Average Medicaid Eye Exam Payments in Merrillville, IN: $43.63
Avg. Paid
$43.63
Range
$7.86 – $70.33
Total Claims
161,213
Providers
37
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 Merrillville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Justin William Kucsera
70 E 68Th Pl |
$48.66 | 29,837 | 27,905 |
|
Angela Fauth
70 E 68Th Pl |
$53.13 | 13,293 | 12,708 |
|
Virginia Bonilla
70 E 68Th Pl |
$53.39 | 11,037 | 10,445 |
|
Sara Fitzgerald Cubenas
70 E 68Th Pl |
$56.53 | 9,930 | 9,470 |
|
Alyssa Nicole Grkinich
70 E 68Th Pl |
$56.34 | 9,656 | 9,193 |
|
Robert Joseph Moses
70 E 68Th Pl |
$54.75 | 9,460 | 9,035 |
|
Christopher George Holstead
2300 Southlake Mall |
$42.05 | 8,713 | 8,632 |
|
Jeffrey Allen Troup
7211 Taft St |
$49.75 | 7,081 | 6,510 |
|
Svetlana Pekovic
1601 E 80Th Ave |
$27.23 | 7,052 | 6,974 |
|
James Arthur Eadie
8679 Connecticut St Ste A |
$20.20 | 5,809 | 5,207 |
|
Sahana Vyas
8679 Connecticut Street |
$18.73 | 5,776 | 5,165 |
|
Jennifer Lynn Kohn
70 E 68Th Pl |
$53.45 | 5,267 | 5,016 |
|
Joel Eric Chasan
8679 Connecticut Street |
$18.00 | 4,231 | 3,706 |
|
Michael Ryan Kelley
2936 E 79Th Ave |
$22.71 | 4,008 | 2,921 |
|
Alexander H Kouklakis
2294 W 81St Ave |
$49.57 | 3,882 | 3,348 |
|
Jeffrey Lynn Nelson
303 W 89Th Ave |
$25.72 | 3,662 | 3,224 |
|
Mark Edward Allmaras
2212 Southlake Mall |
$9.20 | 3,391 | 2,336 |
|
Richard Mark Lipman
8679 Connecticut St |
$14.35 | 2,792 | 2,334 |
|
John Peter Czaja
8100 Broadway |
$45.84 | 2,268 | 2,163 |
|
Miklos Balogh
279 W 80Th Pl |
$54.87 | 2,234 | 2,019 |
|
Christine Eshak
70 E 68Th Pl |
$54.60 | 2,066 | 2,020 |
|
Robert W Moses O.D. Professional Corporation
70 E 68Th Pl |
$70.33 | 1,982 | 1,938 |
|
Jamie Taffora
303 W 89Th Ave |
$27.62 | 1,835 | 1,644 |
|
David G. Gross
303 W 89Th Ave |
$17.13 | 1,194 | 777 |
|
Robert William Moses
70 E 68Th Pl |
$45.63 | 1,179 | 1,127 |
|
Christopher David Pelzek
8679 Connecticut St |
$19.97 | 1,146 | 1,049 |
|
Dennis Jahovic
2621 East U.S. 30 |
$39.64 | 579 | 557 |
|
Veronica Ralick
2212 Southlake Mall |
$45.13 | 511 | 472 |
|
Manpreet Kaur Shahi
1908 Southlake Mall |
$50.39 | 335 | 325 |
|
Raul Guevara
521 E 86Th Ave Ste Z |
$27.98 | 282 | 232 |
|
Francia Baez
70 E 68Th Pl |
$63.66 | 197 | 190 |
|
Kim Uyen Vo
3134 E 79Th Ave |
$18.24 | 186 | 183 |
|
Aaditya Vijay Shah
8895 Broadway |
$19.53 | 157 | 148 |
|
Reham Adel Baghdady
279 W 80Th Pl |
$7.86 | 93 | 75 |
|
Sydney Royale Jenkins
2294 W Lincoln Hwy |
$46.49 | 55 | 52 |
|
William Louis Conte
200 E 89Th Ave # B |
$11.26 | 22 | 14 |
|
Varun Malhotra
303 W 89Th Ave |
$8.51 | 15 | 14 |
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 Merrillville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Merrillville, IN is $43.63 per claim, based on 161,213 claims from 37 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 Merrillville, IN?
There are 37 Medicaid providers offering Eye Exam related services in Merrillville, IN according to public payment data.
What is the price range for Eye Exam in Merrillville, IN?
Medicaid reimbursement for Eye Exam in Merrillville, IN ranges from $7.86 to $70.33 per claim, with an average of $43.63. 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
Other Procedures in Merrillville, IN
Substance Abuse Treatment
Avg $47.16
798,378 claims
Office Visit
Avg $54.67
626,977 claims
Blood Work & Lab Tests
Avg $5.00
262,934 claims
Psychiatric Evaluation
Avg $70.12
234,092 claims
Physical Therapy
Avg $35.48
134,950 claims
Durable Medical Equipment (DME)
Avg $28.49
111,037 claims
Nursing Facility Care
Avg $10.54
87,122 claims
EKG / ECG (Electrocardiogram)
Avg $8.42
72,379 claims