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 |
|---|---|---|---|
|
Anupam Laul
33 W 42Nd St |
$1.58 | 12 | 12 |
|
New City Vision Inc
150 2Nd Ave |
$12.00 | 12 | 12 |
|
Matthew David Bovenzi
33 W. 42Nd St. |
$0.00 | 12 | 12 |
|
Arkady Selenow
160 E 56Th St |
$58.97 | 12 | 12 |
|
Mina Maximos Naguib
222 E 41St St |
$17.65 | 12 | 12 |
|
Anna Maria Demetriades
1305 York Ave Fl 11 |
$11.79 | 12 | 12 |
|
Chaneve Jeanniton
310 E 14Th St |
$62.05 | 12 | 12 |
|
Star Specs Of 5Th Avenue, Inc.
545 5Th Ave |
$0.00 | 12 | 12 |
|
Catherine Furey
755 Park Ave |
$139.20 | 12 | 12 |
|
Suyeon Yu
210 E 64Th St Fl 7 |
$131.42 | 12 | 12 |
|
Curreri Ophthalmology Care Llc
161 E 32Nd St |
$139.43 | 12 | 12 |
|
Leeber Cohen Md Pc
11 5Th Ave |
$145.43 | 12 | 12 |
|
Kira Lauren Segal
1305 York Ave Fl 1112 |
$58.65 | 12 | 12 |
|
Gabrielah Baruch
714 W 181St St |
$23.02 | 12 | 12 |
|
Charles B. Wang Community Health Center, Inc.
268 Canal St |
$49.17 | 12 | 12 |
|
Pauline Huang
99 Elizabeth St Fl 2 |
$53.11 | 12 | 12 |
|
Jennifer Eileen Hue
33 W 42Nd St |
$0.00 | 13 | 13 |
|
Scott Grossman
222 E 41St St |
$49.59 | 13 | 12 |
|
Yogita Kashyap
1111 Amsterdam Ave |
$45.46 | 13 | 13 |
|
Ryan-Chelsea Clinton Community Health Center
645 10Th Ave |
$0.00 | 13 | 13 |
|
Ming Xuan Li
139 Centre St |
$40.00 | 13 | 13 |
|
Jeffrey David Nightingale
1776 Broadway Ste 1410 |
$41.00 | 13 | 13 |
|
Samuel Menachem Harrosh
555 Madison Ave Fl 4 |
$99.27 | 13 | 13 |
|
Mui Eye Care Optometry, Pllc
139 Centre St |
$6.10 | 13 | 13 |
|
Gary J Lelli Jr
1305 York Ave Fl 11 |
$112.76 | 13 | 12 |
|
Paul Promadhattvedi
255 Fort Washington Ave Apt 41 |
$0.00 | 13 | 13 |
|
Roxanne Deborah Joseph
115 Chambers Street |
$40.00 | 14 | 14 |
|
Deborah Goodman
33 W 42Nd St |
$2.14 | 14 | 14 |
|
Toni C. Butler
1617 3Rd Ave |
$0.00 | 14 | 14 |
|
Michelle K Rhee
305 E 55Th St Apt 105 |
$16.50 | 14 | 14 |
|
Elisabeth Grace Lappan
33 W 42Nd St |
$20.07 | 14 | 14 |
|
Inwhan Joshua Lee
33 W 42Nd St |
$13.33 | 15 | 15 |
|
Universal Optical Inc.
38 E Broadway |
$4.80 | 15 | 14 |
|
Sybil K Kompancaril
312 Bleecker St |
$37.33 | 15 | 15 |
|
Brian Seth Vann
277 Avenue C Apt 10C |
$0.00 | 16 | 16 |
|
James Friedlander Barrett
255 Greenwich St Rm 510 |
$20.36 | 16 | 13 |
|
Superior Vision Of New York, Inc.
4767 Broadway |
$10.31 | 16 | 16 |
|
Neha J Gadaria
222 E 41St St Fl 4 |
$35.72 | 17 | 12 |
|
Yvonne Okaka
1305 York Ave Fl 11 |
$152.62 | 17 | 16 |
|
Christy Park
15 Division St |
$40.00 | 18 | 18 |
|
Marlene Jurman
33 W 42Nd St |
$58.07 | 20 | 15 |
|
Rima Bakhru
33 W 42Nd St |
$42.65 | 20 | 13 |
|
Rose Helene Mandel
222 E 41St St |
$41.04 | 23 | 12 |
|
Luz Adriana Matiz-Zanoni
3959 Broadway |
$8.25 | 24 | 24 |
|
Allen H Cohen
120 Cabrini Blvd |
$52.72 | 24 | 13 |
|
David Haddad
107C W 37Th St # C |
$0.00 | 24 | 24 |
|
Anam Qureshi
222 E 41St St |
$96.63 | 25 | 25 |
|
Amita Vadada
21 E 22Nd St |
$50.06 | 25 | 24 |
|
Manhattan Eyeworks Inc.
169 1St Ave |
$6.40 | 25 | 25 |
|
Kimberly C Sippel
1305 York Ave |
$77.20 | 25 | 24 |
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
Other Procedures in New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
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
Substance Abuse Treatment
Avg $51.51
3,263,067 claims