Average Medicaid Eye Exam Payments in Jersey City, NJ: $30.70
Avg. Paid
$30.70
Range
$0.00 – $79.12
Total Claims
275,219
Providers
35
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 Jersey City, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adria Burrows
600 Pavonia Ave Ste 6 |
$68.19 | 46,802 | 45,522 |
|
Anthony Louis Panariello
203 Palisade Ave |
$33.33 | 36,093 | 34,483 |
|
Yasir Daifallah Masadeh
461 Central Ave |
$4.65 | 31,773 | 31,565 |
|
Roshni J Desai
127 Newark Ave |
$22.43 | 26,757 | 26,337 |
|
Mahmood A Sindhu
2787 John F Kennedy Blvd |
$14.38 | 26,323 | 26,190 |
|
Hudson Eyecare Associates Pa
368 Central Ave |
$4.38 | 22,095 | 21,801 |
|
David Elliot Schwartz
701 State Rt 440 |
$7.42 | 12,915 | 12,475 |
|
Jersey City Medical Center
355 Grand Street |
$34.51 | 11,906 | 10,865 |
|
Frank Derienzo
123 River Drive |
$42.23 | 10,999 | 10,939 |
|
Ganesh U Rau
203 Palisade Avenue |
$37.73 | 9,858 | 9,421 |
|
Bruce J. Fernandes
10 Mall Dr. West |
$27.48 | 9,183 | 9,118 |
|
Kunjal Modi
203 Palisade Ave |
$44.97 | 4,927 | 4,681 |
|
Suchi Sood
127 Newark Ave |
$79.12 | 4,223 | 4,007 |
|
David Joseph Harris
600 Pavonia Ave Ste 6 |
$36.99 | 2,883 | 2,654 |
|
Optical Palace2 Llc
461 Central Ave |
$9.44 | 2,704 | 2,587 |
|
Hardik A Parikh
203 Palisade Ave |
$67.49 | 2,661 | 2,550 |
|
Barry A. Maltzman
600 Pavonia Ave |
$45.64 | 2,439 | 2,255 |
|
Meliissa Solis
2877 Kennedy Blvd |
$17.28 | 2,309 | 2,308 |
|
Sunny Mukul Raithatha
461 Central Ave |
$22.90 | 1,956 | 1,931 |
|
Scott Michael Walsman
600 Pavonia Ave |
$33.86 | 1,523 | 1,289 |
|
Martin J Siegel
127 Newark Ave |
$7.78 | 1,183 | 1,182 |
|
Cletta A Rochester
2 Highland Ave |
$14.18 | 1,063 | 1,063 |
|
William H. Constad
600 Pavonia Ave |
$44.03 | 789 | 755 |
|
Joanna D Pruzon
600 Pavonia Ave |
$73.85 | 530 | 443 |
|
Jersey Eye Care Inc
2787 John F Kennedy Blvd |
$0.00 | 403 | 403 |
|
Mark David Hecht
550 Summit Ave |
$19.09 | 276 | 276 |
|
Bhupendra N Vora
142 Palisade Ave |
$38.40 | 222 | 222 |
|
Drs. Savoy & Siegel Llc
127 Newark Ave |
$0.00 | 110 | 110 |
|
Betty Ann Cervenak
203 Palisade Ave |
$68.90 | 72 | 72 |
|
Allan I Marcus
50 Mall Dr W |
$12.83 | 65 | 65 |
|
Randi Savoy
127 Newark Ave |
$4.61 | 56 | 56 |
|
Allison Kayla Viray
30 Mall Dr W |
$16.82 | 48 | 42 |
|
Justin John Arnett
600 Pavonia Ave Ste 4 |
$24.47 | 47 | 41 |
|
Louis Eyecare Llc
3513 Jf Kennedy Blvd |
$0.00 | 13 | 13 |
|
Melissa Mercado
176 Palisade Ave |
$23.40 | 13 | 13 |
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 Jersey City, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Jersey City, NJ is $30.70 per claim, based on 275,219 claims from 35 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 Jersey City, NJ?
There are 35 Medicaid providers offering Eye Exam related services in Jersey City, NJ according to public payment data.
What is the price range for Eye Exam in Jersey City, NJ?
Medicaid reimbursement for Eye Exam in Jersey City, NJ ranges from $0.00 to $79.12 per claim, with an average of $30.70. 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 Jersey City, NJ
Home Health Visit
Avg $87.35
4,021,509 claims
Office Visit
Avg $41.23
1,785,761 claims
Non-Emergency Medical Transportation
Avg $36.57
1,282,417 claims
Blood Work & Lab Tests
Avg $6.69
657,903 claims
Emergency Room Visit
Avg $258.37
617,176 claims
Physical Therapy
Avg $17.07
524,168 claims
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Avg $28.72
412,484 claims
Ambulance Transport
Avg $167.42
274,922 claims