Average Medicaid Eye Exam Payments in Rochester, NY: $56.29
Avg. Paid
$56.29
Range
$3.90 – $251.46
Total Claims
126,568
Providers
117
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 Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of Rochester
601 Elmwood Ave |
$40.58 | 10,554 | 10,347 |
|
Matthew D Gearinger
601 Elmwood Ave |
$52.97 | 10,396 | 10,363 |
|
Benjamin P Hammond
601 Elmwood Ave |
$71.73 | 7,738 | 7,692 |
|
Gary David Markowitz
919 Westfall Rd Ste A205 |
$85.82 | 5,465 | 5,457 |
|
Christine Elizabeth Coward
601 Elmwood Ave |
$52.67 | 5,035 | 4,714 |
|
Rochester General Hospital
1425 Portland Ave |
$84.59 | 4,790 | 4,648 |
|
Shaw Opticians Llc
1295 Portland Ave |
$52.46 | 4,746 | 4,745 |
|
Steven George Becker
1729 Norton St |
$39.84 | 3,606 | 2,959 |
|
Hannah Sinsebox
1455 E Ridge Rd |
$53.19 | 3,404 | 3,179 |
|
Rajeev Ramchandran
601 Elmwood Ave |
$14.64 | 3,251 | 3,189 |
|
Frederick Dushay
601 Elmwood Ave |
$47.13 | 3,080 | 2,942 |
|
Jason Winthrop Moore
2672 W Ridge Rd |
$87.32 | 3,055 | 3,054 |
|
Arnold Larry Shapiro
1644 Monroe Ave |
$45.10 | 2,678 | 2,663 |
|
Thuy Xuan Dao Priest
1850 Brighton Henrietta Town Line Rd |
$47.28 | 2,540 | 2,535 |
|
Chuan Qin
1663 E Henrietta Rd |
$42.87 | 2,385 | 2,384 |
|
U Of R Neurology Department
601 Elmwood Ave |
$135.72 | 2,295 | 2,229 |
|
Emily Frances Culliton
30 N Union St |
$76.32 | 2,258 | 2,255 |
|
Cindy He Delee
2100 S Clinton Ave |
$59.91 | 2,068 | 1,995 |
|
Yousuf Khalifa
601 Elmwood Ave |
$11.10 | 1,999 | 1,756 |
|
Matthew T Witmer
160 Sawgrass Dr |
$36.61 | 1,938 | 1,908 |
|
Marycarol Graby
2301 Lac Deville Blvd |
$68.90 | 1,872 | 1,872 |
|
Cuong N. Trieu
286 Exchange Blvd |
$43.50 | 1,789 | 1,788 |
|
Matthew Lloyd Haynie
601 Elmwood Ave |
$88.64 | 1,787 | 1,785 |
|
Eye Physicians And Surgeons Of Western New York Pllc
1580 Elmwood Ave |
$46.68 | 1,739 | 1,736 |
|
Fred E Norway
3800 Dewey Ave |
$66.42 | 1,661 | 1,661 |
|
Anthony J Dell'Anno
2590 W Ridge Rd |
$74.57 | 1,635 | 1,634 |
|
Amanda Domagola
451 Hollybrook Rd |
$15.46 | 1,501 | 1,485 |
|
Brooke E Donaher
1701 Lac De Ville Blvd |
$54.97 | 1,345 | 1,328 |
|
Brad W Perry
121 Miracle Mile Dr |
$96.31 | 1,315 | 1,314 |
|
Empire Vision Center Inc
525 Titus Ave |
$34.38 | 1,222 | 1,214 |
|
George S Kornfeld
2180 Monroe Ave |
$60.45 | 1,176 | 1,175 |
|
Bayan Ali Mahmoud Al Othman
601 Elmwood Ave |
$21.64 | 1,143 | 1,132 |
|
Shobha Boghani
1455 E Ridge Rd |
$46.66 | 1,116 | 1,026 |
|
Gerard Cairns
2100 Clinton Ave S |
$35.73 | 1,089 | 1,078 |
|
Hieu Trung Tran
1663 E Henrietta Rd |
$91.26 | 1,086 | 1,086 |
|
Phuoc Thi Ly
2590 Ridge Rd W |
$62.92 | 1,074 | 1,074 |
|
Angela Pugliese Bessette
210 Crittenden Blvd |
$28.28 | 1,073 | 1,043 |
|
Ashley Mills
10 Woodcrest Dr |
$86.63 | 949 | 949 |
|
David A Diloreto
601 Elmwood Ave |
$25.96 | 926 | 912 |
|
Kimberly Heiligman
2345 Ridgeway Ave |
$56.33 | 789 | 788 |
|
Edward Faron Hall
160 Sawgrass Dr Ste 200 |
$24.80 | 780 | 753 |
|
Empire Vision Center Inc
1663 E Henrietta Rd |
$33.61 | 776 | 772 |
|
Ying Qian
2300 Buffalo Rd |
$53.51 | 719 | 701 |
|
David A Shiple
601 Elmwood Ave |
$48.94 | 665 | 558 |
|
Vikas Khetan
601 Elmwood Ave |
$17.35 | 652 | 636 |
|
Vadim Guy
1425 Jefferson Rd |
$65.67 | 594 | 594 |
|
Zoe R Williams
601 Elmwood Ave |
$31.55 | 573 | 567 |
|
Beth A Reali
3333 W Henrietta Rd |
$72.93 | 570 | 564 |
|
Laura Barfield
2301 Lac De Ville Blvd |
$112.79 | 547 | 546 |
|
Christine C Platt
1 Lakeview Park |
$52.99 | 526 | 507 |
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 Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Rochester, NY is $56.29 per claim, based on 126,568 claims from 117 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 Rochester, NY?
There are 117 Medicaid providers offering Eye Exam related services in Rochester, NY according to public payment data.
What is the price range for Eye Exam in Rochester, NY?
Medicaid reimbursement for Eye Exam in Rochester, NY ranges from $3.90 to $251.46 per claim, with an average of $56.29. 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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Avg $155.96
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Avg $80.81
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Avg $129.50
1,243,277 claims
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Avg $416.23
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Avg $142.49
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