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Based on public Medicaid payment data.

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
Gloria Ortiz

1900 S Jackson Rd Ste 1

$7.67 12 12
Roberto Olivarez

6900 N 10Th St

$0.00 17 15
Alfredo Lopez

2010 S Cynthia St Ste 110

$10.66 22 20
Alyssa R Garza

505 S Broadway St

$0.56 29 29
Clarissa Gonzales

2200 S 10Th St Ste B6

$0.00 35 33
Armando J Reyes

1400 E Ridge Rd Ste 10

$49.17 41 35
Scott L Helgeson

2200 S 10Th St Ste B6

$0.00 51 47
Rachel Ann Gelman

5201 N G St

$19.00 58 41
Nicholas Ralph Antoni

4000 N 10Th St Ste C

$11.47 62 62
Landon Lance Liska

5801 N 10Th St

$21.91 141 136
Jorge Antonio Montes

4500 N 10Th St Ste 100

$68.46 146 134
Shanna Jean Brown

1309 E Ridge Rd Ste 1

$49.83 157 155
Massala Prince Reffell

1309 E Ridge Rd Ste 1

$59.59 177 171
Marina Tijerina Villalobos

701 Yucca Ave

$77.50 355 343
Homero Perez

1309 E Ridge Rd Ste 1

$49.26 376 362
Aurelio Tijerina

1400 E Ridge Rd Ste 10

$18.03 391 357
Roberto A Arguello

1910 S 1St St

$44.33 609 525
Antonio Ramirez

4013 N 23Rd St Ste B

$33.71 646 644
Alireza Ghaffarieh

1309 E Ridge Rd Ste 1

$26.01 765 752
Raul Adrian Pena

1400 E Ridge Rd Ste 10

$14.35 822 764
Juan Carlos Arciniega

1309 E Ridge Rd

$23.25 1,108 1,067
Meenakshisundaram Subramanian

1309 E Ridge Rd Ste 1

$25.06 1,354 1,245
Claudia M Medina

505 S Broadway St

$28.50 1,741 1,727
Cooper M Clark

1309 E Ridge Rd

$12.64 1,751 1,605
Noorulain Shekoh

1309 E Ridge Rd Ste 1

$34.15 2,400 2,307
Sandra Ruby Flores

1400 E Ridge Rd Ste 10

$16.80 4,052 3,810
Errol Olwyn Grannum

1910 S 1St St

$15.40 4,200 4,026
Ana L Salinas

505 S Broadway St

$31.24 4,464 4,424
Nehal Rashmikant Patel

1309 East Ridge Road

$17.09 5,746 5,526
Victor Hugo Gonzalez

1309 E Ridge Road

$24.23 6,477 6,241
Richard L Gillett

520 S 10Th St

$35.51 7,305 6,895
Ronald Wayne Richardson

4000 N 10Th St Ste C

$24.49 9,198 8,881
Juan Everardo Cerda

317 S Broadway St

$37.98 22,428 21,617

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.

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