Average Medicaid Eye Exam Payments in Raleigh, NC: $14.87
Avg. Paid
$14.87
Range
$0.00 – $75.83
Total Claims
75,667
Providers
47
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 Raleigh, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Franklin Li
2406 Blue Ridge Rd Ste 280 |
$0.00 | 13 | 13 |
|
Carol Ann Aune
4170 Fayetteville Rd |
$0.00 | 13 | 13 |
|
Alice Angela Lin
3320 Executive Dr |
$17.54 | 14 | 13 |
|
Adam J Bennett
2406 Blue Ridge Rd Ste 280 |
$6.33 | 16 | 14 |
|
Kevin M Bowman
2709 Blue Ridge Rd |
$7.58 | 19 | 12 |
|
Nouman Siddiqui
4201 Lake Boone Trl |
$23.52 | 28 | 24 |
|
Osama H Said
3214 Charles B Root Wynd |
$5.51 | 35 | 28 |
|
Sachin S Mudvari
4414 Lake Boone Trl |
$17.43 | 39 | 25 |
|
Patrick William Laber
2709 Blue Ridge Rd |
$3.36 | 42 | 28 |
|
John P Denny
4414 Lake Boone Trl |
$8.13 | 42 | 26 |
|
Charles H Robinson
2709 Blue Ridge Rd |
$11.38 | 44 | 36 |
|
Holly Pugh Johnson
3320 Executive Dr |
$6.39 | 50 | 38 |
|
Kerry Edmund Hunt
3320 Executive Dr Ste 111 |
$7.40 | 62 | 38 |
|
Jennifer Renee Coben
8851 Ellstree Ln Ste 200 |
$17.20 | 81 | 73 |
|
Carmen Foster Mclean
4400 Falls Of Neuse Rd |
$65.73 | 110 | 101 |
|
Jerome J Magolan
3320 Executive Dr |
$6.60 | 129 | 79 |
|
Sandra Vidacic Mokris
6136 Falls Of Neuse Rd |
$33.72 | 188 | 178 |
|
Abid-Alhamid Dahnoun
7800 Fayetteville Rd. |
$0.00 | 188 | 187 |
|
Anita Prakash Vin-Parikh
3320 Executive Dr |
$13.57 | 233 | 174 |
|
Joseph Franklin Tart
13220 Strickland Rd |
$45.21 | 273 | 268 |
|
Gabriel Tsing-Tzong Chong
2709 Blue Ridge Rd |
$16.69 | 294 | 222 |
|
Ruvina Ranasinghe
6566 Glenwood Ave |
$2.94 | 304 | 236 |
|
Kurt Thomas Scavelli
4414 Lake Boone Trl Ste 302 |
$17.58 | 365 | 305 |
|
Syndee Givre
1520 Sunday Dr |
$30.84 | 415 | 366 |
|
Michelle Biaggi
4351 The Circle At North Hills St Ste 107 |
$19.49 | 420 | 420 |
|
Laura Lynn Snyder
4414 Lake Boone Trl Ste 302 |
$7.51 | 427 | 302 |
|
Michael Walker Kelly
8851 Ellstree Ln |
$7.75 | 481 | 428 |
|
Sean Winston Smolenyak
8851 Ellstree Ln |
$7.71 | 549 | 355 |
|
Jeffrey D Handschumacher
7500 Ramble Way |
$32.38 | 648 | 495 |
|
Ryan Montgomery Leblanc
3905 New Bern Ave |
$44.88 | 837 | 712 |
|
Stephanie Corbin
2024 Cameron St |
$27.14 | 882 | 849 |
|
Cara Ellen Finn
7500 Ramble Way Ste 101 |
$30.72 | 1,032 | 730 |
|
Vincent P Dahringer
4700 Falls Of Neuse Rd Ste 180 |
$6.50 | 1,085 | 548 |
|
Maria Stephanie R. Jardeleza
4414 Lake Boone Trl Ste 302 |
$15.14 | 1,126 | 960 |
|
Philip L Martin
2801 Blue Ridge Rd |
$75.83 | 1,461 | 1,355 |
|
Lisa Fogel Mckenna
2605 Blue Ridge Rd Ste 320 |
$4.41 | 1,822 | 1,085 |
|
Timothy D Jordan
2709 Blue Ridge Rd |
$17.86 | 2,045 | 1,446 |
|
Eugene A. Milder
4414 Lake Boone Trl Ste 302 |
$13.04 | 2,677 | 1,936 |
|
Nicole Marie Gordon
4325 Glenwood Ave |
$11.95 | 3,819 | 2,972 |
|
Daniel Kittelle Bennett
4414 Lake Boone Trl Ste 302 |
$9.51 | 4,581 | 3,196 |
|
Nitin Gupta
1101 Dresser Ct |
$5.97 | 4,788 | 3,687 |
|
John E Thordsen
4414 Lake Boone Trl Ste 302 |
$9.33 | 5,238 | 3,499 |
|
Rebecca Anna Manning
4414 Lake Boone Trl Ste 302 |
$9.34 | 5,244 | 3,507 |
|
James Carey Pate
1101 Dresser Ct |
$7.40 | 5,937 | 4,282 |
|
Lekha Koppolu Desai
4414 Lake Boone Trl Ste 302 |
$43.60 | 6,235 | 5,278 |
|
Brian Lehpamer
4414 Lake Boone Trl |
$9.40 | 8,248 | 5,580 |
|
Charles Clayton Wiggins
7100 Six Forks Rd |
$8.24 | 13,088 | 10,425 |
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 Raleigh, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Raleigh, NC is $14.87 per claim, based on 75,667 claims from 47 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 Raleigh, NC?
There are 47 Medicaid providers offering Eye Exam related services in Raleigh, NC according to public payment data.
What is the price range for Eye Exam in Raleigh, NC?
Medicaid reimbursement for Eye Exam in Raleigh, NC ranges from $0.00 to $75.83 per claim, with an average of $14.87. 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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