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Based on public Medicaid payment data.

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
Linda Rivera

Policlinica Bella Vista 201

$12.34 62 42
Hamed Emilio Santaella

61 Mendez Vigo St East

$53.11 148 133
Paola Enid Rivera

Calle Zafiro 4 Urb. Vista Verde

$46.83 172 170
Ophthalmic Solutions, P.S.C.

5 Calle Peral N

$37.80 303 293
Maritza Lopez Rodriguez

975 Ave Hostos

$15.01 319 243
Debbie Ann Medina Gonzalez

Edificio Medical Emporium Suite 107

$29.54 321 307
Melissa Natali Vazquez

17 Calle Peral N

$22.56 345 272
Yamil Guzman

975 Ave Hostos

$27.69 498 491
West Eye Specialists, Llc

#2625 Ave Hostos

$32.91 509 482
Migrant Health Center Western Region, Inc.

Calle Ramon Emeterio Betances 497 Cond Bldg

$0.00 687 687
Yolanda Nieves

Office Park 1 Suite 206

$32.07 816 490
Zulmaris Torres

975 Ave Hostos Ste 2100

$5.76 2,049 1,961
Fernando Guillermo Salazar

De Diego # 64 Este

$47.64 2,159 1,969
Janice Justiniano

109 Mendez Vigo E

$55.41 2,436 2,163
Luis M. Cruz Cruz

55 Calle Dr Basora N

$58.18 2,785 2,559
Hector E Ibanez

14 Calle De Diego E

$49.67 3,524 3,032
Melinda Montesinos Huerfanos

Calle De Diego E # 53

$26.51 3,567 3,329
Rodolfo Del Toro Colberg

Calle De Diego E # 115

$58.82 3,616 3,145
Ricardo Miguel Santaella

Esquina Calle Del Rio

$53.11 4,294 3,829
Roberto F Garcia

Sn Calle Peral

$42.62 5,093 4,486
Betsy Gisselle Colon-Acevedo

2625 Ave Hostos Ste 1

$41.27 7,162 6,789
Manuel J Morell Agrinsoni

Edif Frontera E

$28.69 7,529 7,301
Ramon Noe Ramirez

Cond. El Castillo

$19.64 7,883 6,978
Juan Carlos Almodovar

48 Urb La Rueda

$33.01 13,617 12,358
Norma R Santiago

Calle De Diego 66 Este

$28.29 18,290 17,430
Jorge Luis Rivera

75 Norte Calle Ramon E Betances Esq Morell Campos

$40.05 19,044 17,212
Irvin Collado Rosas

16 Calle Nelson Perea

$19.08 19,843 16,702
Alberto A Guardiola

2625 Ave Hostos

$42.57 21,313 19,866
Lynette M Baez Torres

Hosp. San Anton Io

$34.05 30,315 22,998

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.

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