Average Medicaid Eye Exam Payments in Pikeville, KY: $41.37
Avg. Paid
$41.37
Range
$1.56 – $75.87
Total Claims
57,078
Providers
26
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 Pikeville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julie Kang
911 Bypass Rd |
$1.56 | 13 | 13 |
|
Renee E Reeder
147 Sycamore St |
$45.50 | 27 | 27 |
|
Eilene Eugenio Kinzer
147 Sycamore St |
$20.32 | 54 | 54 |
|
Cliff M Caudill
147 Sycamore St |
$25.17 | 111 | 92 |
|
Mark Rolland Myers
109 Caroline Ave |
$50.90 | 121 | 114 |
|
Josephine Olutola Ibironke
147 Sycamore St |
$55.55 | 158 | 138 |
|
Mohammed S Naja
147 Sycamore St |
$47.19 | 268 | 258 |
|
Austin Blake Taylor
911 Bypass Rd Bldg A |
$26.93 | 269 | 225 |
|
Justin Chelette
147 Sycamore St |
$21.12 | 270 | 260 |
|
Raja Sekhar Goli
911 Bypass Rd Bldg A |
$28.72 | 300 | 296 |
|
Kelsey Rene Trast
147 Sycamore St |
$33.21 | 324 | 320 |
|
Charles Phillip Wheeler
911 Bypass Rd Bldg A |
$21.22 | 366 | 306 |
|
Kay Hazelett
911 Bypass Rd Bldg A |
$22.95 | 450 | 334 |
|
Emily Williams Konig
810 Hambley Blvd |
$24.25 | 471 | 466 |
|
Sheri Kaye Bellamy
147 Hibbard St |
$8.38 | 483 | 379 |
|
Thomas Keith Ison
911 Bypass Rd Bldg A |
$19.03 | 653 | 517 |
|
James Turner Altman
147 Hibbard St |
$31.97 | 769 | 548 |
|
Rachel L Fitzgerald
147 Sycamore St |
$30.35 | 1,273 | 1,231 |
|
Matthew Stuart Little
178 Douglas Pkwy |
$28.57 | 2,837 | 2,703 |
|
Zachary Thomas Walters
3469 N Mayo Trl |
$28.13 | 4,010 | 3,353 |
|
Meredith Jarvis Reed
254 Cassidy Blvd |
$75.87 | 4,496 | 4,406 |
|
Joseph A Brown
5425 N Mayo Trl |
$17.44 | 5,700 | 4,478 |
|
Pikeville Medical Center Inc
911 Bypass Rd |
$25.55 | 7,811 | 6,553 |
|
Regina K Compton
4219 North Mayo Trail |
$61.22 | 8,330 | 7,896 |
|
Jason Brian Howard
140 Adams Ln Ste 300 |
$62.12 | 8,374 | 7,868 |
|
James Kendall Cecil
3469 N Mayo Trl |
$35.32 | 9,140 | 8,392 |
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 Pikeville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Pikeville, KY is $41.37 per claim, based on 57,078 claims from 26 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 Pikeville, KY?
There are 26 Medicaid providers offering Eye Exam related services in Pikeville, KY according to public payment data.
What is the price range for Eye Exam in Pikeville, KY?
Medicaid reimbursement for Eye Exam in Pikeville, KY ranges from $1.56 to $75.87 per claim, with an average of $41.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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