Average Medicaid Eye Exam Payments in Portland, ME: $37.81
Avg. Paid
$37.81
Range
$0.00 – $57.07
Total Claims
76,401
Providers
36
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 Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey L Berman
15 Lowell St |
$55.70 | 25,815 | 24,419 |
|
Matthew A Thees
15 Lowell St |
$30.94 | 4,456 | 4,060 |
|
Jeffrey K Moore
161 Marginal Way |
$27.09 | 4,393 | 4,004 |
|
Aaron Jacob Parnes
53 Sewall St |
$19.38 | 4,231 | 3,714 |
|
John L Walters
15 Lowell St |
$27.85 | 4,045 | 3,628 |
|
Richard A Bazarian
161 Marginal Way |
$24.89 | 3,536 | 3,243 |
|
Jackie K Nguyen
53 Sewall Street |
$17.15 | 3,484 | 3,182 |
|
Sirus Hamzavi
15 Lowell St |
$17.09 | 3,406 | 3,256 |
|
Hannah Glezen Calvelli
15 Lowell St |
$37.91 | 3,317 | 2,931 |
|
Holly Knight Mccarthy
15 Lowell St |
$29.19 | 2,533 | 2,367 |
|
Amy Burke Cyr
455 Fore St |
$37.13 | 2,490 | 2,180 |
|
Scott M Steidl
53 Sewall Street |
$14.13 | 2,202 | 1,996 |
|
Robert Fulton Murray
449 Forest Ave |
$31.96 | 1,922 | 1,792 |
|
Robert W Banglmaier
770 Congress St |
$54.80 | 1,851 | 1,803 |
|
Danielle Kathryn Pelletier
331 Veranda St |
$14.63 | 1,334 | 1,162 |
|
Michael P. Anastasio
770 Congress St |
$53.67 | 1,272 | 1,243 |
|
Lisa N Neavyn
15 Lowell St |
$41.68 | 1,171 | 1,139 |
|
Robert S Cady
15 Lowell St |
$32.38 | 811 | 745 |
|
Benjamin James Fowler
15 Lowell St |
$25.92 | 763 | 646 |
|
Steven A Goldstein
152 Middle St |
$53.60 | 724 | 695 |
|
Timothy A Kearins
152 Middle St |
$52.17 | 596 | 576 |
|
Charles M Zacks
15 Lowell St |
$39.89 | 528 | 486 |
|
Margaret Pollard
15 Lowell St |
$35.32 | 287 | 237 |
|
Nirupama Aggarwal
15 Lowell St |
$5.91 | 256 | 247 |
|
Brooke E Miller
15 Lowell St |
$57.07 | 190 | 175 |
|
Richard M France
53 Sewall St |
$20.23 | 158 | 142 |
|
Curtis Mackay Libby
15 Lowell St |
$27.89 | 150 | 139 |
|
Portland Community Health Center
295 Park Ave |
$0.00 | 130 | 125 |
|
Tracy K Giles
1039 Washington Ave |
$0.43 | 128 | 111 |
|
Jordan Eric Sterrer
53 Sewall Street |
$18.29 | 67 | 64 |
|
Adam Burchard Sise
53 Sewall St |
$17.61 | 49 | 48 |
|
Robert W Daly
53 Sewall St |
$16.02 | 37 | 36 |
|
Charles Morse Johnson
595 Brighton Ave |
$0.00 | 26 | 25 |
|
Natan D Kahn
15 Lowell St |
$35.30 | 17 | 15 |
|
Jill M Amundson
15 Lowell St |
$27.85 | 14 | 12 |
|
Tamzid Rahman
22 Bramhall St |
$32.72 | 12 | 12 |
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 Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Portland, ME is $37.81 per claim, based on 76,401 claims from 36 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 Portland, ME?
There are 36 Medicaid providers offering Eye Exam related services in Portland, ME according to public payment data.
What is the price range for Eye Exam in Portland, ME?
Medicaid reimbursement for Eye Exam in Portland, ME ranges from $0.00 to $57.07 per claim, with an average of $37.81. 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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