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 |
|---|---|---|---|
|
Brendan P Cassidy
1331 N 7Th St |
$62.77 | 100,119 | 96,526 |
|
Elyssa Peters Rosenthal
9305 W Thomas Rd Ste 460 |
$79.52 | 37,138 | 36,675 |
|
Aasim Kamal
2226 W Northern Ave Ste C203 |
$40.87 | 35,446 | 33,884 |
|
Christopher M. Fecarotta
9305 W Thomas Rd Ste 460 |
$81.72 | 25,658 | 25,143 |
|
Thomas Obadiah Melfi
1820 N 75Th Ave Ste 102 |
$18.77 | 20,461 | 20,043 |
|
Corey Hochman
8410 W Thomas Rd |
$45.24 | 20,372 | 18,571 |
|
Maricopa County Special Health Care District
2601 E Roosevelt St |
$80.58 | 18,585 | 17,626 |
|
Joshua Shane Leonard
4022 E Broadway Rd Ste 104 |
$42.28 | 17,439 | 16,492 |
|
James W Oneil
1920 E Cambridge Ave Ste 203 |
$76.25 | 16,614 | 16,242 |
|
James L Plotnik
1920 E Cambridge Ave Ste 203 |
$75.14 | 16,408 | 15,842 |
|
Matthew Keller
1820 N 75Th Ave Ste 102 |
$17.56 | 15,826 | 15,512 |
|
Benjamin B.A. Bakall
1750 E Glendale Ave |
$33.00 | 13,407 | 12,558 |
|
Rachel Dickert
6815 N 19Th Ave |
$17.82 | 12,196 | 11,718 |
|
Jason Becker
9250 N 3Rd St |
$53.31 | 12,060 | 11,455 |
|
Mahmood El-Gasim
4800 N 22Nd St |
$35.63 | 11,688 | 10,617 |
|
Sujit Itty
1101 E Missouri Ave |
$45.95 | 10,421 | 9,882 |
|
Warren Harvey Heller
515 W Buckeye Rd |
$32.46 | 9,478 | 7,663 |
|
Anita Prasad
3840 N 16Th St |
$42.43 | 9,233 | 8,780 |
|
Jaime R Gaitan
1750 E Glendale Ave |
$35.13 | 9,232 | 8,682 |
|
Shabari Sanat Seetharam
3840 N 16Th St |
$38.79 | 9,166 | 8,772 |
|
James C Francois
9617 N Metro Pkwy W |
$18.41 | 8,986 | 8,764 |
|
Bentley C Skibell
3840 N 16Th St |
$46.18 | 8,807 | 8,338 |
|
Ramin Schadlu
3840 N 16Th St |
$37.16 | 8,765 | 8,363 |
|
Neal V Palejwala
1101 E Missouri Ave |
$44.88 | 7,843 | 7,479 |
|
Gary Mark Baron
8340 W Mcdowell Rd |
$17.56 | 7,833 | 7,680 |
|
David Michael Coulson
4800 N 22Nd St |
$54.51 | 7,635 | 7,071 |
|
Jeffrey Olsen
4800 N 22Nd St |
$67.09 | 7,441 | 7,050 |
|
Robert Nettleship Brems
300 E Osborn Rd |
$48.73 | 7,079 | 6,662 |
|
Matthew James Welch
1750 E Glendale Ave |
$42.66 | 6,984 | 6,523 |
|
Brian Zembower
610 E Baseline Rd Ste C3 |
$20.80 | 6,953 | 6,677 |
|
Kacey Jane Gilford
4800 N 22Nd St |
$58.11 | 6,936 | 6,660 |
|
Karim N. Jamal
1101 E Missouri Ave |
$42.91 | 6,825 | 6,243 |
|
Joseph Shepard Bryan
7600 N 15Th St |
$44.48 | 6,630 | 6,264 |
|
Stephen A.M. Desouza
1750 E Glendale Ave |
$33.12 | 6,483 | 6,117 |
|
Jennifer Thi Nguyen
1650 E Camelback Rd Ste 160 |
$22.98 | 6,344 | 6,128 |
|
Matthew C Hunter
4800 N 22Nd St |
$63.84 | 6,288 | 6,144 |
|
Brian K Horsman
4800 N 22Nd St |
$37.84 | 6,263 | 5,474 |
|
Paul Viglotti
2929 N 75Th Ave |
$23.51 | 5,777 | 5,693 |
|
Ryan Wiggins
21001 N Tatum Blvd Ste 74-1570 |
$30.46 | 5,771 | 5,706 |
|
Jordan Mackay Graff
4800 N 22Nd St Ste 120 |
$37.25 | 5,746 | 5,344 |
|
Alan J Gordon
1750 E Glendale Ave |
$29.54 | 5,636 | 5,201 |
|
Suhail Alam
4800 N 22Nd St |
$40.59 | 5,578 | 5,235 |
|
Neil J Atodaria
4800 N 22Nd St |
$21.89 | 5,400 | 3,860 |
|
Rima Bharat Patel
1750 E Glendale Ave |
$37.14 | 5,364 | 5,024 |
|
Joshua Perkins
4800 N 22Nd St |
$56.92 | 5,360 | 5,032 |
|
Michael J Martin
4800 N 22Nd St |
$69.40 | 5,115 | 4,849 |
|
Henry Mark Kwong
1750 E Glendale Ave |
$35.32 | 5,083 | 4,821 |
|
Kennedy Hall
1919 E Thomas Rd |
$82.05 | 4,832 | 4,787 |
|
Sharam Danesh
4045 E Union Hills Dr Ste 115 |
$26.57 | 4,559 | 4,253 |
|
Andrew Caswell Wallmann
2601 E Roosevelt St |
$66.05 | 4,534 | 4,136 |
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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