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Based on public Medicaid payment data.

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

Other Procedures in New York, NY