Average Medicaid Eye Exam Payments in Idaho Falls, ID: $51.12
Avg. Paid
$51.12
Range
$11.62 – $110.10
Total Claims
71,316
Providers
32
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 Idaho Falls, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott David Hyatt
1480 E Lincoln Rd |
$55.94 | 12,618 | 12,581 |
|
Lisa L. Porter
1480 E Lincoln Rd Ste B |
$51.58 | 10,781 | 10,758 |
|
Melanie Dawn Clark
3363 Merlin Dr |
$51.61 | 6,943 | 6,935 |
|
Jared Reese Ivie
2405 Jafer Ct |
$48.22 | 5,075 | 5,021 |
|
Nathan Jones
2300 E 17Th St Spc 157 |
$20.14 | 3,695 | 3,641 |
|
Clinton Ellingson
2100 Providence Way |
$20.54 | 3,403 | 2,992 |
|
Kendall Craig Willden
2990 S 25Th E |
$48.11 | 3,060 | 3,036 |
|
Kyle G Thompson
2100 Providence Way |
$25.37 | 2,673 | 2,427 |
|
Scott W. Homer
800 E 17Th St |
$67.88 | 2,518 | 2,504 |
|
David Bryan Cook
1340 S. Ammon Road |
$102.47 | 2,296 | 2,268 |
|
Neal Boyd Guymon
1689 Pancheri Dr |
$70.72 | 2,262 | 2,244 |
|
Cameron Keith Housley
2405 Jafer Ct |
$51.12 | 2,196 | 2,176 |
|
Brian J Mckeon
1480 E Lincoln Rd |
$55.69 | 2,026 | 2,026 |
|
Eric K Romriell
2025 E 17Th St |
$15.00 | 1,992 | 1,910 |
|
Jerry Blair Nave
2550 S 25Th E |
$65.65 | 1,932 | 1,903 |
|
Trevor H Dickson
500 S Utah Ave |
$86.94 | 1,304 | 1,304 |
|
Nathan Housley
838 S Woodruff Ave |
$37.26 | 1,304 | 1,289 |
|
Aaron Jon Affleck
2900 Valencia Dr |
$50.23 | 987 | 919 |
|
Golden Thane Smith
500 S Utah Ave |
$50.80 | 762 | 733 |
|
Craig Alan Fleming
3351 Merlin Dr |
$70.41 | 752 | 744 |
|
Amir M Shama
2550 S 25Th E |
$66.72 | 592 | 588 |
|
Nathan G Kohler
320 S Woodruff Ave |
$94.91 | 397 | 396 |
|
Bradley P Gardner
2025 E 17Th St |
$20.03 | 365 | 282 |
|
Owen M Shirts
838 S Woodruff Ave |
$89.34 | 311 | 306 |
|
Drew C Dayton
2100 Providence Way |
$11.62 | 289 | 275 |
|
Jaren Olsen
3508 S 25Th E |
$95.11 | 264 | 253 |
|
Jared Edgar Birch
1689 Pancheri Dr |
$60.57 | 178 | 178 |
|
Matthew P Traynor
2100 Providence Way |
$26.09 | 138 | 131 |
|
John Wesley Porter
3363 Merlin Dr |
$110.10 | 91 | 91 |
|
Richard Cannon
2025 E 17Th St |
$26.28 | 69 | 64 |
|
Jason Gerald Hooton
2100 Providence Way |
$87.12 | 31 | 30 |
|
Todd F Birch
3351 Merlin Dr |
$35.84 | 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 Idaho Falls, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Idaho Falls, ID is $51.12 per claim, based on 71,316 claims from 32 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 Idaho Falls, ID?
There are 32 Medicaid providers offering Eye Exam related services in Idaho Falls, ID according to public payment data.
What is the price range for Eye Exam in Idaho Falls, ID?
Medicaid reimbursement for Eye Exam in Idaho Falls, ID ranges from $11.62 to $110.10 per claim, with an average of $51.12. 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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