Average Medicaid Eye Exam Payments in Mishawaka, IN: $49.20
Avg. Paid
$49.20
Range
$16.91 – $68.87
Total Claims
112,254
Providers
32
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 Mishawaka, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Healthlinc, Inc.
420 W 4Th St |
$16.91 | 12 | 12 |
|
Christian Matthew Briggs
4330 Edison Lakes Pkwy Ste A |
$17.05 | 16 | 12 |
|
Adeela Masood Alizai
3809 N Main St Ste 100B |
$21.73 | 36 | 28 |
|
Joshua S Conner
230 E Day Rd Ste 100 |
$20.26 | 39 | 38 |
|
David R Imes
611 E Douglas Rd |
$40.98 | 41 | 39 |
|
Sayf Al-Khazraji
420 W 4Th St |
$58.47 | 103 | 101 |
|
Richard D Weiss
230 E Day Rd |
$56.09 | 130 | 130 |
|
Patrick Marty Korman
4330 Edison Lakes Pkwy Ste A |
$36.52 | 212 | 210 |
|
Center For Eye-Care Excellence Llc
517 Lincolnway E |
$60.13 | 288 | 270 |
|
Kevin A Danahey
230 E Day Rd |
$26.21 | 364 | 314 |
|
Midwest Eye Consultants, P.C.
328 S Main St |
$59.17 | 380 | 311 |
|
Robert Charles Binkley
1540 Trinity Pl |
$49.94 | 424 | 362 |
|
Lindsey Jon Kintner
517 Lincoln Way E |
$38.62 | 443 | 427 |
|
Myeyedr Optometry Of Indiana, Llc
5111 N Main St # 200 |
$63.30 | 448 | 440 |
|
Philip Kurochkin
303 S Main St Ste 215 |
$21.56 | 588 | 535 |
|
Frank C Wang
230 E Day Rd Ste 100 |
$64.59 | 746 | 718 |
|
Laura Anne Cavadini
230 E Day Rd Ste 100 |
$19.52 | 819 | 695 |
|
Kirstin P Rhinehart
517 Lincolnway E |
$28.51 | 921 | 830 |
|
Charles E Shearer
517 Lincolnway E |
$43.18 | 1,506 | 1,323 |
|
Michiana Eye Center Llc
230 E Day Rd |
$68.87 | 2,403 | 2,318 |
|
Kevin Ray Baxter
230 E Day Rd |
$39.47 | 4,195 | 3,780 |
|
Timothy H. Blankenbeker
230 E Day Rd Ste 100 |
$43.78 | 5,732 | 5,183 |
|
Hasan A Salam
230 E Day Rd Ste 100 |
$50.63 | 5,745 | 5,248 |
|
Pamela M Wise
230 E Day Rd |
$41.92 | 5,753 | 4,979 |
|
Patrick Albert
5325 Grape Rd |
$52.71 | 6,665 | 6,260 |
|
Lauren Sanchez
230 E Day Rd |
$43.85 | 7,978 | 7,261 |
|
Shannon Avena
5111 N Main St Ste 200 |
$55.84 | 8,421 | 7,235 |
|
Andrew R Anderson
230 E Day Rd |
$48.08 | 8,597 | 7,520 |
|
David Phillip Sonnenburg
230 E Day Rd Ste 100 |
$48.99 | 9,674 | 8,814 |
|
Stephanie Marie Baxter
230 E Day Rd |
$45.12 | 9,826 | 8,929 |
|
Matthew Gifford
5111 N Main St Reet |
$55.12 | 14,536 | 13,477 |
|
Shannan Elizabeth Brown
230 E Day Rd Ste 100 |
$52.36 | 15,213 | 14,096 |
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 Mishawaka, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Mishawaka, IN is $49.20 per claim, based on 112,254 claims from 32 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 Mishawaka, IN?
There are 32 Medicaid providers offering Eye Exam related services in Mishawaka, IN according to public payment data.
What is the price range for Eye Exam in Mishawaka, IN?
Medicaid reimbursement for Eye Exam in Mishawaka, IN ranges from $16.91 to $68.87 per claim, with an average of $49.20. 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 Mishawaka, IN
Office Visit
Avg $54.11
452,845 claims
Blood Work & Lab Tests
Avg $8.62
267,352 claims
X-Ray
Avg $12.03
188,989 claims
Psychiatric Evaluation
Avg $62.49
117,424 claims
Emergency Room Visit
Avg $111.42
113,054 claims
Physical Therapy
Avg $27.36
78,745 claims
Speech Therapy
Avg $47.97
78,198 claims
CT Scan (Computed Tomography)
Avg $42.14
69,062 claims