Average Medicaid Eye Exam Payments in Niles, IL: $30.16
Avg. Paid
$30.16
Range
$22.63 – $44.91
Total Claims
119,492
Providers
15
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 Niles, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sung Youn Kim
8500 W Golf Rd |
$32.99 | 35,138 | 29,593 |
|
Veronica Kacherova
239 Golf Mill Ctr |
$30.49 | 26,437 | 22,853 |
|
Scott B Ford
5630 W Touhy Ave |
$31.21 | 24,459 | 22,678 |
|
Rumya Rao
8780 W. Golf Road #304 |
$22.96 | 11,038 | 9,462 |
|
Matthew M Wessel
8780 W Golf Rd Ste 304 |
$22.63 | 8,115 | 6,534 |
|
Christopher Banna
7225 N Caldwell Ave |
$30.86 | 3,355 | 3,345 |
|
Paul Park
7421 N Milwaukee Ave |
$32.57 | 3,190 | 3,019 |
|
Jason Gibbs Ethington
7421 N Milwaukee Ave |
$28.86 | 2,551 | 2,368 |
|
Christine Marie Mata
7421 N Milwaukee Ave |
$28.58 | 2,240 | 1,979 |
|
Visionworks Inc
239 Golf Mill Ctr |
$44.91 | 819 | 561 |
|
Alla Pasman
220 Golf Mill Ctr |
$25.65 | 577 | 565 |
|
Marina Shepelenko
7421 N Milwaukee Ave |
$30.81 | 507 | 483 |
|
Shilpa Thomas
239 Golf Mill Ctr |
$22.68 | 394 | 384 |
|
Richard E. Sofinski
239 Golf Mill Ctr Ste 255 |
$27.25 | 340 | 302 |
|
Kevin L Sullivan
7421 N Milwaukee Ave |
$23.85 | 332 | 273 |
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 Niles, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Niles, IL is $30.16 per claim, based on 119,492 claims from 15 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 Niles, IL?
There are 15 Medicaid providers offering Eye Exam related services in Niles, IL according to public payment data.
What is the price range for Eye Exam in Niles, IL?
Medicaid reimbursement for Eye Exam in Niles, IL ranges from $22.63 to $44.91 per claim, with an average of $30.16. 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
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Chicago, IL
Avg $26.50
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Avg $18.49
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San Diego, CA
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Las Vegas, NV
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Flushing, NY
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