Average Medicaid Eye Exam Payments in Portsmouth, OH: $21.17
Avg. Paid
$21.17
Range
$0.00 – $37.90
Total Claims
57,469
Providers
16
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 Portsmouth, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Emma Gohmann
721 7Th St |
$19.69 | 30 | 28 |
|
Portsmouth Vision Center, Ltd
1915 Scioto Trail |
$0.00 | 62 | 55 |
|
John Denoon Evans
1534 11Th St |
$16.97 | 112 | 107 |
|
Robert J Knox
1534 11Th St |
$10.60 | 499 | 407 |
|
Steven Wylie Binns
2808 Scioto Trl |
$37.29 | 659 | 653 |
|
Joseph Wm. Babcock
721 7Th St. |
$37.90 | 689 | 665 |
|
Michael W. Raies
1915 Scioto Trl |
$19.71 | 820 | 759 |
|
Kelly Raies
1915 Scioto Trl |
$16.67 | 1,291 | 1,232 |
|
Aaron Todd Kallner
2002 Robinson Ave |
$25.04 | 3,574 | 3,556 |
|
Michael Miller
1915 Scioto Trl |
$20.81 | 4,915 | 4,673 |
|
Julie Douthat
1915 Scioto Trl |
$22.08 | 5,616 | 5,432 |
|
Jay Egolf
1400 Gay St |
$12.96 | 5,618 | 5,214 |
|
Clyde M Fenton
2002 Robinson Ave |
$21.08 | 6,903 | 6,742 |
|
Taylor Babcock
721 7Th St |
$26.35 | 6,986 | 6,762 |
|
Allen Lee Rice
1915 Scioto Trail |
$17.40 | 7,039 | 6,143 |
|
Jonathan Lucas
1805 Waller St |
$22.10 | 12,656 | 11,711 |
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 Portsmouth, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Portsmouth, OH is $21.17 per claim, based on 57,469 claims from 16 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 Portsmouth, OH?
There are 16 Medicaid providers offering Eye Exam related services in Portsmouth, OH according to public payment data.
What is the price range for Eye Exam in Portsmouth, OH?
Medicaid reimbursement for Eye Exam in Portsmouth, OH ranges from $0.00 to $37.90 per claim, with an average of $21.17. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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