Average Medicaid Eye Exam Payments in Oshkosh, WI: $13.57
Avg. Paid
$13.57
Range
$4.86 – $42.99
Total Claims
42,764
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 Oshkosh, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Zeal Shah
351 S Washburn St |
$11.98 | 26,869 | 24,087 |
|
Dylan J Foss
1855 S Koeller St |
$16.45 | 8,554 | 6,930 |
|
Brianne Scanlon
719 Doctors Ct |
$11.48 | 1,941 | 1,645 |
|
Theresa Lynn Petrick Gatchell
1300 S Koeller Road |
$13.27 | 1,345 | 1,209 |
|
Donald P Ruck
511 W Murdock Ave |
$24.51 | 1,344 | 1,283 |
|
Nathan Paul Forst
1300 S. Koeller Road |
$11.28 | 687 | 625 |
|
Bethany Heinz
1682 S Koeller St |
$26.19 | 676 | 531 |
|
Sandra Verhaeghe
700 N Westhaven Dr |
$8.93 | 634 | 500 |
|
Jennafer Ziemer
251 N Sawyer St |
$23.17 | 380 | 333 |
|
Tara Elizabeth-Marie Hoppe
2510 W 9Th Ave |
$12.62 | 118 | 96 |
|
Amy C Treichel Brandt
700 N Westhaven Dr |
$6.21 | 71 | 55 |
|
Garry G Brown
719 Doctors Ct |
$4.86 | 69 | 61 |
|
Shoptikal Llc
1810 Jackson St |
$42.99 | 31 | 31 |
|
Shoptikal Llc
1212 S Koeller St |
$42.84 | 28 | 28 |
|
Paul Hubert Payant
1885 W Pointe Dr |
$5.74 | 17 | 13 |
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 Oshkosh, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Oshkosh, WI is $13.57 per claim, based on 42,764 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 Oshkosh, WI?
There are 15 Medicaid providers offering Eye Exam related services in Oshkosh, WI according to public payment data.
What is the price range for Eye Exam in Oshkosh, WI?
Medicaid reimbursement for Eye Exam in Oshkosh, WI ranges from $4.86 to $42.99 per claim, with an average of $13.57. 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
Other Procedures in Oshkosh, WI
Substance Abuse Treatment
Avg $9.72
342,304 claims
Personal Care Services
Avg $7.20
305,174 claims
Home Health Visit
Avg $46.95
302,423 claims
Office Visit
Avg $34.26
251,844 claims
Blood Work & Lab Tests
Avg $9.80
189,043 claims
Physical Therapy
Avg $22.47
139,479 claims
Emergency Room Visit
Avg $55.31
124,172 claims
Behavioral & Mental Health Therapy
Avg $79.13
123,240 claims