Average Medicaid Eye Exam Payments in Madison, WI: $15.06
Avg. Paid
$15.06
Range
$4.15 – $127.00
Total Claims
107,476
Providers
72
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 Madison, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of Wisconsin Hospitals And Clinics Authority
600 Highland Ave |
$6.85 | 16,205 | 14,910 |
|
Nayan R Patel
2880 University Ave |
$13.71 | 10,974 | 9,835 |
|
Amanda Marie Keller
7050 Watts Rd |
$12.58 | 6,477 | 5,557 |
|
Katherine A Hare
1025 Regent St |
$19.15 | 6,195 | 5,574 |
|
Bret A Ammeraal
2201 Zeier Rd |
$32.92 | 5,788 | 5,248 |
|
Kristopher L Glanville
1821 S Stoughton Rd |
$20.54 | 5,661 | 4,631 |
|
Nathan L Catterson
752 N High Point Rd |
$19.53 | 5,070 | 4,078 |
|
Michael Douglas Rickels
2880 University Ave |
$17.61 | 3,751 | 3,018 |
|
Rachel K Glanville
752 N High Point Rd |
$19.91 | 3,399 | 2,765 |
|
Wendy E Arrington
1821 S Stoughton Rd |
$18.41 | 3,309 | 2,825 |
|
Andrew J Kornaus
2880 University Ave |
$16.32 | 3,280 | 2,572 |
|
Katie Lynn Schlotthauer
1821 S Stoughton Rd |
$20.57 | 3,180 | 2,679 |
|
Amol D Kulkarni
1025 Regent St |
$10.53 | 2,949 | 2,449 |
|
Nathaniel C Harkins
1025 Regent St |
$17.49 | 2,721 | 2,224 |
|
Melanie Schmitt
2880 University Ave |
$7.80 | 2,232 | 2,038 |
|
Kelsey Linn Rickels
780 Regent St Ste 306 |
$11.36 | 2,082 | 1,780 |
|
Karina Anne Conlin
5249 E Terrace Dr |
$7.04 | 1,883 | 1,540 |
|
Sarah A Groessl
1821 S Stoughton Rd |
$9.52 | 1,790 | 1,621 |
|
Michele M Martin
5249 E Terrace Dr |
$8.98 | 1,657 | 1,430 |
|
Janet Cushing
7102 Mineral Point Rd |
$7.66 | 1,540 | 1,255 |
|
Nicole Elizabeth Zindl
1025 Regent St |
$17.85 | 1,407 | 1,010 |
|
James E Bell
1025 Regent St |
$11.71 | 1,275 | 1,090 |
|
Amy L Walker
2830 Waunona Way |
$7.57 | 1,204 | 946 |
|
Mark A Kornaus
1821 S Stoughton Rd |
$8.66 | 1,067 | 835 |
|
Mitchell D Wolf
1025 Regent St |
$11.08 | 1,055 | 878 |
|
Andrew Hendrick
2880 University Ave |
$13.59 | 1,010 | 932 |
|
Richard W. Patterson
2880 University Ave |
$8.27 | 946 | 732 |
|
Bokaye M. Dietmeier
425 W Washington Ave Ste 100 |
$14.76 | 752 | 568 |
|
Kurt J Schuebel
752 N High Point Rd |
$18.73 | 688 | 582 |
|
Celeste K Jend
451 Junction Rd |
$4.21 | 628 | 438 |
|
Kevin D Kurt
2418 Crossroads Dr Ste 1900 |
$10.51 | 608 | 511 |
|
Ken Thue
7401 Mineral Point Rd |
$37.20 | 605 | 567 |
|
Marc B Webb
1821 S Stoughton Rd |
$10.59 | 566 | 464 |
|
Penny Sue Iverson-Ammeraal
2602 Shopko Dr |
$30.94 | 534 | 457 |
|
Ismael Rodriguez
4237 Lien Rd Ste E |
$25.67 | 488 | 473 |
|
Gordon Crabtree
2880 University Ave |
$35.45 | 447 | 430 |
|
Yasmin Bradfield
2880 University Ave |
$7.69 | 420 | 365 |
|
Alexander Roland Miranda
2880 University Ave |
$7.94 | 402 | 370 |
|
Timothy K. Ruder
1265 John Q Hammons Dr |
$11.31 | 320 | 305 |
|
Kallie A Harrier
2880 University Ave |
$8.25 | 280 | 236 |
|
Neil J Lucchese
1025 Regent St |
$8.01 | 268 | 232 |
|
Stephanie A Koss
6012 Gemini Dr |
$24.22 | 251 | 226 |
|
Rachel Skolaski Lutz
2418 Crossroads Dr Ste 1900 |
$15.36 | 185 | 175 |
|
Kathleen A Schildroth
600 Highland Ave |
$11.83 | 173 | 157 |
|
Laura Jean Kopplin
600 Highland Ave |
$17.47 | 139 | 129 |
|
Brady Haferman
1200 John Q Hammons Dr Ste 100 |
$13.82 | 134 | 134 |
|
Michael M Altaweel
2880 University Ave |
$15.81 | 128 | 100 |
|
Paul S. Jeppsen
University Of Wisconsin Hospital And Clinics |
$12.67 | 123 | 117 |
|
Yanjun Chen
2880 University Ave |
$11.74 | 113 | 98 |
|
Mihai Mititelu
2880 University Ave |
$7.33 | 102 | 78 |
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 Madison, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Madison, WI is $15.06 per claim, based on 107,476 claims from 72 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 Madison, WI?
There are 72 Medicaid providers offering Eye Exam related services in Madison, WI according to public payment data.
What is the price range for Eye Exam in Madison, WI?
Medicaid reimbursement for Eye Exam in Madison, WI ranges from $4.15 to $127.00 per claim, with an average of $15.06. 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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