Average Medicaid Eye Exam Payments in Rockford, IL: $27.74
Avg. Paid
$27.74
Range
$4.38 – $44.40
Total Claims
87,326
Providers
26
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 Rockford, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Walid F Abdallah
2300 N Rockton Ave |
$30.05 | 19,416 | 19,083 |
|
Brian William Parrett
2929 Mcfarland Rd |
$32.69 | 13,075 | 11,680 |
|
Daniel H Pham
3849 Northridge Dr |
$31.73 | 10,697 | 9,844 |
|
Prayag D Shah
575 S Perryville Rd Ste 119 |
$32.20 | 10,416 | 9,608 |
|
Chad R Slagle
575 S Perryville Rd |
$9.00 | 9,277 | 8,229 |
|
John A. Alexander
2300 N Rockton Ave |
$19.10 | 3,729 | 3,568 |
|
Eric D Coy
7200 Harrison Ave |
$26.63 | 3,628 | 3,406 |
|
Jaime Lynne King
695 N Perryville Rd |
$29.46 | 2,391 | 2,217 |
|
Praksha Butala
7200 Harrison Ave Unit F35 |
$30.99 | 2,351 | 2,217 |
|
Constance S Copeland
8038 Macintosh Ln |
$30.64 | 1,892 | 1,587 |
|
Richard A Miller
2995 Eastrock Dr |
$27.96 | 1,643 | 1,478 |
|
Justin William Johnson
3401 N Perryville Rd |
$24.31 | 1,624 | 1,590 |
|
Peter Joseph Gunther
2995 Eastrock Dr |
$23.18 | 1,588 | 1,005 |
|
William C Hillmann
1603 N Alpine Rd |
$35.34 | 1,419 | 1,269 |
|
Cathy C. Alexander
2300 N Rockton Ave |
$20.58 | 1,067 | 1,013 |
|
Amie Gandhi
1200 W State St Fl 2 |
$30.19 | 1,001 | 969 |
|
Diana Li
1603 N Alpine Rd Ste 121 |
$30.06 | 793 | 781 |
|
Azizur Rahman
695 N Perryville Rd |
$25.79 | 308 | 300 |
|
Gary T. Koteles
2300 N Rockton Ave |
$24.22 | 292 | 284 |
|
Sylwia Prorok
5915 E Riverside Blvd |
$32.44 | 259 | 255 |
|
Jasmine Lopez
6430 E State St |
$23.61 | 205 | 139 |
|
Thomas J Poswilko
4010 E State St |
$35.42 | 119 | 119 |
|
Masud Iqubal Malik
3865 North Mulford Road |
$4.38 | 52 | 52 |
|
Visionworks, Inc
7200 Harrison Ave |
$39.31 | 36 | 36 |
|
Randall D Kittle
4940 E State St |
$25.79 | 34 | 32 |
|
Catherine Nwosu
3455 Holiday Dr Apt 10 |
$44.40 | 14 | 14 |
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 Rockford, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Rockford, IL is $27.74 per claim, based on 87,326 claims from 26 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 Rockford, IL?
There are 26 Medicaid providers offering Eye Exam related services in Rockford, IL according to public payment data.
What is the price range for Eye Exam in Rockford, IL?
Medicaid reimbursement for Eye Exam in Rockford, IL ranges from $4.38 to $44.40 per claim, with an average of $27.74. 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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