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 |
|---|---|---|---|
|
B. Scott Fine
381 White Spruce Blvd |
$115.81 | 12 | 12 |
|
Jessica Eick
1200 Marketplace Drive |
$62.00 | 12 | 12 |
|
David Maxwell Kleinman
210 Crittenden Ave |
$13.87 | 12 | 12 |
|
Earlene Catherine Siebold
880 Westfall Rd |
$48.23 | 12 | 12 |
|
David J Dupont
2301 Lac De Ville Blvd |
$16.23 | 12 | 12 |
|
Tina Reeves
17 State St |
$14.68 | 12 | 12 |
|
Retina Services Of The University Of Rochester
601 Elmwood Ave |
$17.98 | 12 | 12 |
|
Elaine L Ho
210 Crittenden Boulevard |
$99.17 | 13 | 13 |
|
Philip Michael Kikuchi
1555 Long Pond Rd |
$251.46 | 13 | 13 |
|
Steve B. Park, Md Pc
2300 Buffalo Rd |
$60.51 | 13 | 13 |
|
Paul C Hanlon
2300 Buffalo Rd |
$97.58 | 14 | 14 |
|
Linn Goetz
485 Titus Avenue |
$15.54 | 15 | 15 |
|
Kenneth James Lindahl
30 N Union St |
$88.12 | 24 | 24 |
|
Sarah B Klein
601 Elmwood Ave |
$55.75 | 25 | 25 |
|
Sara Ferri
2301 Lac De Ville Blvd |
$6.65 | 25 | 24 |
|
Alex V Levin
601 Elmwood Ave |
$4.58 | 26 | 25 |
|
Jeremy Norman Outinen
3349 Monroe Ave |
$100.66 | 26 | 26 |
|
Lucille Raptis
601 Elmwood Avenue Box 659 |
$116.03 | 28 | 28 |
|
James V Aquavella
601 Elmwood Ave Box 659 |
$75.75 | 29 | 26 |
|
Michael D Depaolis
169 Rue De Vl |
$84.72 | 30 | 30 |
|
Alek Karthikeyan
1338 E Ridge Rd |
$107.38 | 37 | 37 |
|
Kyle Evan Williams
2301 Lac De Ville Blvd |
$73.92 | 38 | 38 |
|
Retina Associates Of Western Ny Pc
160 Sawgrass Dr Ste 200 |
$30.80 | 38 | 38 |
|
Wen Fan Hu
601 Elmwood Ave |
$24.70 | 38 | 36 |
|
Dennis Arthur Asselin
2301 Lac De Ville Blvd |
$17.01 | 39 | 39 |
|
Wei Chen
1317 Mount Hope Ave |
$74.78 | 41 | 41 |
|
Justin Park
2300 Buffalo Rd Bldg 700 |
$45.16 | 41 | 41 |
|
James W Beisheim
800 Carter Street |
$94.83 | 74 | 74 |
|
David E. D'Amico
250 Mile Crossing Blvd Ste 1B |
$81.23 | 76 | 76 |
|
O Gregory Zazulak
890 Westfall Rd |
$18.10 | 81 | 81 |
|
Saul Lloyd Presberg
1425 Portland Ave |
$18.28 | 86 | 84 |
|
Vision Associates Of Rochester
1260 Lyell Ave |
$37.42 | 88 | 88 |
|
Patricia J Andolina
3180 Latta Rd |
$27.25 | 88 | 88 |
|
Paul James Hartman
2100 Clinton Ave S |
$18.64 | 90 | 89 |
|
Sabrina Ahmed
381 White Spruce Blvd |
$14.03 | 91 | 91 |
|
Dino J D'Onofrio
1338 E Ridge Rd |
$15.89 | 108 | 108 |
|
Natalie Brossard Barbosa
601 Elmwood Ave |
$22.00 | 111 | 108 |
|
Melanie Ann Shearer
2590 Ridge Rd W |
$77.37 | 113 | 113 |
|
Kevin J Chaisson
2300 Buffalo Rd |
$95.74 | 117 | 117 |
|
Michele A Jamison
90 Erie Canal Dr |
$102.36 | 150 | 150 |
|
Kevin William Clogg
2300 Buffalo Rd |
$75.66 | 152 | 152 |
|
Edward G Sachs
3349 Monroe Ave |
$32.23 | 153 | 153 |
|
Mark Steven Jacobson
30 N Union St |
$59.58 | 153 | 152 |
|
Regina M Smolyak
601 Elmwood Ave |
$21.31 | 154 | 135 |
|
Rebecca A Nally
601 Elmwood Ave |
$75.05 | 178 | 178 |
|
John Tc Chu
2345 Ridgeway Ave |
$26.88 | 197 | 197 |
|
Jennifer Lin Krech
601 Elmwood Ave |
$13.80 | 214 | 212 |
|
Brian P Connolly
160 Sawgrass Dr |
$26.34 | 218 | 214 |
|
Andrea Fabiola Avila Pineda
601 Elmwood Ave |
$3.90 | 228 | 228 |
|
Steven J Rose
160 Sawgrass Dr |
$34.24 | 229 | 207 |
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
4,468,559 claims
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Avg $13.58
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Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
Case Management Services
Avg $416.23
1,188,020 claims
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Avg $142.49
1,087,559 claims
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