Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Madison, WI: $15.06

Avg. Paid

$15.06

Range

$4.15 – $127.00

Total Claims

107,476

Providers

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
Thomas Steinhauer 2639 University Ave	$4.15	12	12
Shoptikal Llc 3868 E Washington Ave Ste F	$44.54	12	12
Emerson Kendall 525 E Main St Apt 306	$38.46	12	12
Callie Mp Maursetter 3225 E Washington Ave	$8.97	12	12
Andrew Thomas Steinhauer 2639 University Ave	$8.54	15	13
Susie C Drake 2880 University Ave	$30.55	19	14
Stephanie Mccaig 1 West Towne Mall	$25.35	26	26
Jacob Evans Uw Hospitals & Clinics 600 Highland Ave	$6.99	28	27
Ashley E. Neiweem 1821 S Stoughton Rd	$6.59	33	24
Stephen J Sramek 1025 Regent St	$5.72	45	39
Roomasa Channa 2880 University Ave	$12.55	47	38
Neil H Farbman 1025 Regent St	$15.43	50	43
James H Bardenwerper 1821 S Stoughton Rd	$6.68	53	35
Claire Cordoba 1200 John Q Hammons Dr Ste 100	$14.69	54	54
Kimberly E Stepien 2880 University Ave	$10.88	58	49
Jingping Xu 750 Hilldale Way	$13.71	66	55
Rachel Bushey 1025 Regent St	$12.25	68	66
John D Geanon 1025 Regent St	$16.19	72	55
Brian Steinhauer 2639 University Ave	$15.99	72	52
Shahed Yunus Ghoghawala 1025 Regent St	$42.95	74	72
Jonathan Garcia Julian 4237 Lien Rd Ste E	$15.01	88	78
Peter Nadim Youssef 2880 University Ave	$127.00	99	99
Mihai Mititelu 2880 University Ave	$7.33	102	78
Yanjun Chen 2880 University Ave	$11.74	113	98
Paul S. Jeppsen University Of Wisconsin Hospital And Clinics	$12.67	123	117
Michael M Altaweel 2880 University Ave	$15.81	128	100
Brady Haferman 1200 John Q Hammons Dr Ste 100	$13.82	134	134
Laura Jean Kopplin 600 Highland Ave	$17.47	139	129
Kathleen A Schildroth 600 Highland Ave	$11.83	173	157
Rachel Skolaski Lutz 2418 Crossroads Dr Ste 1900	$15.36	185	175
Stephanie A Koss 6012 Gemini Dr	$24.22	251	226
Neil J Lucchese 1025 Regent St	$8.01	268	232
Kallie A Harrier 2880 University Ave	$8.25	280	236
Timothy K. Ruder 1265 John Q Hammons Dr	$11.31	320	305
Alexander Roland Miranda 2880 University Ave	$7.94	402	370
Yasmin Bradfield 2880 University Ave	$7.69	420	365
Gordon Crabtree 2880 University Ave	$35.45	447	430
Ismael Rodriguez 4237 Lien Rd Ste E	$25.67	488	473
Penny Sue Iverson-Ammeraal 2602 Shopko Dr	$30.94	534	457
Marc B Webb 1821 S Stoughton Rd	$10.59	566	464
Ken Thue 7401 Mineral Point Rd	$37.20	605	567
Kevin D Kurt 2418 Crossroads Dr Ste 1900	$10.51	608	511
Celeste K Jend 451 Junction Rd	$4.21	628	438
Kurt J Schuebel 752 N High Point Rd	$18.73	688	582
Bokaye M. Dietmeier 425 W Washington Ave Ste 100	$14.76	752	568
Richard W. Patterson 2880 University Ave	$8.27	946	732
Andrew Hendrick 2880 University Ave	$13.59	1,010	932
Mitchell D Wolf 1025 Regent St	$11.08	1,055	878
Mark A Kornaus 1821 S Stoughton Rd	$8.66	1,067	835
Amy L Walker 2830 Waunona Way	$7.57	1,204	946

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.

Average Medicaid Eye Exam Payments in Madison, WI: $15.06

Providers Offering Eye Exam in Madison, WI

What to Expect: Eye Exam

Cost Components

Frequently Asked Questions

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