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 |
|---|---|---|---|
|
Froedtert Memorial Lutheran Hospital, Inc.
9200 W Wisconsin Ave |
$32.45 | 100,945 | 86,089 |
|
Children'S Hospital Of Wisconsin, Inc.
9000 W Wisconsin Ave |
$4.12 | 34,885 | 33,370 |
|
D'Lisa Yvette Patterson
130 E Capitol Dr |
$59.65 | 27,704 | 26,043 |
|
Robert M Blankenbehler
12000 W Carmen Ave |
$7.83 | 17,333 | 16,837 |
|
Aparna Ramasubramanian
9000 W Wisconsin Ave |
$73.96 | 17,074 | 16,609 |
|
Michael Raciti
10150 W National Ave |
$18.32 | 11,189 | 8,210 |
|
Charles Engelbrecht
7878 N 76Th St |
$17.76 | 7,978 | 6,911 |
|
Alicia Marie Chacon
925 N 87Th St |
$10.17 | 7,427 | 6,716 |
|
Nicholas H. Tosi
2600 N Mayfair Rd Ste 901 |
$12.18 | 5,297 | 4,274 |
|
Beth N. Healy
9000 W Wisconsin Ave |
$11.13 | 4,975 | 4,001 |
|
John E Conto
925 N 87Th St |
$10.96 | 4,876 | 3,970 |
|
Jane A Bachman Groth
925 N 87Th St |
$7.96 | 4,782 | 3,721 |
|
Paul R Herzfeld
2315 N Lake Dr |
$5.20 | 4,409 | 4,196 |
|
Kent A. Haefs
3003 W Good Hope Rd |
$13.07 | 3,572 | 3,086 |
|
Sharath C Raja
2600 N Mayfair Rd |
$12.32 | 3,242 | 2,599 |
|
Kaitlin A Philipsen
7878 N 76Th St |
$20.38 | 3,210 | 2,861 |
|
Vijayalakshmi L D Vadrevu
2801 W Kinnickinnic River Pkwy Ste 140 |
$20.20 | 3,210 | 2,731 |
|
Alexander Joseph Khammar
9000 W Wisconsin Ave |
$9.23 | 2,793 | 2,588 |
|
Baseer Ul-Anwar Ahmad
925 N 87Th St |
$11.79 | 2,156 | 1,691 |
|
Christopher S Envani
3355 S 27Th St |
$47.11 | 2,096 | 1,979 |
|
Myron E. Praeger
3003 W Good Hope Rd |
$11.63 | 2,014 | 1,663 |
|
Craig Hicks
3500 S 27Th St |
$33.18 | 1,869 | 1,715 |
|
Marc D Hirsch
2801 W Kinnickinnic River Pkwy |
$10.13 | 1,829 | 1,456 |
|
Darwin Walter Chentnik
3800 S. 27Th St. |
$26.48 | 1,813 | 1,629 |
|
Jason Nathaniel Edmonds
1684 N Prospect Ave |
$8.50 | 1,580 | 1,116 |
|
Nicholas J Frame
1684 N Prospect Ave |
$9.97 | 1,420 | 1,004 |
|
Susiani Intan
2801 W Kinnickinnic River Pkwy |
$12.61 | 1,332 | 1,109 |
|
Thomas B Connor
925 N 87Th St |
$12.46 | 1,319 | 1,029 |
|
Monica Paola Gonzalez-Collazo
925 N 87Th St |
$57.91 | 1,317 | 697 |
|
Lincoln Shaw
2600 N Mayfair Rd Ste 901 |
$14.75 | 1,267 | 958 |
|
Pedram Pourhosseini
925 N 87Th St |
$9.72 | 1,218 | 996 |
|
Aurora Health Care Metro, Inc.
2900 W Oklahoma Ave |
$15.66 | 1,194 | 1,069 |
|
Michael Waclawski
5312 S 27Th St |
$20.42 | 1,111 | 891 |
|
Jonathan M Hershey
2600 N Mayfair Rd Ste 901 |
$9.14 | 1,088 | 834 |
|
David V Weinberg
925 N 87Th St |
$9.65 | 946 | 873 |
|
Rosemarie M Brueggeman
2801 W Kinnickinnic River Pkwy |
$9.75 | 937 | 702 |
|
William Wirostko
925 N 87Th St |
$9.99 | 908 | 804 |
|
Joon-Bom Kim
925 N 87Th St |
$15.62 | 829 | 729 |
|
Charles Mccanna
2500 W Layton Ave |
$13.45 | 818 | 719 |
|
Scott E Robison
925 N 87Th St |
$6.60 | 795 | 588 |
|
Herslof'S, Inc
12000 W Carmen Ave |
$7.21 | 779 | 779 |
|
Jay A. Met
2600 N Mayfair Rd |
$18.04 | 765 | 664 |
|
Jacob Samuel Martin
9000 W Wisconsin Ave |
$8.57 | 694 | 619 |
|
Janice Fan Smith
3925 S 76Th St |
$24.34 | 659 | 584 |
|
Smith Ann Meile Chisholm
9000 W Wisconsin Ave |
$9.05 | 648 | 559 |
|
Vision Mart Inc
12000 W Carmen Ave |
$11.52 | 601 | 597 |
|
Anna N. Hetzer
1032 S Cesar E Chavez Dr |
$9.83 | 506 | 369 |
|
Iris Kassem
9000 W Wisconsin Ave |
$9.05 | 503 | 481 |
|
David J Weis
1684 N Prospect Ave |
$6.65 | 476 | 373 |
|
Lance Engdahl
7425 W. Appleton Avenue |
$39.12 | 452 | 410 |
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
6,063,751 claims
Office Visit
Avg $50.47
5,280,772 claims
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Avg $64.11
3,433,334 claims
Behavioral & Mental Health Therapy
Avg $97.09
2,167,359 claims
Case Management Services
Avg $88.79
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X-Ray
Avg $5.82
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Avg $31.00
1,562,867 claims
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Avg $7.57
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