Based on public Medicaid payment data.

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
Rajesh Sasikumar Upmc Mercy Pavilion	$65.93	12	12
Sarah Elizabeth Zambotti 4815 Liberty Ave Ste M25	$1.67	12	12
Regis P Rumpf 5900 Corporate Dr	$35.39	12	12
David J Baker 2140 Ardmore Blvd	$29.06	12	12
Heo-Jeng Ooi 4627 5Th Ave	$24.02	12	12
Julia Polat 203 Lothrop St	$18.59	13	12
Lillian Khowong To 203 Lothrop St Fl 8	$38.88	13	12
Joshua Ari Paul 1326 Freeport Rd Ste 200	$22.86	13	12
Andrew W Eller 203 Lothrop St	$21.15	14	13
Scott Drexler 203 Lothrop St	$43.17	15	15
University Of Pittsburgh Physicians 203 Lothrop St	$0.00	24	21
Everett & Hurite Ophthalmic Association 2000 Technology Dr Ste 250	$46.12	28	26
Anna B Miller 2639 Brownsville Rd	$0.00	29	28
Mamta Vinit Shah 420 E North Ave Ste 116	$97.06	32	25
Justin Richard Patterson 1026 W View Park Dr	$25.00	32	32
Nathan E Isaacson 203 Lothrop St	$4.80	33	33
Eyes On Regent Square 1201 S Braddock Ave	$0.00	37	37
Myhanh C Dang 645 Rodi Rd Ste 100	$15.46	38	37
Janelle M Foster 4815 Liberty Ave	$25.64	39	39
Hugo Jose Maria Cerri 1350 Locust St	$44.30	42	42
Menelaos Liulias 5900 Corporate Dr Ste 150	$44.00	44	44
Erick Henderson 956 Perry Hwy	$16.84	46	46
Robert M Lewen 420 East North Avenue	$22.37	50	49
Christopher Scott Porter 10 Old Clairton Rd	$0.00	52	26
Elizabeth Irlene Papazian 8000 Mcknight Rd Ste 2328	$0.00	54	27
Kameron Faychak 22 Mcintyre Square Dr	$19.83	57	56
Charles J Kent 2000 Technology Dr Ste 250	$15.54	64	55
Jason M Wasylovski 175 Quinn Dr	$0.00	66	33
Joshua Clermont 1622 Locust St	$14.55	69	68
Vishal Jhanji 203 Lothrop St	$25.97	71	65
Eyetique Inc 208 5Th Ave	$40.00	72	71
Lisa M Nath 511 Lincoln Ave	$23.26	78	78
Ellen Bridget Wolfe 1193 Firwood Dr	$42.31	87	82
Empire Vision Center, Inc 120 5Th Ave Fl 1	$40.00	89	89
Chanin J Funair-Woods 1622 Locust St	$34.18	90	89
Alyssa M Taddie 4885 Mcknight Rd Ste 2	$34.53	95	95
Marla Michelle Crawford 5889 Forbes Ave	$0.00	114	114
Ian Conner 203 Lothrop St	$21.77	124	123
Julie Wong Mileham 5900 Corporate Drive	$10.90	127	88
Alexander C Chang 2101 Greentree Rd Ste 105	$31.58	133	131
Christopher Michael Short 100 Robinson Center Dr	$0.00	176	176
Maryam Hajouni 4401 Penn Ave	$60.02	179	179
Antonio Chirumbolo 2414 Silver Oak Dr	$39.93	200	195
Edward J Chang 2000 Technology Dr Ste 250	$18.44	204	201
Marie Helene Errera 203 Lothrop St	$23.11	209	206
James W Mahramas 301 S Hills Vlg # 2264-A	$15.15	213	174
Michelle L. Polimadei 315 Beverly Rd	$25.56	214	210
Farzad Jamshidi 1622 Locust St (Level 2)	$5.53	219	204
Kanwal K Nischal 4401 Penn Ave	$84.80	219	219
Jay Kumar Chhablani 203 Lothrop St Ste 821.2	$30.99	236	229

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.

Average Medicaid Eye Exam Payments in Pittsburgh, PA: $31.13

Providers Offering Eye Exam in Pittsburgh, PA

What to Expect: Eye Exam

Cost Components

Frequently Asked Questions

Eye Exam in Other Cities

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Chicago, IL

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Flushing, NY

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