Average Medicaid Eye Exam Payments in Phoenix, AZ: $48.59
Avg. Paid
$48.59
Range
$0.00 – $102.29
Total Claims
745,675
Providers
180
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 Phoenix, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nationwide Optometry P.C.
1650 E Camelback Rd Ste 160 |
$22.83 | 12 | 12 |
|
Christian F. Risser
9250 N 3Rd St |
$71.74 | 12 | 12 |
|
James Beach
7725 N 43Rd Ave |
$34.02 | 12 | 12 |
|
Madhavi Kurli
20033 N 19Th Ave Ste 106 |
$21.20 | 12 | 12 |
|
James J Koster
300 E Osborn Rd Ste 100 |
$80.45 | 12 | 12 |
|
Phoenix Children'S Hospital
1919 E Thomas Rd |
$25.76 | 12 | 12 |
|
Leslie Allan Eisner
20940 N Tatum Blvd |
$28.56 | 12 | 12 |
|
Karl C Golnik
240 W Thomas Rd # 401 |
$26.21 | 12 | 12 |
|
Nationwide Optometry P.C.
4722 E Ray Rd Ste 3 |
$41.62 | 13 | 13 |
|
Evelyn Ochoa
1919 E Thomas Rd |
$0.00 | 14 | 14 |
|
Thomas J Handeguand
8618 N 35Th Ave |
$23.48 | 14 | 12 |
|
Nationwide Optometry P.C.
711 E Bell Rd Ste 2 |
$17.14 | 14 | 14 |
|
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
4212 N 16Th St |
$81.00 | 15 | 15 |
|
Nationwide Optometry P.C.
2501 W Happy Valley Rd Ste 32-1050 |
$0.00 | 16 | 16 |
|
Barnet Dulaney Perkins Eye Center, Pc
4800 N 22Nd St |
$0.00 | 16 | 16 |
|
Keyla A. Gammarano
4734 E Ray Rd |
$3.16 | 16 | 13 |
|
Nationwide Optometry P.C.
7625 W Lower Buckeye Rd Ste 105 |
$30.00 | 16 | 16 |
|
The Phoenix Children'S Center, Ltd
1661 E Camelback Rd Ste 170 |
$0.00 | 18 | 18 |
|
Elicia Hinton
3306 W Roosevelt St |
$19.36 | 18 | 16 |
|
Dara Lyn Shahon
4212 N 16Th St |
$7.22 | 22 | 22 |
|
Nationwide Optometry P.C.
3202 E Greenway Rd Ste 1631 |
$10.43 | 23 | 23 |
|
Nationwide Optometry P.C.
6815 N 19Th Ave Ste 130 |
$31.72 | 24 | 24 |
|
Nathan Kanyinda
300 E Osborn Rd Ste 100 |
$15.69 | 25 | 25 |
|
Lauren Ann Oneill
4800 N 22Nd St Ste 120 |
$53.20 | 25 | 25 |
|
John F Dahu
7611 W Thomas Rd |
$19.73 | 30 | 29 |
|
Xuan N Vu
6036 N 19Th Ave |
$16.17 | 30 | 29 |
|
Ethan Owen Kennedy
10240 W Indian School Rd Ste 155 |
$33.07 | 33 | 33 |
|
Linda Sinat Som
1847 W Heatherbrae Dr |
$37.38 | 33 | 32 |
|
Laura Liz Encarnacion
4800 N 22Nd St Ste 210 |
$20.37 | 36 | 31 |
|
E. Fredrick Bloemker
3330 N 2Nd St |
$56.33 | 37 | 37 |
|
Kendra Nichole Cunegin
4212 N 16Th St |
$23.45 | 40 | 30 |
|
Victor Aire-Oaihimire
3306 W Roosevelt St |
$12.76 | 41 | 41 |
|
Alex Christensen
515 W Buckeye Rd Ste 104 |
$81.32 | 44 | 44 |
|
Nationwide Optometry P.C.
4280 E Indian School Rd Ste 107 |
$18.26 | 46 | 46 |
|
Nationwide Optometry P.C.
1820 N 75Th Ave Ste 102 |
$23.31 | 48 | 48 |
|
Nationwide Optometry P.C.
6135 N 35Th Ave Ste 139 |
$8.01 | 48 | 48 |
|
Christopher James Johnson
515 W Buckeye Rd Ste 104 |
$42.06 | 48 | 39 |
|
Nationwide Optometry P.C.
5127 W Indian School Rd Ste 161 |
$14.88 | 49 | 49 |
|
Grant Harris Moore
4800 N 22Nd St |
$73.54 | 66 | 65 |
|
Anuradha Paturi
7600 N 15Th St |
$47.35 | 68 | 58 |
|
Ricardo G. Celaya
1533 E Willetta St |
$22.52 | 73 | 55 |
|
Nationwide Optometry P.C.
610 E Baseline Rd Ste C3B |
$15.52 | 89 | 89 |
|
Jung T Dao
3815 E Bell Rd |
$27.52 | 106 | 99 |
|
Ljiljana Aleksic
1331 N 7Th St Ste 100 |
$14.11 | 111 | 105 |
|
Stephanie Ching Chen
240 W Thomas Rd # 404 |
$4.66 | 125 | 124 |
|
Michael R Hanley
4800 N 22Nd St |
$53.33 | 128 | 111 |
|
Allen Gu
1750 E Glendale Ave |
$37.52 | 139 | 138 |
|
Tysen Charles Bringhurst
4800 N 22Nd St Ste 210 |
$101.27 | 150 | 149 |
|
Erin A. Giles
4212 N. 16Th Street |
$6.01 | 234 | 234 |
|
Alex W Cohen
2222 E Camelback Rd Ste 250 |
$38.96 | 239 | 234 |
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 Phoenix, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Phoenix, AZ is $48.59 per claim, based on 745,675 claims from 180 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 Phoenix, AZ?
There are 180 Medicaid providers offering Eye Exam related services in Phoenix, AZ according to public payment data.
What is the price range for Eye Exam in Phoenix, AZ?
Medicaid reimbursement for Eye Exam in Phoenix, AZ ranges from $0.00 to $102.29 per claim, with an average of $48.59. 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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