Average Medicaid Eye Exam Payments in Knoxville, TN: $32.79
Avg. Paid
$32.79
Range
$0.00 – $74.52
Total Claims
218,648
Providers
109
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 Knoxville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Allyson D Schmitt
2100 Clinch Ave |
$54.91 | 17,552 | 15,540 |
|
Christopher Patrick O'Brien
6311 Kingston Pike |
$48.28 | 16,657 | 16,076 |
|
Mark Baker
7600 Kingston Pike Ste 1110-A |
$24.91 | 9,639 | 9,258 |
|
Charles Y Shields
10219 Kingston Pike |
$40.48 | 8,562 | 7,728 |
|
Robert Keith Shuler
1342 Old Weisgarber Rd |
$10.91 | 7,565 | 5,981 |
|
Nicole Roddy Maisonville
2100 Clinch Ave Ste 400 |
$54.49 | 7,351 | 6,636 |
|
Adam Tyler Reach
4626 Mill Branch Ln |
$30.08 | 6,761 | 6,229 |
|
Stephen Lee Perkins
1342 Old Weisgarber Rd |
$11.02 | 6,287 | 4,676 |
|
Mitchell Brown
7420 Chapman Hwy |
$46.79 | 6,209 | 5,943 |
|
Steven D. Elliott
6719 Maynardville Pike |
$39.10 | 6,095 | 5,561 |
|
James Howard Miller
1342 Old Weisgarber Rd |
$10.68 | 5,704 | 4,174 |
|
Wesley Chamberlin
7600 Kingston Pike Ste 1110-A |
$34.79 | 5,509 | 5,414 |
|
Nicholas Gray Anderson
1342 Old Weisgarber Rd |
$7.65 | 5,484 | 4,173 |
|
Ailee Mark Laham
1342 Old Weisgarber Rd |
$9.36 | 5,282 | 4,054 |
|
Elissa B Fleming
320 Cheshire Dr |
$43.05 | 5,144 | 4,903 |
|
Matthew Melton Cole
12744 Kingston Pike |
$8.63 | 4,696 | 3,515 |
|
Joseph Morris Googe
1124 E Weisgarber Rd |
$8.26 | 4,413 | 3,429 |
|
Daniel C Horton
1124 E Weisgarber Rd |
$31.69 | 4,294 | 3,850 |
|
Frank A Carusone
715 Callahan Dr |
$46.91 | 3,912 | 3,676 |
|
Donald Wayne Connell
6719 Maynardville Pike |
$37.88 | 3,779 | 3,486 |
|
Michael B Allee
4722 Western Ave |
$55.78 | 3,220 | 3,175 |
|
Caroline P Babb-Poveromo
6719 Maynardville Pike |
$43.89 | 3,213 | 2,991 |
|
Emily Savannah Hammer
6719 Maynardville Pike |
$39.80 | 3,153 | 2,982 |
|
David Joseph Harris
1932 Alcoa Hwy Ste 255 |
$29.79 | 3,126 | 2,339 |
|
Benjamin Carey Herring
6354 Lonas Spring Dr |
$32.18 | 2,756 | 2,635 |
|
Gary Norman Gitschlag
2100 W Clinch Ave |
$74.52 | 2,704 | 2,403 |
|
Lacey Dillard Puckett
3001 Knoxville Center Dr |
$7.59 | 2,611 | 2,427 |
|
Paul Benjamin Pruett
4528 Chapman Hwy |
$9.67 | 2,533 | 2,084 |
|
Hal Phillips
9261 Middlebrook Pike Ste 201 |
$42.11 | 2,514 | 2,357 |
|
Tod Alan Mcmillan
1124 E Weisgarber Rd |
$8.12 | 2,391 | 1,853 |
|
Jeffrey S Silbernagel
10745 Kingston Pike |
$44.19 | 2,328 | 2,289 |
|
Mathew E Turner
3051 Kinzel Way |
$18.92 | 2,275 | 2,215 |
|
James Matthew Rouse
1932 Alcoa Hwy Ste 255 |
$25.27 | 2,230 | 1,836 |
|
Michael T Kolarik
6719 Maynardville Pike |
$39.39 | 2,223 | 2,082 |
|
Alan Shane Presson
7660 Oak Ridge Hwy |
$33.21 | 2,092 | 1,997 |
|
Susan Carter
2053 Thunderhead Rd |
$54.13 | 1,850 | 1,774 |
|
Ralph Farmer
7600 Kingston Pike Ste 1110-A |
$35.44 | 1,792 | 1,761 |
|
Katherine Allen
7686 Oak Ridge Hwy |
$33.96 | 1,660 | 1,607 |
|
Heidi Hunt Herring
6354 Lonas Spring Dr |
$48.24 | 1,489 | 1,413 |
|
Lauren Joy Stone
4829 N Broadway St Ste 103 |
$33.91 | 1,440 | 1,331 |
|
Karin Rodriguez Moore
5113 Clinton Hwy |
$27.08 | 1,310 | 1,257 |
|
Mardia Mohsin Ahmed
8445 Walbrook Dr |
$40.00 | 1,204 | 1,161 |
|
Tommy S Louthan
4626 Mill Branch Ln |
$30.83 | 1,174 | 1,101 |
|
Charles G Ange
1932 Alcoa Hwy Ste 255 |
$20.97 | 1,172 | 861 |
|
Timothy J. Hopper
7550 Norris Fwy |
$10.93 | 1,123 | 1,070 |
|
Lauren Lindsey Harris
1932 Alcoa Hwy Ste 255 |
$32.28 | 1,105 | 832 |
|
Jonathan Samuel Fuerst
1342 Old Weisgarber Rd |
$7.66 | 1,092 | 728 |
|
Sonya M. Smoak
1400 Dowell Springs Blvd. |
$5.53 | 1,047 | 433 |
|
Bruce Devin Gilliland
715 Callahan Dr |
$31.29 | 993 | 876 |
|
Kamden Machelle Badger
4626 Mill Branch Ln |
$35.11 | 981 | 881 |
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 Knoxville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Knoxville, TN is $32.79 per claim, based on 218,648 claims from 109 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 Knoxville, TN?
There are 109 Medicaid providers offering Eye Exam related services in Knoxville, TN according to public payment data.
What is the price range for Eye Exam in Knoxville, TN?
Medicaid reimbursement for Eye Exam in Knoxville, TN ranges from $0.00 to $74.52 per claim, with an average of $32.79. 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 Knoxville, TN
Office Visit
Avg $45.18
3,462,740 claims
Blood Work & Lab Tests
Avg $4.36
3,232,027 claims
Case Management Services
Avg $11.55
1,534,932 claims
Emergency Room Visit
Avg $112.38
1,231,223 claims
Ambulance Transport
Avg $34.35
1,208,594 claims
Speech Therapy
Avg $48.14
1,179,507 claims
X-Ray
Avg $5.65
1,112,380 claims
Psychiatric Evaluation
Avg $54.43
1,063,759 claims