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 |
|---|---|---|---|
|
William A. Townsend Pico Psc
Ave. Ponce De Leon #735 |
$10.78 | 12 | 12 |
|
Alicia Litchfield
959 Ave Americo Miranda |
$74.49 | 12 | 12 |
|
Jacqueline M Deval
#118 Eleanor Roosevelt St. |
$18.97 | 12 | 12 |
|
Kelvin Torres
200 Ave. Cupey Gardens Suite 2W |
$40.00 | 13 | 13 |
|
Jose J De La Cruz-Napoli
357 Ave De La Constitucion |
$58.60 | 17 | 14 |
|
Andrea M Horta Suarez
360 Calle Del Parque |
$9.81 | 19 | 12 |
|
Silvino Diaz Mendoza
Ave Ponce De Leon |
$109.22 | 23 | 13 |
|
Janice Salas Vincenty
1018 Ave Ashford |
$18.33 | 24 | 24 |
|
Margaret L. Matos
404 Ave San Claudio |
$27.42 | 24 | 24 |
|
Viviana Barquet
1789 Carr 21 Ste 310 |
$100.26 | 36 | 35 |
|
San Juan Ophthalmology Group Csp
29 Washington Street |
$68.61 | 37 | 37 |
|
Ivette Gonzalez
131 Ave Winston Churchill Ste A |
$0.00 | 39 | 39 |
|
Ruth M Ortiz Gonzalez
Calle Emanuelli S # 215 |
$0.00 | 49 | 49 |
|
Walter Steve Ramirez-Pagan
Xtra Shopping Center Local4 |
$27.42 | 79 | 79 |
|
Federico A Maestre Grau
357 Ave De La Constitucion |
$59.71 | 87 | 65 |
|
Johana Rodriguez
118 Ave Domenech |
$14.73 | 94 | 88 |
|
Natalia Adriana Diaz Torres
Centro Medico De Puerto Rico Barrio |
$103.98 | 96 | 94 |
|
Maria Anca
201 Ave De Diego |
$18.49 | 106 | 98 |
|
Sandra E. Alsina
Costco Carolina |
$17.08 | 118 | 118 |
|
Rafael A. Gallardo Mendez
1449 Calle Americo Salas |
$40.90 | 124 | 105 |
|
Vassilios Boulougouris
118 Calle Eleonor Roosevelt |
$0.00 | 130 | 130 |
|
Rafael A. Taboas
525 Ave Fd Roosevelt |
$53.35 | 136 | 127 |
|
George Arzeno
150 Ave De Diego Ste 707 |
$85.83 | 139 | 129 |
|
Jose E Piovanetti
Ave Jesus T Pinero #1250 Caparra Terrace |
$79.18 | 141 | 126 |
|
Roberto Buxeda
Plaza Mercado Rio Piedras Rafael Hernandez Marin |
$26.44 | 209 | 194 |
|
Juan Carlos Jimenez Perez
572 Calle Cesar Gonzalez |
$67.74 | 219 | 193 |
|
Raul G Franceschi
Ashford Medical Center |
$103.51 | 232 | 228 |
|
Wanda Sangiovanni-Almonte
Ilori Optical |
$0.00 | 250 | 250 |
|
Raul Leon Ramos
1817 Calle Camelia |
$30.27 | 255 | 172 |
|
Carmen H Benabe
201 Ave De Diego Ste 40 |
$41.92 | 279 | 174 |
|
Maria A Rodriguez
525 Ave Fd Roosevelt |
$37.75 | 281 | 169 |
|
Gloria Lopez
Jc Penney Optical , 4Th Fl Jcpenney |
$26.72 | 282 | 260 |
|
Orlando Perez
751 Campos De Montehiedra |
$61.05 | 349 | 305 |
|
Hugo E Martinez Rodriguez
400 Ave Fd Roosevelt |
$54.19 | 355 | 278 |
|
Diana Roque
1290 Calle 54 Se |
$0.00 | 370 | 342 |
|
Roseline Larsen
300 Ave La Sierra # 118M-24 |
$40.82 | 395 | 346 |
|
Priscila Baco Bague
400 Ave Domenech |
$67.71 | 417 | 287 |
|
Brenda Marie Segarra Morales
Lens Vision 100 Grand Blvd |
$32.06 | 478 | 113 |
|
Villegas Llc
360 Calle Del Parque Suite 1 |
$253.77 | 564 | 487 |
|
Gabriela Juliana Trabal-Yulfo
735 Ave Ponce De Leon Ste 503 |
$78.28 | 574 | 552 |
|
Edgar Alexis De Jesus Rodriguez
Centro Medico De Puerto Rico Barrio Monacillos |
$56.25 | 619 | 379 |
|
Nelissa Joan Santiago
Urb. La Campina A 4 Calle 1 |
$28.66 | 671 | 662 |
|
Mayra Rullan
118 Calle Eleonor Roosevelt |
$0.00 | 678 | 678 |
|
Mayda I Burgos Gonzalez
Plaza Las Americas # 560 |
$5.24 | 715 | 683 |
|
Jose Quintero
369 Calle De Diego Ste 310 |
$45.19 | 749 | 630 |
|
Roberto Roman Roman
Va Caribbean Health Care System |
$31.00 | 831 | 806 |
|
Hilda L Valle Irizarry
Urb San Agustin |
$19.89 | 854 | 820 |
|
Angela M Medina
Pearle Vision Plaza Las Americas |
$0.08 | 909 | 843 |
|
Pedro J Gorbea Landron
Ave Jesus T Pinero #1250 Caparra Terrace |
$39.44 | 983 | 765 |
|
Natalio Izquierdo Encarnacion
369 De Diego Ave. , Torre San Francisco |
$68.96 | 1,179 | 1,099 |
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
Psychiatric Evaluation
Avg $9.96
280,724 claims