Average Medicaid Eye Exam Payments in Mayaguez, PR: $34.47
Avg. Paid
$34.47
Range
$0.00 – $58.82
Total Claims
178,699
Providers
29
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 Mayaguez, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lynette M Baez Torres
Hosp. San Anton Io |
$34.05 | 30,315 | 22,998 |
|
Alberto A Guardiola
2625 Ave Hostos |
$42.57 | 21,313 | 19,866 |
|
Irvin Collado Rosas
16 Calle Nelson Perea |
$19.08 | 19,843 | 16,702 |
|
Jorge Luis Rivera
75 Norte Calle Ramon E Betances Esq Morell Campos |
$40.05 | 19,044 | 17,212 |
|
Norma R Santiago
Calle De Diego 66 Este |
$28.29 | 18,290 | 17,430 |
|
Juan Carlos Almodovar
48 Urb La Rueda |
$33.01 | 13,617 | 12,358 |
|
Ramon Noe Ramirez
Cond. El Castillo |
$19.64 | 7,883 | 6,978 |
|
Manuel J Morell Agrinsoni
Edif Frontera E |
$28.69 | 7,529 | 7,301 |
|
Betsy Gisselle Colon-Acevedo
2625 Ave Hostos Ste 1 |
$41.27 | 7,162 | 6,789 |
|
Roberto F Garcia
Sn Calle Peral |
$42.62 | 5,093 | 4,486 |
|
Ricardo Miguel Santaella
Esquina Calle Del Rio |
$53.11 | 4,294 | 3,829 |
|
Rodolfo Del Toro Colberg
Calle De Diego E # 115 |
$58.82 | 3,616 | 3,145 |
|
Melinda Montesinos Huerfanos
Calle De Diego E # 53 |
$26.51 | 3,567 | 3,329 |
|
Hector E Ibanez
14 Calle De Diego E |
$49.67 | 3,524 | 3,032 |
|
Luis M. Cruz Cruz
55 Calle Dr Basora N |
$58.18 | 2,785 | 2,559 |
|
Janice Justiniano
109 Mendez Vigo E |
$55.41 | 2,436 | 2,163 |
|
Fernando Guillermo Salazar
De Diego # 64 Este |
$47.64 | 2,159 | 1,969 |
|
Zulmaris Torres
975 Ave Hostos Ste 2100 |
$5.76 | 2,049 | 1,961 |
|
Yolanda Nieves
Office Park 1 Suite 206 |
$32.07 | 816 | 490 |
|
Migrant Health Center Western Region, Inc.
Calle Ramon Emeterio Betances 497 Cond Bldg |
$0.00 | 687 | 687 |
|
West Eye Specialists, Llc
#2625 Ave Hostos |
$32.91 | 509 | 482 |
|
Yamil Guzman
975 Ave Hostos |
$27.69 | 498 | 491 |
|
Melissa Natali Vazquez
17 Calle Peral N |
$22.56 | 345 | 272 |
|
Debbie Ann Medina Gonzalez
Edificio Medical Emporium Suite 107 |
$29.54 | 321 | 307 |
|
Maritza Lopez Rodriguez
975 Ave Hostos |
$15.01 | 319 | 243 |
|
Ophthalmic Solutions, P.S.C.
5 Calle Peral N |
$37.80 | 303 | 293 |
|
Paola Enid Rivera
Calle Zafiro 4 Urb. Vista Verde |
$46.83 | 172 | 170 |
|
Hamed Emilio Santaella
61 Mendez Vigo St East |
$53.11 | 148 | 133 |
|
Linda Rivera
Policlinica Bella Vista 201 |
$12.34 | 62 | 42 |
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 Mayaguez, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Mayaguez, PR is $34.47 per claim, based on 178,699 claims from 29 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 Mayaguez, PR?
There are 29 Medicaid providers offering Eye Exam related services in Mayaguez, PR according to public payment data.
What is the price range for Eye Exam in Mayaguez, PR?
Medicaid reimbursement for Eye Exam in Mayaguez, PR ranges from $0.00 to $58.82 per claim, with an average of $34.47. 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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