | 4,686 |
|
Dora E Cantu
1740 W 27Th St Ste 180 |
$23.37 | 5,092 | 4,480 |
|
Amit Rakesh Bhatt
1504 Taub Loop |
$43.31 | 4,697 | 4,483 |
|
Lee T Tran
7789 Southwest Fwy Ste 530 |
$18.67 | 4,546 | 4,210 |
|
Liliana Cervantes Karim
1810 Wirt Rd |
$54.47 | 4,303 | 4,153 |
|
Edward Kaiwah Chan
7737 Southwest Fwy |
$19.80 | 4,268 | 4,228 |
|
Susana Carolina Moreno
15655 Cypress Wood Medical Dr Ste 100 |
$12.28 | 4,221 | 4,075 |
|
Miguel Morales
2409 Aldine Mail Rd |
$5.67 | 4,144 | 3,976 |
|
Layla Michelle Ghergherehchi
6400 Fannin St Ste 1800 |
$78.69 | 3,605 | 3,441 |
|
Kim Son Duong
4401 Martin Luther King Blvd |
$16.34 | 3,221 | 3,166 |
|
Kimberly G. Yen
6701 Fannin St |
$33.34 | 3,201 | 3,108 |
|
Rod Foroozan
1977 Butler Blvd Fl 3 |
$38.59 | 3,103 | 2,964 |
|
William Louis Decker
7710 Beechnut St |
$14.23 | 3,071 | 2,792 |
|
Augustine Kanebi Mabatah
8300 Homestead Rd |
$75.17 | 3,065 | 2,861 |
|
Ashton Lacie Ehlers
4901 Calhoun Rd |
$59.49 | 3,056 | 2,831 |
|
Michael Kai-Jia Lam
7789 Southwest Fwy Ste 530 |
$22.06 | 2,886 | 2,683 |
|
Sean Cuong Lam
10304 Blackhawk Blvd |
$46.26 | 2,593 | 2,373 |
|
Bereket Haileab Tsegai
11660 Westheimer Rd Ste 125 |
$41.40 | 2,361 | 2,156 |
|
Brian Lee
3450 Cypress Creek Pkwy |
$19.84 | 2,154 | 1,976 |
|
Adam Jordan Cantor
6621 Fannin St |
$12.06 | 2,126 | 2,062 |
|
John Jose Alappatt
7789 Southwest Fwy Ste 530 |
$26.26 | 1,844 | 1,594 |
|
Shirley Mathew
12121 Richmond Ave Ste 108 |
$33.73 | 1,699 | 1,553 |
|
Evelyn A. Paysse
6621 Fannin St |
$30.65 | 1,680 | 1,616 |
|
Lindsey D. Harris
2855 Gramercy St |
$21.91 | 1,478 | 1,418 |
|
Joseph Frank Ruda
1315 St Joseph Pkwy Ste 1205 |
$4.81 | 1,461 | 1,450 |
|
Hassan T. Rahman
2727 Gramercy St |
$21.56 | 1,461 | 1,351 |
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 Houston, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Houston, TX is $34.54 per claim, based on 396,448 claims from 250 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 Houston, TX?
There are 250 Medicaid providers offering Eye Exam related services in Houston, TX according to public payment data.
What is the price range for Eye Exam in Houston, TX?
Medicaid reimbursement for Eye Exam in Houston, TX ranges from $0.00 to $103.50 per claim, with an average of $34.54. 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 Houston, TX
Office Visit
Avg $48.27
8,766,644 claims
Vaccines & Immunizations
Avg $6.36
4,720,768 claims
Dental Cleaning & Exam
Avg $39.95
3,744,881 claims
Blood Work & Lab Tests
Avg $9.56
3,408,214 claims
Emergency Room Visit
Avg $183.70
2,360,699 claims
X-Ray
Avg $9.02
1,931,677 claims
Personal Care Services
Avg $67.63
1,546,221 claims
Urinalysis & Urine Tests
Avg $5.15
1,340,067 claims