Average Medicaid Eye Exam Payments in San Juan, PR: $38.11
Avg. Paid
$38.11
Range
$0.00 – $253.77
Total Claims
328,091
Providers
112
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 Juan, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Centro Oftalmologico Metropolitano Csp
Ave Jesus T Pinero #1250 Caparra Terrace |
$33.10 | 26,197 | 24,981 |
|
Rene Vazquez - Botet
386 Ave Domenech |
$42.53 | 18,921 | 16,633 |
|
Recinto De Ciencias Medicas
Ave Americo Miranda Centro Medico De Pr Edif Principal |
$35.97 | 15,126 | 13,130 |
|
Lorna Alexandra Vargas
611 Calle Europa Ste 212 |
$38.40 | 13,080 | 11,964 |
|
Carmen E Amaral
71 Calle Arzuaga |
$36.72 | 11,956 | 11,261 |
|
Nestor J Toro Ocasio
530 Calle Besosa |
$33.83 | 11,942 | 9,139 |
|
Jose Maria Garcia Gonzalez
1114 Ave Jesus T Pinero |
$20.16 | 9,531 | 8,085 |
|
Victor M Villegas
360 Calle Del Parque |
$54.95 | 9,355 | 7,299 |
|
Vanessa Lopez Beauchamp
Ave Jesus T Pinero 1250 |
$43.14 | 9,343 | 7,940 |
|
Luis J Oms
Ave Jesus T Pinero 1250 Caparra Terrace |
$36.44 | 9,142 | 7,262 |
|
Hilda M Bithorn
400 Ave Fd Roosevelt |
$36.43 | 8,830 | 7,559 |
|
Horacio M Tous De Jesus
200 Ave Winston Churchill |
$43.30 | 8,663 | 7,722 |
|
Arnold Daniel Cortes
San Juan Va Hospital, Casia St. |
$42.25 | 8,269 | 6,612 |
|
Jessica - Cedeno
715 Ave Ponce De Leon |
$37.26 | 8,145 | 6,915 |
|
Vanessa Cruz-Villegas
150 Ave De Diego |
$34.62 | 7,354 | 6,028 |
|
Ivonne V Acevedo
Ext Roosevelt #521 Calle Rafael Lamar |
$18.01 | 7,235 | 6,839 |
|
Veronica M. Czerniak-Torres
530 Calle Besosa |
$22.33 | 5,845 | 5,455 |
|
Ramon M Portela
Ave Jesus T Pinero 1250 Caparra Terrace |
$35.38 | 5,746 | 4,973 |
|
Rosaliz M Portela
Ave Jesus T Pinero |
$44.40 | 5,270 | 4,431 |
|
Nora Ivette Perez
287 Calle Los Robles |
$26.52 | 5,080 | 3,651 |
|
Olimpia Vargas
Carr. #2 H48 Marginal Santa Rita |
$50.23 | 5,028 | 4,901 |
|
Marino Blasini-Torres
611 Calle Pavia |
$40.77 | 4,657 | 3,181 |
|
Retina Consultants Of P.R.
735 Ave Ponce De Leon |
$39.84 | 4,639 | 4,512 |
|
Ian K Piovanetti
Ave Jesus T Pinero 1250 Caparra Terrace |
$39.30 | 4,320 | 3,818 |
|
Miguel A Ramirez Ripoll
369 Ave De Diego Suite 204 |
$57.60 | 4,307 | 3,906 |
|
Jose A Rivera Negron
1 Calle Rodriguez Serra Apt 1002 |
$33.13 | 3,838 | 3,466 |
|
Jeannette Mas
Chalets De Cupey |
$37.43 | 3,573 | 3,374 |
|
Fransheska Martinez Medina
1900 Ave Jesus T Pinero |
$30.67 | 3,553 | 2,774 |
|
Francisco J Corretjer
Ave Jesus T Pinero 1250 Caparra Terrace |
$45.75 | 3,321 | 2,978 |
|
Francine Vivoni
Ave Jesus T Pinero #1250 Caparra Terrace |
$48.16 | 3,271 | 3,012 |
|
Camille M Pizzini
1900 Ave J T Pinero |
$26.30 | 3,211 | 3,162 |
|
Gustavo A. Hernandez
Metropolitan Hospital Suite 202 |
$49.89 | 3,187 | 2,723 |
|
Edwin Jemal Perez-Del Pilar
Ave Mcleary |
$25.51 | 2,984 | 2,964 |
|
Emilio A Arce-Lopez
150 Ave De Diego |
$36.02 | 2,821 | 2,465 |
|
Yanira Griselle Garcia
Galeria Paseos Mall |
$16.91 | 2,725 | 2,365 |
|
Javier M Ramirez Gonzalez
1900 Calle Cacique |
$25.48 | 2,716 | 2,690 |
|
Ana Lourdes Hernandez
St. Maximo Alomar |
$25.09 | 2,715 | 2,702 |
|
Maria H Berrocal-Fernandez
150 Ave De Diego |
$49.78 | 2,700 | 1,777 |
|
Rosa Alexandra Lozada Sierra
239 Ave Arterial Hostos Ste 306 |
$69.98 | 2,677 | 1,771 |
|
Nanette Michelle De Leon
San Juan Health Center Suite 701 |
$50.09 | 2,625 | 2,264 |
|
Mariola Monagas
1213 Calle Tomas Agrait |
$49.07 | 2,425 | 2,303 |
|
Omar N Piovanetti
1250 Ave Jesus T Pinero |
$60.92 | 2,409 | 2,150 |
|
Jaime J Jackson Diaz
Ave Jesus T Pinero #1250 |
$42.09 | 2,294 | 2,063 |
|
Noel Perez
239 Arterial Hostos |
$84.83 | 2,244 | 2,086 |
|
Cristina Lopez Beauchamp
San Juan City Hospital, Medical Center |
$48.85 | 2,164 | 1,957 |
|
Astrid E. Gonzalez Ramos
Torre Del Metropolitano |
$32.50 | 2,122 | 1,842 |
|
Lilia I Rivera
239 Ave Arterial Hostos |
$41.63 | 2,118 | 1,597 |
|
Carlos M Matos
Cond Floral Plaza |
$23.68 | 2,052 | 2,035 |
|
Laura V Solano
872 Calle Ravel |
$34.64 | 2,050 | 1,913 |
|
Nilda Lorente
118 Calle Eleonor Roosevelt |
$21.61 | 2,016 | 1,781 |
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 Juan, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in San Juan, PR is $38.11 per claim, based on 328,091 claims from 112 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 Juan, PR?
There are 112 Medicaid providers offering Eye Exam related services in San Juan, PR according to public payment data.
What is the price range for Eye Exam in San Juan, PR?
Medicaid reimbursement for Eye Exam in San Juan, PR ranges from $0.00 to $253.77 per claim, with an average of $38.11. 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 Juan, PR
Office Visit
Avg $18.99
3,140,039 claims
Blood Work & Lab Tests
Avg $9.31
1,652,042 claims
Pathology & Lab Services
Avg $77.12
603,331 claims
Dental Cleaning & Exam
Avg $20.92
561,409 claims
X-Ray
Avg $9.69
517,944 claims
Emergency Room Visit
Avg $66.54
406,486 claims
Urinalysis & Urine Tests
Avg $3.33
343,385 claims
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Avg $9.96
280,724 claims