Average Medicaid Eye Exam Payments in Humacao, PR: $37.23
Avg. Paid
$37.23
Range
$0.61 – $63.59
Total Claims
57,224
Providers
18
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 Humacao, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gabriel A. Benitez Bajandas
125 Calle Font Martelo E |
$38.61 | 16,398 | 14,533 |
|
Perla Rosa Alicea
100-Calle Font Martelo Ste 320 |
$28.73 | 8,423 | 7,909 |
|
Yeissa J. Rodriguez Cruz
50 Calle Victoria Ste 2 |
$36.28 | 5,374 | 4,927 |
|
Iliana Alvarado-Diaz
250 Calle Cruz Ortiz Stella Ste 11 |
$25.79 | 4,839 | 4,329 |
|
Gerardo Correa
Carr 3 350 |
$46.13 | 4,804 | 3,889 |
|
Jose L Benitez Aponte
125 Calle Font Martelo E |
$63.59 | 4,576 | 4,225 |
|
Enery Navarrete
Ulises Martinez St. 69 South |
$31.02 | 3,751 | 3,337 |
|
Kathleen Guerrero Figuereo
125 Ave Font Martelo E |
$44.54 | 2,394 | 2,088 |
|
Luis Jose Totti Vercher
353 Calle Font Martelo Ste 2 |
$23.63 | 1,511 | 1,442 |
|
Perla Rosa Alicea
100 Calle Font Martelo W |
$26.41 | 1,467 | 1,463 |
|
Eastern Retina Consultants Of Puerto Rico, Psc
#15 Ave. Padre Rivera |
$41.14 | 1,175 | 1,122 |
|
Vista Optica Llc
Ave Padre Rivera #15 |
$43.21 | 933 | 925 |
|
Alan M Melendez
313 Calle Font Martelo |
$22.61 | 767 | 737 |
|
Angel Marin
Centro Comercial Plaza Palma Real |
$41.42 | 287 | 271 |
|
Vision Outlet Llc
216 Villa Universitaria |
$22.70 | 213 | 212 |
|
Gumet, Inc.
55 Esq. Ulises Martinez |
$8.36 | 169 | 164 |
|
Redes De Salud Inc.
Ave. Font Martelo 148 |
$0.61 | 84 | 84 |
|
Jovino Diaz Fernandez
Bb13 Ext Jard De Humacao |
$19.85 | 59 | 59 |
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 Humacao, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Humacao, PR is $37.23 per claim, based on 57,224 claims from 18 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 Humacao, PR?
There are 18 Medicaid providers offering Eye Exam related services in Humacao, PR according to public payment data.
What is the price range for Eye Exam in Humacao, PR?
Medicaid reimbursement for Eye Exam in Humacao, PR ranges from $0.61 to $63.59 per claim, with an average of $37.23. 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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Avg $14.01
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