Average Medicaid Eye Exam Payments in Lincoln, RI: $30.96
Avg. Paid
$30.96
Range
$18.78 – $38.54
Total Claims
7,928
Providers
7
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 Lincoln, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Robert Pugliese
622 George Washington Highway |
$29.67 | 3,269 | 3,130 |
|
Carol J Hamel
132 Old River Rd Ste 201 |
$32.76 | 1,760 | 1,659 |
|
Shawn Binns
701 George Washington Hwy Ste 104 |
$37.74 | 1,357 | 1,234 |
|
Steven A Croce
622 George Washington Hwy |
$26.04 | 1,016 | 839 |
|
Lawrence Sumner Cohen
620 George Washington Hwy |
$18.78 | 340 | 326 |
|
Evan Roland Hosney
132 Old River Rd |
$35.96 | 162 | 162 |
|
Greg Ross Waldorf
132 Old River Rd Ste 201 |
$38.54 | 24 | 24 |
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 Lincoln, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Lincoln, RI is $30.96 per claim, based on 7,928 claims from 7 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 Lincoln, RI?
There are 7 Medicaid providers offering Eye Exam related services in Lincoln, RI according to public payment data.
What is the price range for Eye Exam in Lincoln, RI?
Medicaid reimbursement for Eye Exam in Lincoln, RI ranges from $18.78 to $38.54 per claim, with an average of $30.96. 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 Lincoln, RI
Office Visit
Avg $64.33
138,203 claims
Personal Care Services
Avg $105.09
93,896 claims
Behavioral & Mental Health Therapy
Avg $86.60
75,250 claims
Psychiatric Evaluation
Avg $69.87
52,549 claims
Speech Therapy
Avg $12.35
39,445 claims
Case Management Services
Avg $22.20
29,325 claims
Vaccines & Immunizations
Avg $18.03
27,477 claims
Physical Therapy
Avg $16.83
26,248 claims