Average Medicaid Eye Exam Payments in Mount Vernon, NY: $53.79
Avg. Paid
$53.79
Range
$0.43 – $89.31
Total Claims
36,634
Providers
11
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 Mount Vernon, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Momina Ahmed Shaikh
51 E Prospect Ave |
$60.25 | 69 | 69 |
|
Vivid Vision Optometry Pllc
500 E Sandford Blvd |
$0.43 | 93 | 80 |
|
Mount Vernon Optometry Associates, Pc
105 Stevens Ave |
$56.11 | 98 | 98 |
|
Milton Delerme
107 West 4Th Street |
$20.18 | 160 | 159 |
|
Michael David Boron
107 West 4Th Street |
$44.02 | 241 | 236 |
|
Paul Mario Mignone
202 Stevens Ave |
$89.31 | 1,355 | 1,336 |
|
Carolyn Mohedano-Craner
105 Stevens Ave |
$54.60 | 3,411 | 3,386 |
|
Amir Yamani
153 Stevens Ave |
$65.81 | 3,786 | 3,699 |
|
Ravi Radhakrishnan
559 Gramatan Ave Ste 202 |
$27.31 | 5,103 | 4,848 |
|
Garren Craner
105 Stevens Ave |
$47.96 | 9,401 | 9,240 |
|
Maryam Yamani
153 Stevens Ave |
$61.97 | 12,917 | 12,848 |
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 Mount Vernon, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Mount Vernon, NY is $53.79 per claim, based on 36,634 claims from 11 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 Mount Vernon, NY?
There are 11 Medicaid providers offering Eye Exam related services in Mount Vernon, NY according to public payment data.
What is the price range for Eye Exam in Mount Vernon, NY?
Medicaid reimbursement for Eye Exam in Mount Vernon, NY ranges from $0.43 to $89.31 per claim, with an average of $53.79. 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
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Avg $51.98
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San Diego, CA
Avg $18.12
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Las Vegas, NV
Avg $34.73
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Flushing, NY
Avg $55.73
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