Average Medicaid Eye Exam Payments in New York, NY: $50.07
Avg. Paid
$50.07
Range
$0.00 – $173.13
Total Claims
3,393,865
Providers
654
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 New York, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Keith C Chang
217 Grand St # 302 |
$60.92 | 200,106 | 196,621 |
|
Bingjing Z Roberts
185 Canal St |
$48.12 | 111,942 | 109,527 |
|
Andrew E Gewirtz
524 E 20Th St |
$64.89 | 77,432 | 76,785 |
|
Nancy Nai-En Tsai
99 Elizabeth Street, 2Fl |
$35.33 | 54,635 | 54,326 |
|
Joel Warshowsky
33 W 42Nd St |
$52.31 | 49,496 | 19,671 |
|
Lawrence Roy Blum
572 Park Avenue |
$37.99 | 47,264 | 46,759 |
|
Zeev Stegman
101 Sherman Ave |
$48.35 | 46,480 | 45,764 |
|
Union Square Eye Center Llc
1815 Madison Avenue |
$110.45 | 46,229 | 45,258 |
|
Jason Compton
4738 Broadway |
$49.86 | 44,033 | 42,927 |
|
Marc Jay Lustig
40 West 72Nd St |
$77.01 | 43,587 | 43,427 |
|
Martin A Aviles
229 E 79Th St |
$45.23 | 43,552 | 27,520 |
|
Lisa Kiu Law
196 Canal St |
$51.92 | 40,663 | 40,211 |
|
Mark Louis Hornfeld
125 W 79Th Street |
$24.75 | 40,471 | 37,822 |
|
Milan Prakash Ranka
40 W 72Nd St |
$73.93 | 39,894 | 39,806 |
|
William Ling
33 Mott St |
$31.59 | 38,698 | 38,173 |
|
Rebecca Charlop
33 W 42Nd St |
$52.87 | 38,181 | 21,197 |
|
Aliya Hot
203 E 121St St |
$48.12 | 37,560 | 37,262 |
|
Brian Nicholas Campolattaro
30 E 40Th St |
$60.24 | 35,713 | 35,517 |
|
Edward A Braunstein
111 Wadsworth Ave |
$62.31 | 34,322 | 32,477 |
|
Tina Chan
128 Mott St |
$66.76 | 33,276 | 32,940 |
|
Anna Gabriela Escuder
40 W 72Nd St |
$68.29 | 33,017 | 32,944 |
|
Daniel Hazai
33 W 42Nd St |
$39.28 | 32,051 | 31,781 |
|
John Nguyen
20 East 46 Street Ph Floor |
$42.94 | 32,015 | 31,673 |
|
Young Ahn
801 Amsterdam Ave |
$41.50 | 31,800 | 21,819 |
|
The New York And Presbyterian Hospital
622 W 168Th St |
$163.16 | 31,328 | 27,080 |
|
Jeremy M Cotliar
130 Fort Washington Ave |
$55.48 | 31,265 | 31,026 |
|
Susan Diane Fromer
550 Park Ave |
$25.91 | 31,082 | 30,705 |
|
Ar Borough Medical Pc
454 Lenox Ave |
$52.29 | 30,540 | 30,277 |
|
Sergiu L Marcus
140 E 80Th St Fl 3 |
$29.33 | 29,300 | 27,358 |
|
Louis Eugene Furlan
40 West 72Nd St |
$75.02 | 29,255 | 29,219 |
|
Erica Lynn Oltra
40 W 72Nd St |
$69.97 | 28,239 | 28,091 |
|
Kevin Lai
139 Centre St Ste 610 |
$55.90 | 28,178 | 27,819 |
|
State Of New York Comptrollers Office
33 West 42Nd Street |
$49.28 | 28,006 | 21,981 |
|
New York City Health And Hospitals Corporation
462 First Avenue |
$90.30 | 27,627 | 25,665 |
|
Ben Z Cohen
140 East 80Th Street |
$22.82 | 27,114 | 25,640 |
|
Joyce Khandji
40 W 72Nd St |
$66.19 | 27,014 | 26,927 |
|
Raymond Fong
109 Lafayette St |
$44.73 | 25,919 | 25,118 |
|
Sirikishan Ramkishan Shetty
1305 York Ave |
$31.37 | 25,284 | 21,881 |
|
Jonathan Amir Feistmann
20 E 9Th St |
$38.50 | 24,617 | 23,570 |
|
Mary Chen
109 Lafayette St |
$26.63 | 24,617 | 24,566 |
|
Nathan M Radcliffe
1305 York Ave |
$34.93 | 24,412 | 24,291 |
|
Grace Liu
40 W 72Nd St |
$66.74 | 24,135 | 24,078 |
|
Edward I Marcus
140 E 80Th St |
$27.43 | 22,997 | 21,726 |
|
Puneet Rastogi
1010 2Nd Ave |
$52.33 | 22,886 | 22,655 |
|
Marina Su
33 W 42Nd St |
$18.19 | 22,675 | 22,508 |
|
New York City Health And Hospitals Corporation
227 Madison St |
$79.17 | 21,894 | 21,622 |
|
Julie Nari Nam
40 W 72Nd St |
$74.92 | 21,553 | 21,454 |
|
Herbert Jay Wisnicki
32 Union Sq E Fl 7 |
$72.68 | 20,878 | 20,424 |
|
Gregory Eli Stein
40 W 72Nd St Ste A |
$40.30 | 20,686 | 20,237 |
|
Vip Eye Care Optometry P.C.
714 W 181St St |
$50.73 | 20,048 | 19,858 |
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 New York, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in New York, NY is $50.07 per claim, based on 3,393,865 claims from 654 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 New York, NY?
There are 654 Medicaid providers offering Eye Exam related services in New York, NY according to public payment data.
What is the price range for Eye Exam in New York, NY?
Medicaid reimbursement for Eye Exam in New York, NY ranges from $0.00 to $173.13 per claim, with an average of $50.07. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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
Phoenix, AZ
Avg $48.59
745,675 claims · 180 providers
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Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
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Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
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Avg $51.51
3,263,067 claims