Average Medicaid Eye Exam Payments in Lima, OH: $18.92
Avg. Paid
$18.92
Range
$1.40 – $46.51
Total Claims
25,445
Providers
19
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 Lima, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Payton J Bassitt
1550 N Main St |
$18.40 | 12 | 12 |
|
Casie A Anderson
2770 E Breese Rd |
$12.50 | 53 | 42 |
|
Lindsey Kremer
2765 Fort Amanda Rd |
$24.11 | 69 | 68 |
|
Lee Ann Penix
1550 N Main St |
$11.70 | 98 | 64 |
|
Mitchell Andrew Romito
855 W Market St Ste A |
$11.76 | 159 | 143 |
|
Health Partners Of Western Ohio
441 E 8Th St |
$1.40 | 209 | 177 |
|
Meredith Janell Haynes
1550 N Main St |
$9.39 | 229 | 117 |
|
Brian E Dietz
2765 Fort Amanda Rd |
$18.35 | 263 | 248 |
|
John T Pajka
855 W Market St |
$9.22 | 267 | 202 |
|
Yousef Aldairy
855 W Market St |
$9.15 | 294 | 231 |
|
Cassandra Baumgartner
441 E 8Th St |
$12.92 | 592 | 397 |
|
Kayla Herrera
1 Spartan Way |
$9.52 | 1,090 | 643 |
|
Philip James Shetler
2270 Elida Road |
$46.51 | 1,654 | 1,619 |
|
Kimberly Lee Brocklehurst
2195 Allentown Rd |
$11.18 | 1,926 | 1,164 |
|
Jeffrey Alan Unterbrink
2306 Harding Hwy |
$30.84 | 2,243 | 2,224 |
|
Kara Marie Kahle
441 E 8Th St |
$11.17 | 2,510 | 1,482 |
|
Nicole Lynn Stechschulte
1550 N Main St |
$11.93 | 2,628 | 1,556 |
|
Warren Calvin Morris
441 E 8Th St |
$10.68 | 4,600 | 2,646 |
|
Mark Edward Berger
2400 Harding Highway |
$25.84 | 6,549 | 6,512 |
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 Lima, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Lima, OH is $18.92 per claim, based on 25,445 claims from 19 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 Lima, OH?
There are 19 Medicaid providers offering Eye Exam related services in Lima, OH according to public payment data.
What is the price range for Eye Exam in Lima, OH?
Medicaid reimbursement for Eye Exam in Lima, OH ranges from $1.40 to $46.51 per claim, with an average of $18.92. 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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Avg $26.50
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