Average Medicaid Eye Exam Payments in Longmont, CO: $49.45
Avg. Paid
$49.45
Range
$0.00 – $107.89
Total Claims
80,733
Providers
31
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 Longmont, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Lyn Spieler
1739 N Main St |
$53.24 | 31,384 | 29,732 |
|
Anne-Marie Palmer
1739 Main St |
$51.18 | 14,425 | 13,760 |
|
Kelly Bourgon
412 Main St |
$46.66 | 5,167 | 4,979 |
|
Ashley Vu
1200 S Hover St |
$33.30 | 3,951 | 3,838 |
|
Justin Michael Kanoff
1400 Dry Creek Dr |
$36.17 | 3,735 | 3,410 |
|
Elisha P. Tilton
1400 Dry Creek Dr |
$26.49 | 3,402 | 3,144 |
|
Matthew William Manry
1400 Dry Creek Dr |
$33.22 | 2,675 | 2,438 |
|
Shannon Renee Mcclure
180 Ken Pratt Blvd |
$107.89 | 2,634 | 2,591 |
|
Grace J Kim
2285 E Ken Pratt Blvd |
$97.04 | 1,867 | 1,794 |
|
Carl Noble
1400 Dry Creek Dr |
$29.57 | 1,715 | 1,541 |
|
Robert Krone
1400 Dry Creek Dr |
$20.05 | 1,563 | 1,471 |
|
Harry Louis Linardos
2514 Main St |
$71.62 | 1,549 | 1,507 |
|
William L Benedict
1400 Dry Creek Dr |
$34.08 | 1,506 | 1,444 |
|
John C Daw
1260 S Hover St |
$48.60 | 1,477 | 1,297 |
|
Holly Hughes
800 3Rd Ave |
$50.11 | 804 | 788 |
|
Jason L Kaminski
2130 Mountain View Ave Ste 207 |
$29.48 | 784 | 725 |
|
Sara S Heffler
1319 Vivian St |
$35.12 | 491 | 454 |
|
Kristin Frances Park
180 Ken Pratt Blvd Ste 200 |
$18.35 | 352 | 339 |
|
Rachel Amelia Potter
2080 Main St |
$14.39 | 311 | 302 |
|
Justin Daniel Deal
1200 S Hover St |
$9.45 | 258 | 240 |
|
Neka Hafezzadeh
1610 Pace St |
$6.16 | 222 | 215 |
|
Jane L Wolford
800 3Rd Ave |
$32.36 | 164 | 155 |
|
Anjali Bipin Sheth
1400 Dry Creek Dr |
$54.89 | 157 | 152 |
|
Diane Towako Siegel
1400 Dry Creek Dr |
$80.35 | 34 | 27 |
|
Andrea Lu
2080 Main St |
$51.91 | 27 | 25 |
|
Norman C Gee
2514 Main St |
$24.19 | 16 | 12 |
|
Jaclyn May Wray
2080 Main St |
$0.00 | 15 | 14 |
|
Kevin C Cottrell
1325 Dry Creek Dr Ste 104 |
$0.00 | 12 | 12 |
|
Aimee Morris Verner
1400 Dry Creek Dr |
$26.16 | 12 | 12 |
|
Micah W Rothstein
1400 Dry Creek Dr |
$25.25 | 12 | 12 |
|
Irene Olijnyk
1400 Dry Creek Dr |
$64.03 | 12 | 12 |
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 Longmont, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Longmont, CO is $49.45 per claim, based on 80,733 claims from 31 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 Longmont, CO?
There are 31 Medicaid providers offering Eye Exam related services in Longmont, CO according to public payment data.
What is the price range for Eye Exam in Longmont, CO?
Medicaid reimbursement for Eye Exam in Longmont, CO ranges from $0.00 to $107.89 per claim, with an average of $49.45. 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
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