Average Medicaid Eye Exam Payments in Providence, RI: $42.16
Avg. Paid
$42.16
Range
$10.14 – $114.12
Total Claims
185,664
Providers
74
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 Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jacob Hettinger
891 Westminster St |
$27.75 | 19,896 | 19,080 |
|
David Robbins Tien
2 Dudley St |
$70.96 | 15,775 | 14,190 |
|
Tineke L Chan
2 Dudley St |
$76.11 | 15,636 | 14,178 |
|
Holly Jane Dwan
891 Westminster St |
$30.09 | 9,208 | 8,952 |
|
John P Donahue
150 E Manning St |
$61.88 | 8,832 | 8,574 |
|
Chad Michael Belanger
780 N Main St |
$28.65 | 6,678 | 6,471 |
|
George D Bertherman
1466 Broad St |
$41.50 | 5,718 | 5,553 |
|
Robert Mitchell Thacker
1466 Broad St |
$42.87 | 5,280 | 5,170 |
|
Altin Pani
101 Plain St Ste 101 |
$33.45 | 5,154 | 4,591 |
|
Scott A Colonna
891 Westminster St |
$28.55 | 4,723 | 4,267 |
|
David Mills
335R Prairie Ave |
$36.68 | 4,587 | 4,367 |
|
Scott Wayne Sylvia
780 N Main St |
$28.08 | 4,294 | 4,152 |
|
Megan E. Nappi
335 Prairie Ave |
$38.21 | 4,241 | 4,141 |
|
Michael Aaron Langue
2 Dudley St Ste 505 |
$93.24 | 4,077 | 3,959 |
|
Wendy Shih-Wen Chen
1 Hoppin St |
$22.86 | 3,896 | 3,261 |
|
Stephanie Sturgis
891 Westminster St |
$34.51 | 3,582 | 3,321 |
|
Rickie Kwong Chin
891 Westminster St |
$36.18 | 3,521 | 3,257 |
|
Gaurav Gupta
150 E Manning St |
$26.11 | 3,345 | 2,848 |
|
Celine Saade
1 Hoppin St Ste 202 |
$49.01 | 3,204 | 2,953 |
|
Scott Greenberg
101 Plain St Ste 101 |
$58.97 | 3,147 | 2,780 |
|
Alexandra M O'Donnell
891 Westminster St |
$33.07 | 2,849 | 2,770 |
|
Theresa J Colonna
891 Westminster St |
$24.47 | 2,709 | 2,592 |
|
Abby Lynn Raposo
623 Atwells Ave |
$25.07 | 2,601 | 2,591 |
|
Rebecca M. Ray
335R Prairie Ave |
$36.35 | 2,572 | 2,519 |
|
Tatiana Bakaeva
1 Hoppin Street |
$45.53 | 2,429 | 2,296 |
|
Katrina L. Mahood
335R Prairie Ave |
$35.79 | 2,400 | 2,347 |
|
Melissa Ann Simon
1 Hoppin St Ste 202 |
$21.83 | 2,206 | 2,047 |
|
Chad Michael Waggoner
891 Westminster St |
$33.21 | 2,057 | 2,007 |
|
Samantha Marie Bertherman
1466 Broad St |
$48.43 | 1,834 | 1,805 |
|
Pranjal Thakuria
150 E Manning St |
$27.38 | 1,743 | 1,526 |
|
Laura Ann Lakin
623 Atwells Ave |
$32.15 | 1,644 | 1,580 |
|
Joseph Isik
295 S Main St |
$33.56 | 1,476 | 1,320 |
|
John D Corrow
780 North Main St. |
$23.87 | 1,355 | 1,301 |
|
Michael Robert Martinez
780 N Main St |
$31.61 | 1,301 | 1,275 |
|
Nathaniel Robert Sweet
891 Westminster St |
$10.14 | 1,296 | 1,269 |
|
Jesse Richman
593 Eddy St |
$11.46 | 1,231 | 1,105 |
|
Rolando Estrada
70 Providence Pl |
$36.37 | 1,185 | 1,131 |
|
Lucia D'Angelo
891 Westminster St |
$31.55 | 1,162 | 1,117 |
|
Richard G Bryan
120 Dudley St |
$21.75 | 1,063 | 1,009 |
|
Martin P Newman
150 E Manning St |
$31.41 | 1,055 | 1,027 |
|
Sarah Anis
150 E Manning St |
$25.55 | 1,025 | 972 |
|
Noelle Layer Pruzan
623 Atwells Ave |
$29.21 | 1,009 | 868 |
|
Robert H Janigian
120 Dudley Street |
$26.33 | 939 | 873 |
|
Thomas Paul Cesaro
50 Maude St |
$37.51 | 882 | 849 |
|
Brian Thomas Savoie
120 Dudley St Ste 303 |
$58.18 | 859 | 817 |
|
Magdalena G Krzystolik
1 Randall Sq |
$11.94 | 825 | 765 |
|
Elizabeth Wassenaar
150 E Manning St |
$21.21 | 822 | 788 |
|
Carl D Corrow
780 North Main St. |
$23.25 | 751 | 714 |
|
Cassandra Sousa Oliveira
354 Broadway |
$28.95 | 700 | 669 |
|
Alerino M Iacobbo
891 Westminster St |
$31.24 | 699 | 665 |
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 Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Providence, RI is $42.16 per claim, based on 185,664 claims from 74 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 Providence, RI?
There are 74 Medicaid providers offering Eye Exam related services in Providence, RI according to public payment data.
What is the price range for Eye Exam in Providence, RI?
Medicaid reimbursement for Eye Exam in Providence, RI ranges from $10.14 to $114.12 per claim, with an average of $42.16. 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 Providence, RI
Personal Care Services
Avg $125.03
2,057,051 claims
Office Visit
Avg $73.05
1,843,254 claims
Emergency Room Visit
Avg $92.98
754,000 claims
Behavioral & Mental Health Therapy
Avg $129.47
740,415 claims
Dental Cleaning & Exam
Avg $30.60
677,431 claims
Case Management Services
Avg $18.33
599,589 claims
Psychiatric Evaluation
Avg $71.24
531,502 claims
Substance Abuse Treatment
Avg $47.48
496,940 claims