Average Medicaid Eye Exam Payments in Kalispell, MT: $54.85
Avg. Paid
$54.85
Range
$6.04 – $87.83
Total Claims
55,625
Providers
21
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 Kalispell, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kyle Matthew Smalley
580 N Meridian Rd |
$58.59 | 10,959 | 10,157 |
|
Jonathan Franklin Olsen
175 Timberwolf Pkwy |
$55.36 | 7,600 | 7,339 |
|
August Lawrence Stein
160 Heritage Way |
$87.83 | 6,089 | 5,859 |
|
Aaron M Alme
160 Heritage Way |
$28.46 | 3,608 | 3,414 |
|
Marie Roach
175 Timberwolf Pkwy |
$57.99 | 3,451 | 3,316 |
|
Nicholas S Chamberlain
580 N Meridian Rd |
$50.28 | 3,367 | 3,033 |
|
Stanley R Smith
580 N Meridian Rd |
$50.85 | 3,106 | 2,905 |
|
Randall Keith Hollman
1370 Highway 2 East |
$50.13 | 3,060 | 2,960 |
|
Wyatt Eckert
580 N Meridian Rd |
$61.49 | 2,864 | 2,676 |
|
Todd Erickson
340 W Center St |
$44.22 | 2,563 | 2,346 |
|
Kalispell Optometry Pllc
170 Hutton Ranch Rd |
$40.07 | 2,029 | 1,972 |
|
Alan Jalmar Beckman
195 Lakeshore Dr |
$46.43 | 1,996 | 1,891 |
|
Douglas Craig Dolan
20 Village Loop Rd |
$36.85 | 1,633 | 1,519 |
|
Mackenzie Fai
175 Timberwolf Pkwy |
$54.05 | 1,589 | 1,524 |
|
Tyler Arnt Ofstad
175 Timberwolf Pkwy |
$23.50 | 744 | 696 |
|
Mark C Remington
175 Timberwolf Pkwy |
$49.19 | 657 | 609 |
|
Roger A Barth
175 Timberwolf Pkwy |
$60.74 | 101 | 96 |
|
Beth Horner
2330 Us Highway 93 N |
$33.16 | 86 | 86 |
|
Kourtney Eaton
580 N Meridian Rd |
$15.43 | 57 | 49 |
|
Wyatt Logan Smith
580 N Meridian Rd |
$13.76 | 37 | 29 |
|
William Wade Stoddard
175 Timberwolf Pkwy |
$6.04 | 29 | 27 |
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 Kalispell, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Kalispell, MT is $54.85 per claim, based on 55,625 claims from 21 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 Kalispell, MT?
There are 21 Medicaid providers offering Eye Exam related services in Kalispell, MT according to public payment data.
What is the price range for Eye Exam in Kalispell, MT?
Medicaid reimbursement for Eye Exam in Kalispell, MT ranges from $6.04 to $87.83 per claim, with an average of $54.85. 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
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Bronx, NY
Avg $51.98
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San Diego, CA
Avg $18.12
776,876 claims · 232 providers
Las Vegas, NV
Avg $34.73
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Flushing, NY
Avg $55.73
752,320 claims · 93 providers
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