Average Medicaid Eye Exam Payments in Mcallen, TX: $29.12
Avg. Paid
$29.12
Range
$0.00 – $77.50
Total Claims
77,136
Providers
33
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 Mcallen, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Juan Everardo Cerda
317 S Broadway St |
$37.98 | 22,428 | 21,617 |
|
Ronald Wayne Richardson
4000 N 10Th St Ste C |
$24.49 | 9,198 | 8,881 |
|
Richard L Gillett
520 S 10Th St |
$35.51 | 7,305 | 6,895 |
|
Victor Hugo Gonzalez
1309 E Ridge Road |
$24.23 | 6,477 | 6,241 |
|
Nehal Rashmikant Patel
1309 East Ridge Road |
$17.09 | 5,746 | 5,526 |
|
Ana L Salinas
505 S Broadway St |
$31.24 | 4,464 | 4,424 |
|
Errol Olwyn Grannum
1910 S 1St St |
$15.40 | 4,200 | 4,026 |
|
Sandra Ruby Flores
1400 E Ridge Rd Ste 10 |
$16.80 | 4,052 | 3,810 |
|
Noorulain Shekoh
1309 E Ridge Rd Ste 1 |
$34.15 | 2,400 | 2,307 |
|
Cooper M Clark
1309 E Ridge Rd |
$12.64 | 1,751 | 1,605 |
|
Claudia M Medina
505 S Broadway St |
$28.50 | 1,741 | 1,727 |
|
Meenakshisundaram Subramanian
1309 E Ridge Rd Ste 1 |
$25.06 | 1,354 | 1,245 |
|
Juan Carlos Arciniega
1309 E Ridge Rd |
$23.25 | 1,108 | 1,067 |
|
Raul Adrian Pena
1400 E Ridge Rd Ste 10 |
$14.35 | 822 | 764 |
|
Alireza Ghaffarieh
1309 E Ridge Rd Ste 1 |
$26.01 | 765 | 752 |
|
Antonio Ramirez
4013 N 23Rd St Ste B |
$33.71 | 646 | 644 |
|
Roberto A Arguello
1910 S 1St St |
$44.33 | 609 | 525 |
|
Aurelio Tijerina
1400 E Ridge Rd Ste 10 |
$18.03 | 391 | 357 |
|
Homero Perez
1309 E Ridge Rd Ste 1 |
$49.26 | 376 | 362 |
|
Marina Tijerina Villalobos
701 Yucca Ave |
$77.50 | 355 | 343 |
|
Massala Prince Reffell
1309 E Ridge Rd Ste 1 |
$59.59 | 177 | 171 |
|
Shanna Jean Brown
1309 E Ridge Rd Ste 1 |
$49.83 | 157 | 155 |
|
Jorge Antonio Montes
4500 N 10Th St Ste 100 |
$68.46 | 146 | 134 |
|
Landon Lance Liska
5801 N 10Th St |
$21.91 | 141 | 136 |
|
Nicholas Ralph Antoni
4000 N 10Th St Ste C |
$11.47 | 62 | 62 |
|
Rachel Ann Gelman
5201 N G St |
$19.00 | 58 | 41 |
|
Scott L Helgeson
2200 S 10Th St Ste B6 |
$0.00 | 51 | 47 |
|
Armando J Reyes
1400 E Ridge Rd Ste 10 |
$49.17 | 41 | 35 |
|
Clarissa Gonzales
2200 S 10Th St Ste B6 |
$0.00 | 35 | 33 |
|
Alyssa R Garza
505 S Broadway St |
$0.56 | 29 | 29 |
|
Alfredo Lopez
2010 S Cynthia St Ste 110 |
$10.66 | 22 | 20 |
|
Roberto Olivarez
6900 N 10Th St |
$0.00 | 17 | 15 |
|
Gloria Ortiz
1900 S Jackson Rd Ste 1 |
$7.67 | 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 Mcallen, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Mcallen, TX is $29.12 per claim, based on 77,136 claims from 33 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 Mcallen, TX?
There are 33 Medicaid providers offering Eye Exam related services in Mcallen, TX according to public payment data.
What is the price range for Eye Exam in Mcallen, TX?
Medicaid reimbursement for Eye Exam in Mcallen, TX ranges from $0.00 to $77.50 per claim, with an average of $29.12. 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
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Los Angeles, CA
Avg $18.49
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Bronx, NY
Avg $51.98
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San Diego, CA
Avg $18.12
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Las Vegas, NV
Avg $34.73
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Flushing, NY
Avg $55.73
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