Average Medicaid Eye Exam Payments in Pittsburgh, PA: $31.13
Avg. Paid
$31.13
Range
$0.00 – $328.33
Total Claims
97,566
Providers
101
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 Pittsburgh, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ardis M Clement
713 Washington Rd |
$24.92 | 15,627 | 13,557 |
|
Wesley D. Cox
645 Rodi Rd Ste 100 |
$23.78 | 7,413 | 7,355 |
|
Robert John Noecker
203 Lothrop St |
$18.60 | 6,571 | 5,210 |
|
Craig A Luchansky
203 Lothrop St |
$53.52 | 5,231 | 5,162 |
|
Evan Waxman
203 Lothrop St |
$18.14 | 3,655 | 3,589 |
|
John Walter Burke
208 5Th Ave |
$14.12 | 3,583 | 3,462 |
|
Shyam Kodati
203 Lothrop St |
$24.38 | 3,329 | 3,238 |
|
Benjamin B Chun
3471 5Th Ave |
$19.64 | 3,233 | 2,860 |
|
Suzanne Jannine Surman
1000 Ross Park Mall Dr |
$13.91 | 2,625 | 2,139 |
|
Dawn V Herzig
2000 Technology Dr Ste 250 |
$25.09 | 2,431 | 2,350 |
|
Airaj F Fasiuddin
4401 Penn Ave |
$8.46 | 2,188 | 2,056 |
|
Amgad Eldib
4401 Penn Ave |
$91.82 | 2,113 | 2,098 |
|
Todd Alan Shuba
120 5Th Ave Place |
$40.05 | 2,050 | 2,033 |
|
Lama Khatib
4401 Penn Ave |
$60.62 | 2,037 | 1,998 |
|
Mark John Uhler
250 Summit Park Dr |
$11.60 | 1,924 | 1,285 |
|
Kelly Seibert
22 Mcintyre Square Dr |
$12.02 | 1,867 | 1,840 |
|
Darren L Hoover
1835 Forbes Ave |
$36.65 | 1,827 | 1,783 |
|
Pamela P Rath
2000 Technology Dr Ste 250 |
$14.23 | 1,742 | 1,505 |
|
Salwa Abdel-Aziz
403 Landon Gate |
$48.14 | 1,708 | 1,440 |
|
Jonathan Bradley Lappen
4048 Beechwood Blvd |
$21.71 | 1,588 | 1,541 |
|
Srinivas Sai A. Kondapalli
1835 Forbes Ave |
$22.51 | 1,561 | 1,442 |
|
Matthew Pihlblad
203 Lothrop St |
$87.84 | 1,374 | 1,359 |
|
Meghal Gagrani
1 Childrens Hospital Dr |
$58.15 | 1,223 | 1,207 |
|
Robert L Naugle
645 Rodi Rd Ste 100 |
$15.77 | 1,137 | 1,134 |
|
Thierry Charles Verstraeten
420 E North Ave Ste 116 |
$21.85 | 1,113 | 1,076 |
|
Andrew Miles Rodriguez
22 Mcintyre Square Dr |
$35.39 | 1,042 | 1,027 |
|
Pinchas P Rosenberg
2000 Technology Dr Ste 250 |
$19.93 | 1,015 | 978 |
|
Gerald Scott Bell
4822 Liberty Ave |
$6.28 | 986 | 986 |
|
Preeti Ajit Patil
4401 Penn Ave |
$92.47 | 854 | 845 |
|
Angelique Vasquez
1000 Ross Park Mall Dr |
$328.33 | 793 | 766 |
|
Gabrielle Bonhomme
203 Lothrop St |
$46.87 | 704 | 695 |
|
Jared Evan Knickelbein
203 Lothrop St Fl 8 |
$24.01 | 680 | 670 |
|
Pavle Doroslovacki
1622 Locust St |
$75.54 | 663 | 616 |
|
Sohani Amarasekera
203 Lothrop St |
$47.99 | 661 | 653 |
|
Omar F Abbasi
2000 Technology Dr Ste 250 |
$22.14 | 642 | 634 |
|
Michael Lawrence Joyce
22 Mcintyre Square Dr |
$1.56 | 605 | 547 |
|
Somya Chowdhary
4401 Penn Ave |
$11.90 | 572 | 527 |
|
Christopher Nicholas Cecchini
4424 Penn Ave |
$14.53 | 547 | 544 |
|
Margaret Nikituk
645 Rodi Rd |
$0.10 | 530 | 520 |
|
Joseph Martel
203 Lothrop St Fl 8 |
$26.58 | 450 | 445 |
|
Brian James Pauchnik
7498 Mcknight Rd |
$38.81 | 437 | 432 |
|
Gaurav Prakash
203 Lothrop St Ste 820 |
$24.93 | 412 | 389 |
|
Can Kocasarac
203 Lothrop St Fl 8 |
$48.70 | 403 | 395 |
|
Boris Rosin
203 Lothrop St |
$24.08 | 325 | 313 |
|
Colin Prensky
203 Lothrop St Fl 8 |
$26.82 | 318 | 314 |
|
Katherine Marie Mehalik
5301 Grove Rd Ste B5301 |
$0.15 | 302 | 258 |
|
Denise Sophia Gallagher
203 Lothrop St |
$18.63 | 294 | 291 |
|
Andrew Williams
203 Lothrop St Fl 8 |
$27.91 | 285 | 282 |
|
Hall Thomas Mcgee
1835 Forbes Ave |
$23.95 | 270 | 240 |
|
Kathryn Woeste
1201 Banksville Rd |
$0.00 | 257 | 247 |
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 Pittsburgh, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Pittsburgh, PA is $31.13 per claim, based on 97,566 claims from 101 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 Pittsburgh, PA?
There are 101 Medicaid providers offering Eye Exam related services in Pittsburgh, PA according to public payment data.
What is the price range for Eye Exam in Pittsburgh, PA?
Medicaid reimbursement for Eye Exam in Pittsburgh, PA ranges from $0.00 to $328.33 per claim, with an average of $31.13. 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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Avg $12.74
5,898,610 claims
Office Visit
Avg $58.11
1,594,344 claims
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Avg $104.00
1,342,847 claims
Urinalysis & Urine Tests
Avg $4.28
839,744 claims
X-Ray
Avg $8.11
814,115 claims
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Avg $5.35
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Avg $57.35
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Avg $8.10
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