Average Medicaid Eye Exam Payments in King Of Prussia, PA: $36.81
Avg. Paid
$36.81
Range
$23.47 – $59.60
Total Claims
14,369
Providers
13
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 King Of Prussia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gary Andrus
160 N Gulph Rd |
$40.04 | 4,389 | 4,342 |
|
Anthony P Mannarino
901 E 8Th Ave Ste 101 |
$28.00 | 2,496 | 2,417 |
|
Gianna Seo
Address: 160 N Gulph Rd |
$39.13 | 1,837 | 1,820 |
|
Ayan Chatterjee
200 Mall Blvd |
$24.74 | 1,753 | 1,521 |
|
Mitchell Carney Wilkinson
160 N Gulph Rd Ste 2350 |
$59.60 | 1,418 | 1,401 |
|
Sukumar Pandit
1150 1St Ave |
$30.12 | 1,380 | 1,293 |
|
Visionworks, Inc.
160 N Gulph Rd # 2007A |
$39.46 | 459 | 337 |
|
Laura Kwai Swartley
160 N Gulph Rd Ste 2007A |
$40.49 | 235 | 235 |
|
Arezo Pirzad Wolski
690 W Dekalb Pike |
$42.10 | 137 | 137 |
|
Urmi Khatri
275 N Gulph Rd |
$23.47 | 118 | 118 |
|
America'S Best Contacts & Eyeglasses
140 Allendale Rd |
$40.59 | 67 | 66 |
|
Lili Kaplan
1013 W 9Th Ave Ste A |
$37.43 | 55 | 51 |
|
Andrew M Moschitta
160 N Gulph Rd |
$41.51 | 25 | 25 |
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 King Of Prussia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in King Of Prussia, PA is $36.81 per claim, based on 14,369 claims from 13 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 King Of Prussia, PA?
There are 13 Medicaid providers offering Eye Exam related services in King Of Prussia, PA according to public payment data.
What is the price range for Eye Exam in King Of Prussia, PA?
Medicaid reimbursement for Eye Exam in King Of Prussia, PA ranges from $23.47 to $59.60 per claim, with an average of $36.81. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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Avg $50.07
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Avg $43.97
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