Average Medicaid Eye Exam Payments in Philadelphia, PA: $31.97
Avg. Paid
$31.97
Range
$0.00 – $118.29
Total Claims
566,378
Providers
322
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 Philadelphia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Salvatore Desimone
5001 Frankford Ave |
$17.17 | 27,278 | 26,744 |
|
Paul Franklin Speesler
2801 N. 22Nd. St. |
$29.05 | 19,012 | 18,723 |
|
Rafael S Collazo
401 W Allegheny Ave |
$35.35 | 17,358 | 16,404 |
|
Viktor Briker
842 Red Lion Rd |
$40.05 | 13,821 | 13,496 |
|
Tu X Dinh
180 W Girard Ave Ste 5 |
$36.71 | 13,629 | 13,357 |
|
Steven Judson Moon
1501 N Broad St Ste 7 |
$40.69 | 12,932 | 12,275 |
|
David Michael Spolansky
5602 N Broad St |
$37.12 | 12,059 | 11,787 |
|
Gelena Banin
11685 Bustleton Ave |
$32.75 | 12,019 | 9,703 |
|
Juan E Rodriguez
6201 N Front St |
$26.40 | 10,693 | 10,440 |
|
David S Rho
5001 Frankford Ave |
$17.55 | 10,018 | 9,342 |
|
Vincent Basan Lam
1740 South St Ste 400 |
$25.00 | 9,284 | 9,199 |
|
Vincent K Young
5401 Old York Rd |
$44.43 | 9,203 | 8,865 |
|
Avni Umesh Badami
51 N 39Th St Ste 515 |
$51.92 | 8,941 | 8,756 |
|
Hugo Manuel Linares
2701 Holme Ave Ste 303 |
$15.96 | 8,812 | 8,492 |
|
Diana Chuong
180 W Girard Ave |
$39.02 | 8,771 | 8,362 |
|
Krystal T Nguyen
6533 Roosevelt Blvd |
$44.08 | 8,615 | 8,416 |
|
Pius Seong Jung
2118 Cottman Ave # 8 |
$39.90 | 8,282 | 8,131 |
|
Anton M Kolomeyer
2701 Holme Ave Ste 303 |
$26.69 | 8,260 | 6,890 |
|
Min Xu
105 N 9Th St |
$33.19 | 7,606 | 7,533 |
|
Janice Chau
180 W Girard Ave Ste 5 |
$40.16 | 7,520 | 7,455 |
|
Matthew Hassey
2118 Cottman Ave |
$14.11 | 7,404 | 6,967 |
|
Solange Chikando Wandji
2658 Germantown Ave |
$41.51 | 7,209 | 7,073 |
|
Yelena Doych
219 N Broad St |
$19.93 | 6,745 | 6,416 |
|
Grace Huang
2610 E Allegheny Ave |
$53.15 | 6,413 | 5,718 |
|
Elisa Bano
5001 Frankford Ave |
$26.28 | 5,879 | 5,535 |
|
Allison Belfer
1501 N Broad St Ste 7 |
$39.62 | 5,699 | 5,546 |
|
Joann F Bailey
160 E Erie Ave |
$22.47 | 5,687 | 4,937 |
|
Vicki Rose Troese
1925 Chestnut Street |
$30.22 | 5,643 | 5,534 |
|
Chauncey Brown
6001 N 5Th Street |
$48.02 | 5,594 | 5,455 |
|
Albert Fonticoba
330 W Oregon Ave |
$34.35 | 5,557 | 5,473 |
|
Riddhi J Desai
1 Lincoln Financial Field Way |
$28.43 | 5,514 | 5,287 |
|
Tus Ojos Inc
100 E Lehigh Avenue |
$3.12 | 5,022 | 4,907 |
|
Marni Robins
1200 W Godfrey Ave |
$64.93 | 5,003 | 4,857 |
|
Joshua M Greene
2701 Holme Ave Ste 303 |
$17.22 | 4,660 | 4,536 |
|
Igor L Benenson
9892 Bustleton Ave |
$5.60 | 4,601 | 4,540 |
|
Evgeniya Goldenberg
1200 W Godfrey Ave |
$36.46 | 4,550 | 4,471 |
|
Nicholas Sweeney
3586 Aramingo Ave |
$32.98 | 4,351 | 4,323 |
|
David L Silverman
8401 Bustleton Ave |
$29.35 | 4,138 | 3,909 |
|
Sandra M Moore
2139 Cottman Ave |
$28.78 | 4,017 | 3,930 |
|
Yi Zhang
3401 N Broad St |
$28.04 | 3,969 | 3,790 |
|
Michelle Ho
1711 Chestnut St |
$40.86 | 3,922 | 3,789 |
|
Alethia Imani Love Harris
1200 W Godfrey Ave |
$71.20 | 3,822 | 3,287 |
|
Andrew Leon Pritchard
525 Jamestown St |
$39.70 | 3,694 | 3,661 |
|
Alan Jay Roth
1315 Walnut St |
$41.49 | 3,681 | 3,623 |
|
Brandy Scombordi-Raghu
1200 W Godfrey Ave |
$30.24 | 3,664 | 3,435 |
|
Lynne M Glinski
1200 W. Godfrey Avenue |
$27.43 | 3,623 | 3,557 |
|
Jignesh Babu Patel
9171 Roosevelt Blvd Ste I |
$36.91 | 3,583 | 3,469 |
|
Maureen Oberle
5001 Frankford Ave |
$0.00 | 3,489 | 3,456 |
|
Julia Gabrielle Runco
1200 W Godfrey Ave |
$28.34 | 3,473 | 3,010 |
|
Alex Barathan Theventhiran
3401 N Broad St |
$60.00 | 3,416 | 3,394 |
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 Philadelphia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Philadelphia, PA is $31.97 per claim, based on 566,378 claims from 322 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 Philadelphia, PA?
There are 322 Medicaid providers offering Eye Exam related services in Philadelphia, PA according to public payment data.
What is the price range for Eye Exam in Philadelphia, PA?
Medicaid reimbursement for Eye Exam in Philadelphia, PA ranges from $0.00 to $118.29 per claim, with an average of $31.97. 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 Philadelphia, PA
Office Visit
Avg $47.22
5,853,067 claims
Substance Abuse Treatment
Avg $57.23
5,131,687 claims
Psychiatric Evaluation
Avg $69.22
3,688,209 claims
Emergency Room Visit
Avg $135.52
3,661,931 claims
X-Ray
Avg $9.69
1,822,183 claims
Behavioral & Mental Health Therapy
Avg $119.23
1,618,868 claims
Blood Work & Lab Tests
Avg $6.85
1,492,079 claims
Dental Cleaning & Exam
Avg $29.51
1,399,541 claims