Average Medicaid Eye Exam Payments in San German, PR: $36.51
Avg. Paid
$36.51
Range
$18.09 – $54.41
Total Claims
89,423
Providers
11
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 San German, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Silva Caraballo
Luna Street Ave. Casto Perez |
$42.40 | 49,566 | 42,829 |
|
Jose H Ramirez
#46 Ave Universidad Interamericana |
$30.27 | 12,599 | 12,221 |
|
Maria Josefina Rodriguez
162 Ave Univ Interamericana |
$21.94 | 7,250 | 6,580 |
|
Johanna Grisell Ramos Belen
53 Calle Coral |
$26.87 | 6,920 | 6,103 |
|
Reinaldo M Vazquez
53 Calle Coral |
$28.91 | 6,224 | 5,896 |
|
Alejandro Acosta Rivera
Calle Luna Esquina Salud #139 |
$54.41 | 2,882 | 2,608 |
|
Emi L Quinones
Urb Los Sauces Calle Ceiba #32 |
$28.92 | 1,625 | 1,612 |
|
Wilson J. Soto
Ave. Casto Perez |
$19.23 | 1,468 | 1,455 |
|
Janice Corales
321 Calle Loto |
$28.24 | 813 | 803 |
|
Annette Rivera
Isabel B 7 |
$29.43 | 62 | 62 |
|
Marisel Irizarry Lugo
San German Medical Plaza |
$18.09 | 14 | 12 |
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 San German, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in San German, PR is $36.51 per claim, based on 89,423 claims from 11 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 San German, PR?
There are 11 Medicaid providers offering Eye Exam related services in San German, PR according to public payment data.
What is the price range for Eye Exam in San German, PR?
Medicaid reimbursement for Eye Exam in San German, PR ranges from $18.09 to $54.41 per claim, with an average of $36.51. 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
Other Procedures in San German, PR
Office Visit
Avg $13.92
303,617 claims
Blood Work & Lab Tests
Avg $9.18
154,460 claims
Vaccines & Immunizations
Avg $6.57
77,821 claims
X-Ray
Avg $7.87
69,487 claims
Dental Cleaning & Exam
Avg $20.11
62,720 claims
Urinalysis & Urine Tests
Avg $3.58
32,288 claims
Ultrasound
Avg $43.10
25,434 claims
CT Scan (Computed Tomography)
Avg $91.04
22,117 claims