Average Medicaid Eye Exam Payments in Newark, NJ: $21.23
Avg. Paid
$21.23
Range
$0.00 – $97.15
Total Claims
208,831
Providers
33
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 Newark, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Diego Xavier Morillo
875 Broad St |
$18.63 | 38,250 | 36,782 |
|
Christian Andres Morillo
875 Broad St |
$18.73 | 33,045 | 31,316 |
|
Sergio Racanati
875 Broad St |
$13.39 | 23,770 | 21,157 |
|
University Hospital
150 Bergen St |
$37.90 | 19,804 | 18,107 |
|
Chinwendu Nkechika Anukwuem
59 Broadway |
$19.59 | 19,060 | 18,989 |
|
Nina Bajaj
279 Ferry St |
$7.05 | 10,158 | 10,048 |
|
Thomas W Materna
20 Ferry St |
$35.52 | 9,164 | 8,597 |
|
Deepali Patel
279 Ferry St |
$15.32 | 7,390 | 7,306 |
|
Gary A Narkaus
500 Springfield Ave |
$15.54 | 7,344 | 7,343 |
|
Jacquetta Edwards
279 Ferry St |
$24.32 | 6,825 | 6,763 |
|
Chung Hee Lee
786 Broad St |
$8.08 | 4,536 | 4,446 |
|
Albert S Khouri
90 Bergen St |
$25.74 | 4,350 | 4,071 |
|
Suqin Guo
90 Bergen Street |
$68.17 | 3,495 | 3,402 |
|
Roger Eric Turbin
90 Bergen St |
$42.89 | 3,429 | 3,265 |
|
Marco Attilio Zarbin
90 Bergen St |
$31.17 | 2,671 | 2,488 |
|
Broadway Vision Services Inc.
59 Broadway |
$0.00 | 2,187 | 2,187 |
|
Neelakshi Bhagat
90 Bergen St |
$34.05 | 2,034 | 1,814 |
|
Larry P. Frohman
90 Bergen St |
$38.46 | 1,975 | 1,826 |
|
Optometric Association Of Newark
17 Academy St |
$2.58 | 1,813 | 1,812 |
|
Sight Services P.C.
65 Jay St |
$0.02 | 1,225 | 578 |
|
Monique S. Roy
90 Bergen St |
$35.49 | 1,144 | 1,067 |
|
David Iosebashvili Pc
106 Ferry Str |
$0.00 | 883 | 883 |
|
Morillo Eye Associates
875 Broad St |
$27.05 | 828 | 825 |
|
Miriam Habiel
90 Bergen St Fl 6 |
$23.49 | 784 | 707 |
|
Ahmed Elgabroni
295 Ferry St |
$8.73 | 711 | 649 |
|
Eye Contact Vision Center
106 Ferry St |
$0.36 | 582 | 580 |
|
Ashley Bachkhaz
279 Ferry St |
$25.12 | 415 | 390 |
|
Mark Pollack Od Pa
106 Ferry St |
$0.00 | 366 | 366 |
|
Amy Jinghong Lam
90 Bergen St Ste 6100 |
$0.00 | 316 | 253 |
|
University Hospital
140 Bergen Street |
$0.00 | 139 | 127 |
|
Ronald Rescigno
90 Bergen Street |
$27.71 | 113 | 108 |
|
Maria Vieira Picciano
36 Pacific St |
$97.15 | 13 | 12 |
|
Prashanth G Iyer
90 Bergen St |
$43.06 | 12 | 12 |
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 Newark, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Newark, NJ is $21.23 per claim, based on 208,831 claims from 33 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 Newark, NJ?
There are 33 Medicaid providers offering Eye Exam related services in Newark, NJ according to public payment data.
What is the price range for Eye Exam in Newark, NJ?
Medicaid reimbursement for Eye Exam in Newark, NJ ranges from $0.00 to $97.15 per claim, with an average of $21.23. 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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