Average Medicaid Eye Exam Payments in Saint Paul, MN: $47.62
Avg. Paid
$47.62
Range
$8.80 – $108.23
Total Claims
73,713
Providers
30
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 Saint Paul, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maggie Scott
1360 University Ave W Ste 106 |
$8.80 | 28 | 27 |
|
Sarah Jeanne Jerome
1026 7Th St W |
$108.23 | 33 | 33 |
|
John T Knapp
2500 Como Ave |
$15.87 | 37 | 37 |
|
Kevin Wang
401 Phalen Blvd |
$23.71 | 128 | 117 |
|
John C Foley
1570 Concordia Ave |
$22.27 | 371 | 346 |
|
Marlane J Brown
401 Phalen Blvd |
$33.09 | 371 | 368 |
|
Matthew Cossack
401 Phalen Blvd |
$39.04 | 403 | 372 |
|
Diana Arredondo
409 Dunlap St N |
$36.99 | 454 | 434 |
|
Kristin R. Swenson
2356 University Ave W |
$32.40 | 513 | 487 |
|
Gene W Chen
2500 Como Ave |
$29.43 | 646 | 626 |
|
Solomon M Gould
1995 Burns Ave Ste B |
$38.40 | 699 | 671 |
|
Kaitlyn Huebsch Hollenbach
409 Dunlap St N |
$71.38 | 847 | 741 |
|
David Andrew Spande
1300 University Ave W |
$33.22 | 1,145 | 1,138 |
|
Benjamin Michalicek
272 Snelling Ave S Ste 300 |
$50.44 | 1,195 | 1,149 |
|
Julie M Blenker
261 Ruth St N Ste E |
$49.03 | 1,210 | 1,180 |
|
Mai Chee Moua
2024 Ford Pkwy |
$48.50 | 1,212 | 1,194 |
|
Matthew K Anderson
506 7Th St W |
$42.45 | 1,421 | 1,365 |
|
Karisa Jean Etter
2500 Como Ave |
$51.06 | 1,443 | 1,433 |
|
John Charles Zeyer
401 Phalen Blvd |
$28.75 | 1,574 | 1,513 |
|
Lauren Michele Soukup
2500 Como Ave |
$51.84 | 1,646 | 1,624 |
|
John Heyen
1020 Bandana Blvd W |
$46.66 | 1,761 | 1,733 |
|
Matthew Thomas Hendricks
401 Phalen Blvd |
$52.28 | 1,951 | 1,927 |
|
Matthew Thomas Bauer
401 Phalen Blvd |
$53.82 | 2,646 | 2,623 |
|
Troy E Randgaard
2034 Ford Pkwy |
$35.91 | 2,857 | 2,537 |
|
Matthew Lepage
401 Phalen Blvd Fl 2 |
$55.04 | 3,312 | 3,286 |
|
Mark A Kapphahn
401 Phalen Blvd |
$55.82 | 3,955 | 3,921 |
|
Se Cecelia Xiong
941 Payne Ave |
$47.97 | 7,300 | 7,149 |
|
Bryan Thomas Parrott
2024 Ford Pkwy |
$40.77 | 8,004 | 7,206 |
|
Jerome Allan Fay
1560 University Ave W |
$53.34 | 9,908 | 9,612 |
|
Yer G Vue
1165 Arcade St |
$48.61 | 16,643 | 16,590 |
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 Saint Paul, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Saint Paul, MN is $47.62 per claim, based on 73,713 claims from 30 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 Saint Paul, MN?
There are 30 Medicaid providers offering Eye Exam related services in Saint Paul, MN according to public payment data.
What is the price range for Eye Exam in Saint Paul, MN?
Medicaid reimbursement for Eye Exam in Saint Paul, MN ranges from $8.80 to $108.23 per claim, with an average of $47.62. 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
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San Diego, CA
Avg $18.12
776,876 claims · 232 providers
Las Vegas, NV
Avg $34.73
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Flushing, NY
Avg $55.73
752,320 claims · 93 providers
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