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 |
|---|---|---|---|
|
Peter John Timoney
110 Conn Ter Ste 550 |
$42.15 | 12 | 12 |
|
Christopher J Kuc
2353 Alexandria Dr Ste 260 |
$25.51 | 15 | 15 |
|
Alexander James Cherry
800 Rose St |
$14.55 | 15 | 12 |
|
Seema Capoor
110 Conn Ter Ste 550 |
$5.39 | 15 | 13 |
|
John W. Collins
100 N Eagle Creek Dr |
$8.85 | 16 | 14 |
|
Shane David Marsili
900 S Limestone Ctw 304 |
$15.80 | 18 | 12 |
|
David Eugene Cowen
771 Corporate Dr |
$27.50 | 30 | 25 |
|
John D Mackey
1240 Belmar Ln |
$10.78 | 30 | 28 |
|
Michael S Tanner
2720 Old Rosebud Rd Ste 110 |
$8.75 | 37 | 25 |
|
Lucy Eakle Franklin
110 Conn Ter Ste 550 |
$5.25 | 57 | 45 |
|
Stephen Gbejule Odaibo
120 N Eagle Creek Dr Ste 500 |
$8.85 | 59 | 52 |
|
Leanne Clevenger
110 Conn Ter Ste 550 |
$53.85 | 62 | 62 |
|
Andrew S Kerns
161 Lexington Green Cir |
$39.85 | 64 | 64 |
|
Lisa Wang
2160 Sir Barton Way Ste 143 |
$70.47 | 123 | 120 |
|
Andrew Kenneth Chan
3695 Nicholasville Rd |
$18.12 | 129 | 129 |
|
Justin Travis Gagel
900 S Limestone Ctw 304 |
$4.89 | 133 | 93 |
|
Barbara Jean Crutchfield
740 S Limestone |
$3.30 | 180 | 168 |
|
John Webster Zent
340 Meijer Way |
$38.93 | 216 | 212 |
|
Jacob Vaughan Plumley
3695 Nicholasville Rd Ste 150 |
$68.08 | 237 | 237 |
|
Asim R Piracha
2353 Alexandria Dr Ste 260 |
$19.41 | 255 | 228 |
|
William W Wachs
154 Patchen Dr |
$16.76 | 285 | 266 |
|
Sarah Chang
340 Meijer Way |
$13.32 | 312 | 297 |
|
Randall Carroll Lambirth
3221 Summit Square Pl Ste 200 |
$26.24 | 331 | 280 |
|
Rebecca Hope Lanham
340 Meijer Way |
$20.84 | 342 | 289 |
|
Danielle Frank
4101 Tates Creek Centre Dr |
$39.18 | 343 | 323 |
|
Michael Thornton Newcomb
100 N Eagle Creek Dr |
$24.83 | 370 | 300 |
|
Howell Findley
2353 Alexandria Dr |
$5.34 | 379 | 246 |
|
Karen Louise Mcmillin
340 Meijer Way |
$24.97 | 465 | 430 |
|
Aditya Bansal
110 Conn Ter Ste 550 |
$23.71 | 487 | 457 |
|
Bobby L Huynh
340 Meijer Way |
$23.03 | 498 | 486 |
|
Daniel Benjamin Moore
110 Conn Ter Ste 550 |
$25.01 | 506 | 437 |
|
Karen Santos Mccloud
110 Conn Ter Ste 550 |
$9.78 | 518 | 456 |
|
Mangayarkarasi Thandampallayam Ajjeya Gowder
740 S Limestone Ste B101 |
$30.84 | 522 | 467 |
|
Christian Joseph Meyer
110 Conn Ter Ste 550 |
$4.44 | 588 | 468 |
|
James Matthew Huffman
2704 Old Rosebud Rd Ste 230 |
$13.09 | 589 | 410 |
|
Robert Marty Smith
2353 Alexandria Dr |
$5.71 | 593 | 417 |
|
Amanda Limbaugh Marzolf
110 Conn Ter Ste 550 |
$5.43 | 612 | 534 |
|
Rebecca Ann Swartzentruber
118 Marion Ste 120 |
$50.79 | 653 | 614 |
|
Ana Bastos De Carvalho
110 Conn Ter Ste 550 |
$20.44 | 657 | 544 |
|
Tania Patel
2353 Alexandria Dr |
$45.03 | 682 | 629 |
|
William J. Wood
120 N Eagle Creek Dr |
$17.31 | 843 | 657 |
|
Eric Benjamin Higgins
110 Conn Ter Ste 550 |
$14.64 | 964 | 795 |
|
Joe Patterson Mcmillin
340 Meijer Way |
$24.62 | 1,008 | 892 |
|
Ricky D. Isernhagen
120 N Eagle Creek Dr |
$17.22 | 1,009 | 738 |
|
Joy Simpson Mason
340 Meijer Way |
$24.80 | 1,030 | 931 |
|
John D Conklin
740 S Limestone |
$9.76 | 1,045 | 910 |
|
Michelle Mary Abou-Jaoude
601 Perimeter Dr Ste 200 |
$23.01 | 1,096 | 888 |
|
Johannes C Evans
601 Perimeter Dr |
$18.76 | 1,116 | 972 |
|
Erica Smith Ballard
110 Conn Ter Ste 550 |
$3.21 | 1,208 | 1,060 |
|
Maria Kirkpatrick
138 E Reynolds Rd |
$62.05 | 1,292 | 1,255 |
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
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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
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Los Angeles, CA
Avg $18.49
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Avg $51.98
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San Diego, CA
Avg $18.12
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Las Vegas, NV
Avg $34.73
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Flushing, NY
Avg $55.73
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