Average Medicaid Eye Exam Payments in Milwaukee, WI: $26.32
Avg. Paid
$26.32
Range
$0.00 – $73.96
Total Claims
307,186
Providers
87
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 Milwaukee, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James C Robinson
925 N 87Th St |
$5.67 | 12 | 12 |
|
Jennifer Oluyemisi Adeghate
925 N 87Th St |
$18.66 | 12 | 12 |
|
Dennis Han
925 N 87Th St |
$7.57 | 12 | 12 |
|
Paul J Guenveur
3631 W Oklahoma Ave |
$40.47 | 12 | 12 |
|
Edward A. Braza
3003 W Good Hope Rd |
$26.77 | 15 | 12 |
|
Jacquelyn Laplant
925 N 87Th St |
$41.48 | 17 | 14 |
|
Eye Physician Associates, S.C.
4300 W. Layton Ave |
$2.74 | 22 | 13 |
|
Robert William Bjerregaard
2801 W Kinnickinnic River Pkwy Ste 140 |
$14.06 | 33 | 25 |
|
Sang H Hong
925 N 87Th St |
$12.00 | 36 | 28 |
|
Mark Martin Konyn
815 N Cass St |
$0.00 | 40 | 25 |
|
Vaugn Schneider
2134 S Kinnickinnic Avenue |
$0.00 | 58 | 39 |
|
Geoffrey Owen Wilkes
925 N 87Th St |
$14.49 | 67 | 55 |
|
Jeffrey Ward Kalenak
2600 N Mayfair Rd |
$6.52 | 76 | 38 |
|
Visionworks, Inc.
7425 W. Appleton Ave. |
$0.00 | 78 | 75 |
|
John David Suson
925 N 87Th St |
$13.94 | 82 | 62 |
|
Jay A Heilmann
1684 N Prospect Ave |
$6.54 | 95 | 76 |
|
Fred M Shafrin
5150 N Port Washington Rd |
$8.93 | 106 | 96 |
|
Jourdan Danielle Valkner Krause
925 N 87Th St |
$11.29 | 127 | 112 |
|
Emmylou Swartz
5000 W National Ave |
$6.38 | 154 | 114 |
|
Carleigh Nicole Bruce
925 N 87Th St |
$14.64 | 166 | 161 |
|
Heather Marie Hinson
912 N Hawley Rd |
$17.53 | 169 | 133 |
|
Mckenna Rae Yahr
9000 W Wisconsin Ave |
$7.63 | 180 | 167 |
|
Deborah Costakos
9000 W Wisconsin Ave |
$9.18 | 199 | 192 |
|
Amrita-Amanda Devi Vuppala
925 N 87Th St |
$15.35 | 215 | 196 |
|
Katharine Denius
1684 N Prospect Ave |
$10.86 | 216 | 156 |
|
Karen Merkle
3925 S 76Th St |
$23.98 | 242 | 225 |
|
Terance Chi
1672 S 9Th St |
$0.50 | 258 | 94 |
|
Mohammad Ziad Nwilati
3727 W Wisconsin Ave |
$18.10 | 303 | 256 |
|
Todd M Yackels
2950 S Chase Ave |
$17.70 | 326 | 292 |
|
Michael T Rissell
2801 W Kinnickinnic River Pkwy |
$14.30 | 341 | 294 |
|
Ryan Dennis Walsh
9200 W Wisconsin Ave |
$13.34 | 345 | 303 |
|
Edward M Barnett
925 N 87Th St |
$9.60 | 352 | 312 |
|
Stephen Mark Waclawski
5312 S 27Th St |
$19.86 | 355 | 260 |
|
Thomas A Gardner
2801 W Kinnickinnic Pkwy |
$13.29 | 356 | 308 |
|
Heather A Stiff
9000 W Wisconsin Ave |
$14.90 | 404 | 351 |
|
Charles B Yang
2801 W Kinnickinnic River Pkwy Ste 140 |
$13.16 | 420 | 334 |
|
Alexandra Jane Beachnau
925 N 87Th St |
$6.29 | 445 | 347 |
|
Lance Engdahl
7425 W. Appleton Avenue |
$39.12 | 452 | 410 |
|
David J Weis
1684 N Prospect Ave |
$6.65 | 476 | 373 |
|
Iris Kassem
9000 W Wisconsin Ave |
$9.05 | 503 | 481 |
|
Anna N. Hetzer
1032 S Cesar E Chavez Dr |
$9.83 | 506 | 369 |
|
Vision Mart Inc
12000 W Carmen Ave |
$11.52 | 601 | 597 |
|
Smith Ann Meile Chisholm
9000 W Wisconsin Ave |
$9.05 | 648 | 559 |
|
Janice Fan Smith
3925 S 76Th St |
$24.34 | 659 | 584 |
|
Jacob Samuel Martin
9000 W Wisconsin Ave |
$8.57 | 694 | 619 |
|
Jay A. Met
2600 N Mayfair Rd |
$18.04 | 765 | 664 |
|
Herslof'S, Inc
12000 W Carmen Ave |
$7.21 | 779 | 779 |
|
Scott E Robison
925 N 87Th St |
$6.60 | 795 | 588 |
|
Charles Mccanna
2500 W Layton Ave |
$13.45 | 818 | 719 |
|
Joon-Bom Kim
925 N 87Th St |
$15.62 | 829 | 729 |
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 Milwaukee, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Milwaukee, WI is $26.32 per claim, based on 307,186 claims from 87 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 Milwaukee, WI?
There are 87 Medicaid providers offering Eye Exam related services in Milwaukee, WI according to public payment data.
What is the price range for Eye Exam in Milwaukee, WI?
Medicaid reimbursement for Eye Exam in Milwaukee, WI ranges from $0.00 to $73.96 per claim, with an average of $26.32. 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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Avg $12.08
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Avg $50.47
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Avg $64.11
3,433,334 claims
Behavioral & Mental Health Therapy
Avg $97.09
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Avg $88.79
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Avg $5.82
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Avg $31.00
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Avg $7.57
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