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 |
|---|---|---|---|
|
Nikhil Deep Bansal
1200 W Godfrey Ave |
$0.00 | 12 | 12 |
|
Fox Chase Family Eye Care Llc
7834 Oxford Ave |
$14.18 | 12 | 12 |
|
Ronald Alan Platt
42 S 15Th St |
$41.06 | 12 | 12 |
|
Marc Davis Garden
1703 S Broad St |
$34.09 | 12 | 12 |
|
Jonathan S Myers
840 Walnut St Ste 1110 |
$43.34 | 12 | 12 |
|
Brown Eye Care Llc
6633 Germantown Ave |
$43.18 | 12 | 12 |
|
Milena Stefanovic
1200 W Godfrey Ave |
$1.12 | 12 | 12 |
|
Germantown Pediatrics, P.C.
2 Penn Blvd |
$0.00 | 12 | 12 |
|
Joel S Schuman
Wills Eye Hospital |
$33.16 | 12 | 12 |
|
Kelly A Malloy
1200 W Godfrey Ave |
$33.91 | 12 | 12 |
|
Hugo Paz Hernandez
1851 Christopher Columbus Blvd |
$41.06 | 12 | 12 |
|
Coma Nasrin
9171 Roosevelt Blvd Ste G |
$0.00 | 12 | 12 |
|
New World Vision Center, Inc.
612 Washington Ave Ste 3 |
$3.46 | 13 | 13 |
|
Christine Dorothy Hajduk
1601 S Columbus Blvd |
$41.47 | 13 | 13 |
|
Zeba A. Syed
840 Walnut St Ste 920 |
$15.41 | 13 | 13 |
|
Central City Eyecare, Llc
105 N 9Th St |
$2.25 | 14 | 14 |
|
Bennie H Jeng
3400 Civic Cente Blvd |
$66.22 | 14 | 14 |
|
Eugene Agnelo Fernandes
9229 Frankford Ave |
$7.25 | 15 | 15 |
|
Theresa Korneluk Reilly
2418 E Allegheny Ave |
$29.44 | 15 | 12 |
|
Gwenn Amos
1200 W Godfrey Ave |
$0.00 | 15 | 13 |
|
Wal-Mart Stores East, Lp
9745 Roosevelt Blvd |
$40.00 | 17 | 15 |
|
Chad Killen
1200 W Godfrey Ave |
$5.51 | 17 | 17 |
|
Wal-Mart Stores East, Lp
4301 Byberry Rd |
$41.06 | 18 | 12 |
|
Michael W Fung
700 Spruce St |
$33.02 | 19 | 17 |
|
Alfred Dalusung Troncales
5501 Old York Rd |
$37.37 | 20 | 20 |
|
Melissa Trego
1200 W Godfrey Ave |
$22.74 | 24 | 24 |
|
Daniel Merrick Kane
840 Walnut St Ste 1230 |
$11.63 | 24 | 24 |
|
Jonathan B Levyn
3402 F St |
$18.00 | 25 | 25 |
|
Brian Helmetag
1200 W Godfrey Ave |
$6.08 | 25 | 24 |
|
Connie L Chronister
1200 W Godfrey Ave |
$27.96 | 25 | 25 |
|
Matthew C Santos
840 Walnut St Ste 920 |
$39.70 | 25 | 25 |
|
Dariela Cardo
1200 W Godfrey Ave |
$2.31 | 26 | 25 |
|
Wal-Mart Stores East, Lp
4600 E. Roosevelt Blvd, Bldg G |
$43.66 | 26 | 26 |
|
Vincent John Gamuzza
3810 Morrell Ave |
$0.00 | 26 | 26 |
|
Joseph John Tumas
131 S. 18Th Street |
$42.59 | 27 | 26 |
|
Shuai-Chun Lin
5401 Old York Rd Ste 205 |
$42.61 | 27 | 26 |
|
Su Mae Ang
840 Walnut St Ste 1230 |
$18.74 | 28 | 28 |
|
Joseph Frank Mussoline
1637 S Broad St |
$39.38 | 28 | 26 |
|
Phoebe Lynn Mellen
840 Walnut St Ste 1230 |
$8.37 | 31 | 29 |
|
Angela Veloudios
3400 Civic Center Blvd |
$24.22 | 34 | 33 |
|
Stephen E Orlin
3801 Filbert St |
$17.11 | 34 | 31 |
|
Zeina M Salem
160 E Erie Ave |
$29.47 | 38 | 38 |
|
Tomas Enrique Meijome
51 N 39Th St |
$35.10 | 39 | 38 |
|
I-Hui Wu
51 N 39Th St |
$46.10 | 39 | 39 |
|
Danijel Josip Pericic
840 Walnut St Ste 930 |
$35.50 | 40 | 40 |
|
Juan E Grunwald
3801 Filbert St |
$29.25 | 40 | 40 |
|
Andrew S Gurwood
1200 W Godfrey Ave |
$7.44 | 41 | 40 |
|
Robert A Wortman
1420 Walnut St |
$33.76 | 41 | 39 |
|
James Padraic Murphy
3401 N Broad St |
$43.41 | 46 | 46 |
|
Stephen T Armenti
3400 Civic Center Blvd. |
$57.23 | 47 | 42 |
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