Average Medicaid Eye Exam Payments in Lexington, KY: $34.61
Avg. Paid
$34.61
Range
$3.21 – $70.47
Total Claims
341,411
Providers
102
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Harold Clif Gregory
500 W New Circle Rd |
$42.04 | 20,296 | 19,563 |
|
Gregory William Marshall
2350 Grey Lag Way |
$43.20 | 18,115 | 17,335 |
|
Bilal Ahmad
4140 Briar Hill Rd |
$47.46 | 17,806 | 16,361 |
|
Hai An Bui
3695 Nicholasville Rd Ste 150 |
$51.57 | 13,300 | 12,423 |
|
Bryant C Evans
601 Perimeter Dr |
$34.22 | 13,263 | 12,342 |
|
Matthew Grant Franklin
2720 Old Rosebud Rd |
$49.27 | 11,125 | 10,225 |
|
Kevin Snead
2434 Nicholasville Rd |
$48.11 | 10,198 | 9,010 |
|
Angela Fahey Costa
138 E Reynolds Rd |
$49.55 | 10,060 | 9,478 |
|
Marcus Love
2312 Sir Barton Way Ste 170 |
$50.03 | 9,850 | 8,989 |
|
Angelia F Thompson
3290 Blazer Pkwy Ste 100 |
$21.47 | 9,829 | 8,223 |
|
Peter Blackburn
110 Conn Ter Ste 550 |
$17.85 | 8,734 | 7,387 |
|
Steven Noel Spear
535 S Upper St |
$49.59 | 8,323 | 7,492 |
|
Ashley Brooke Lane
3735 Palomar Centre Dr Ste 170 |
$38.12 | 8,315 | 7,715 |
|
Elaine Nicole Desario
2160 Sir Barton Way |
$18.07 | 6,633 | 6,112 |
|
Padmaja Sudhakar
800 Rose St |
$25.94 | 6,472 | 5,269 |
|
David L Blandford
601 Perimeter Dr |
$29.68 | 6,433 | 5,861 |
|
Blake Isernhagen
120 N Eagle Creek Dr |
$19.37 | 6,289 | 4,829 |
|
Claire Elizabeth Fraser
110 Conn Ter Ste 550 |
$18.35 | 6,166 | 5,240 |
|
Allyson Nicole Lane Rhodes
4051 Nicholasville Rd |
$38.19 | 5,984 | 5,775 |
|
Ellen Talbott Van Norman
110 Conn Ter Ste 550 |
$19.52 | 5,737 | 4,829 |
|
Sean Wadley
110 Conn Ter Ste 550 |
$32.83 | 5,546 | 4,751 |
|
Makisha S Maggard
2716 Old Rosebud Rd Ste 130 |
$35.20 | 5,485 | 5,112 |
|
Belinda L Shirkey
120 N Eagle Creek Dr |
$18.70 | 5,259 | 3,920 |
|
Jack Lynn Hollins
120 N Eagle Creek Dr Ste 500 |
$18.12 | 5,229 | 4,110 |
|
Wallace Bullard Guerrant
3180 Richmond Rd |
$43.94 | 5,102 | 4,532 |
|
Dawn C. Stratton
535 Wellington Way |
$41.69 | 5,085 | 4,874 |
|
Steven A. Klecker
1555 E New Circle Rd |
$66.47 | 4,878 | 4,715 |
|
John William Kitchens
120 N Eagle Creek Dr |
$18.19 | 4,843 | 3,731 |
|
Melanie Hatfield Bradley
110 Conn Ter Ste 550 |
$8.10 | 4,823 | 4,307 |
|
Shelby Henderson
4051 Nicholasville Rd |
$41.19 | 4,810 | 4,779 |
|
Miguel A Busquets
120 N Eagle Creek Dr Ste 500 |
$19.15 | 4,675 | 3,603 |
|
John Mark Franklin
110 Conn Ter Ste 550 |
$10.78 | 4,365 | 3,847 |
|
Todd Jordan Purkiss
120 N Eagle Creek Dr |
$17.90 | 4,283 | 3,158 |
|
Romulo Jc Albuquerque
University Of Kentucky & Affiliates |
$29.63 | 4,114 | 3,743 |
|
Christi Willen
110 Conn Ter Ste 550 |
$6.42 | 3,778 | 3,297 |
|
Suzannah R Rich
4051 Nicholasville Rd |
$36.37 | 3,639 | 3,444 |
|
Kari Carpenter Mattson
4051 Nicholasville Rd |
$46.68 | 3,375 | 3,272 |
|
Aaron M Ricca
120 N Eagle Creek Dr Ste 500 |
$18.58 | 3,366 | 2,686 |
|
Kathryn Grace Robbins
1555 E New Circle Rd |
$62.50 | 3,341 | 3,294 |
|
Osama Sabbagh
120 N Eagle Creek Dr Ste 500 |
$38.28 | 3,147 | 2,717 |
|
Jitander Singh Dudee
2351 Huguenard Drive |
$34.36 | 2,840 | 2,629 |
|
Shaista Vally
740 S Limestone |
$57.09 | 2,809 | 2,611 |
|
Paul Andrew Pearson
110 Conn Ter Ste 550 |
$19.66 | 2,784 | 2,323 |
|
Ada Iris Sanchez Juan
2250 Leestown Rd |
$20.08 | 2,728 | 2,075 |
|
Steven R Colwell
2465 Nicholasville Rd |
$32.86 | 2,421 | 2,140 |
|
William J Curtis
601 Perimeter Dr |
$17.19 | 2,353 | 2,148 |
|
Julia C Stevens
110 Conn Ter Ste 550 |
$6.16 | 2,237 | 1,986 |
|
Lindsey M Porter
340 Meijer Way |
$38.03 | 2,226 | 2,136 |
|
Debra S Croley
110 Conn Ter Ste 550 |
$56.59 | 2,070 | 1,925 |
|
Joan Kay Nerderman
989 Governors Ln |
$8.47 | 1,766 | 952 |
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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Lexington, KY is $34.61 per claim, based on 341,411 claims from 102 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 Lexington, KY?
There are 102 Medicaid providers offering Eye Exam related services in Lexington, KY according to public payment data.
What is the price range for Eye Exam in Lexington, KY?
Medicaid reimbursement for Eye Exam in Lexington, KY ranges from $3.21 to $70.47 per claim, with an average of $34.61. 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 Lexington, KY
Blood Work & Lab Tests
Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
Emergency Room Visit
Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
Psychiatric Evaluation
Avg $54.73
1,162,452 claims
Physical Therapy
Avg $62.23
1,009,326 claims
Substance Abuse Treatment
Avg $82.19
953,868 claims
Dental Cleaning & Exam
Avg $36.91
818,313 claims