Average Medicaid Eye Exam Payments in Naperville, IL: $30.66
Avg. Paid
$30.66
Range
$16.68 – $73.71
Total Claims
93,900
Providers
31
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 Naperville, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark C Rafferty
29 S Webster St |
$18.41 | 14 | 14 |
|
Shruti Patwa
823 Beaumont Dr Apt 108 |
$44.40 | 36 | 31 |
|
Janet Lin Lehr
1852 Bay Scott Cir |
$45.00 | 37 | 26 |
|
Stephen P. Steinmetz
1000 E Ogden Ave |
$31.85 | 56 | 56 |
|
Jerome O. Gronli
636 Raymond Dr Ste 205 |
$17.17 | 103 | 88 |
|
Jihad Izzat Shoshara
636 Raymond Dr |
$18.23 | 109 | 94 |
|
Sabriya Ansari
808 Rickert Dr Ste 201 |
$54.53 | 221 | 215 |
|
Michael A Grassi
1012 95Th St Ste 9 |
$16.68 | 290 | 235 |
|
Pranali Sirohi
152 W Gartner Rd |
$44.93 | 331 | 280 |
|
Stacy Marie Scofield-Kaplan
636 Raymond Dr Ste 300 |
$73.71 | 376 | 349 |
|
Sonia Patel
618 S. Route 59 |
$20.89 | 436 | 432 |
|
Sachin Jain
636 Raymond Dr Ste 300 |
$27.71 | 462 | 377 |
|
Rajinder Kaur
705 E Ogden Ave |
$21.66 | 486 | 485 |
|
Scott H Stoller
808 Rickert Dr Ste 201 |
$29.86 | 885 | 859 |
|
Frank Louis Vergara
535 Fairway Dr |
$33.07 | 907 | 901 |
|
Zorik Bunchuk
618 S. Route 59 |
$28.21 | 1,089 | 973 |
|
Kristopher Mark Owens
3124 S Route 59 |
$27.41 | 1,339 | 1,295 |
|
Michael Thomas Andreoli
636 Raymond Dr Ste 300 |
$23.26 | 1,535 | 1,429 |
|
Jacob D Grodsky
636 Raymond Dr Ste 300 |
$17.75 | 1,790 | 1,574 |
|
Shivani Kamlesh Patel
1000 E Ogden Ave |
$28.41 | 2,100 | 2,055 |
|
Paula Sue Mintchell
1995 Springbrook Square Dr |
$43.70 | 2,121 | 1,796 |
|
Gail Joyce May
1516 Legacy Cir Unit 102 |
$31.16 | 2,210 | 2,097 |
|
Sharon M Rovenstine
2555 W 75Th St Ste 119 |
$54.84 | 2,217 | 2,205 |
|
Jonathan Mark Ismond
808 Rickert Dr Ste 201 |
$27.02 | 2,320 | 2,308 |
|
Alesha Singh
2555 W 75Th St Ste 119 |
$28.07 | 2,341 | 2,332 |
|
Anurag Gupta
808 Rickert Dr Ste 201 |
$26.84 | 2,377 | 2,122 |
|
Alvin Choi
2879 W 95Th St |
$27.88 | 3,184 | 3,162 |
|
Shantan Reddy
808 Rickert Dr Ste 201 |
$24.19 | 7,168 | 5,831 |
|
Michelle E Andreoli
636 Raymond Dr Ste 300 |
$26.69 | 7,689 | 7,206 |
|
Maryam Khan
1807 Princess Cir |
$29.09 | 14,737 | 14,169 |
|
Cassie Jean Reeves
1516 Legacy Cir Ste 102 |
$33.07 | 34,934 | 31,715 |
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 Naperville, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Naperville, IL is $30.66 per claim, based on 93,900 claims from 31 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 Naperville, IL?
There are 31 Medicaid providers offering Eye Exam related services in Naperville, IL according to public payment data.
What is the price range for Eye Exam in Naperville, IL?
Medicaid reimbursement for Eye Exam in Naperville, IL ranges from $16.68 to $73.71 per claim, with an average of $30.66. 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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Office Visit
Avg $57.32
432,516 claims
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Avg $15.12
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Avg $61.44
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Avg $31.77
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Avg $66.75
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Avg $33.28
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Avg $13.20
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