Average Medicaid Eye Exam Payments in Ponce, PR: $44.60
Avg. Paid
$44.60
Range
$0.00 – $76.89
Total Claims
174,207
Providers
27
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 Ponce, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ivette Burgos-Irizarry
2050 Ponce By Pass |
$16.38 | 25 | 13 |
|
Frances L Sotomayor Rodriguez
450 Calle Ferrocarril Ste 102 |
$0.00 | 26 | 26 |
|
Erick Manuel Rivera-Grana
91 Calle Un |
$13.68 | 31 | 25 |
|
Viveca Maldonado
2050 Ponce By Pass |
$15.75 | 34 | 17 |
|
Med Centro, Inc.
1034 Ave Hostos |
$0.00 | 113 | 108 |
|
Ruth D. Negron Colon
2188 Ave Eduardo Ruberte |
$0.00 | 149 | 149 |
|
Edwin Jusino Quinones
Plaza Del Caribe Mall |
$0.00 | 519 | 519 |
|
Family Vision Center Inc
83 Union |
$35.49 | 844 | 842 |
|
Herbert De Jesus
2939 Ave Emilio Fagot Ste 2 |
$12.81 | 916 | 821 |
|
Juan Carlos Segarra
Repto Universitario |
$23.95 | 1,816 | 1,668 |
|
Rita Maria Pagan Silva
590 Calle Wito Morales |
$24.55 | 2,304 | 2,075 |
|
Jose A Mattei
Plazoleta Morell Campos Suite 4 |
$23.22 | 2,748 | 2,554 |
|
Maribel Victoria Vazquez
503 Calle Ramos Antonini |
$8.15 | 4,121 | 4,027 |
|
Miguel A Torres
2225 Edificio Parra Suite 802 |
$76.89 | 4,327 | 3,894 |
|
Jan Carlos Ortiz Rosario
Calle Union #91 Esq Calle Sol |
$68.35 | 5,221 | 3,527 |
|
Natalia Cintron Rodriguez
Calle Concordia Suite 201 |
$49.34 | 5,722 | 5,148 |
|
Jorge L. Bonilla Davila
2053 Ponce By Pass |
$33.52 | 9,249 | 7,476 |
|
Jorge Hernandez Ruiz
2225 Edificio Parra Suite 802 |
$60.62 | 9,363 | 8,576 |
|
Jorge H Gutierrez-Dorrington
613 Ave Tito Castro Ste 101 |
$70.38 | 10,024 | 9,330 |
|
Cristobal J Cruz-Colon
Torre Medica San Lucas |
$55.78 | 10,415 | 9,232 |
|
Jennifer Ortiz Melendez
8169 Calle Concordia |
$27.17 | 11,407 | 10,402 |
|
Luis A Serrano
44 Mayor St. |
$29.14 | 11,463 | 9,295 |
|
Hiram Quinones- Ferrer
8024 Calle Concordia |
$76.26 | 12,167 | 10,828 |
|
Milton E Irizarry Quinones
91 Calle Union |
$63.91 | 14,091 | 13,062 |
|
Giuseppe Recafina
2050 Ponce Byp |
$3.21 | 14,562 | 13,950 |
|
Edmundo Torres
1681 Paseo Vla Flores Ste 204 |
$36.49 | 21,134 | 19,304 |
|
Eduardo Perez Rodriguez
2225 Edificio Parra Suite 802 |
$51.46 | 21,416 | 18,452 |
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 Ponce, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Ponce, PR is $44.60 per claim, based on 174,207 claims from 27 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 Ponce, PR?
There are 27 Medicaid providers offering Eye Exam related services in Ponce, PR according to public payment data.
What is the price range for Eye Exam in Ponce, PR?
Medicaid reimbursement for Eye Exam in Ponce, PR ranges from $0.00 to $76.89 per claim, with an average of $44.60. 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
Other Procedures in Ponce, PR
Office Visit
Avg $21.42
1,360,962 claims
Blood Work & Lab Tests
Avg $9.32
1,169,019 claims
Vaccines & Immunizations
Avg $4.89
299,051 claims
Urinalysis & Urine Tests
Avg $3.76
273,785 claims
Dental Cleaning & Exam
Avg $20.09
231,783 claims
Psychiatric Evaluation
Avg $18.40
217,440 claims
Speech Therapy
Avg $51.49
187,685 claims
Pathology & Lab Services
Avg $89.42
187,636 claims