Average Medicaid Eye Exam Payments in Saratoga Springs, NY: $43.49
Avg. Paid
$43.49
Range
$0.00 – $106.26
Total Claims
19,737
Providers
20
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 Saratoga Springs, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dale Ching
235 Washington St |
$77.67 | 12 | 12 |
|
Robert Silverman
3039 Route 50 |
$38.54 | 14 | 14 |
|
Howard B Kushner
464 Maple Ave |
$4.35 | 25 | 25 |
|
Kaylia Sorgie
235 Washington St |
$53.80 | 25 | 25 |
|
Edwin A Davison
615 Maple Ave |
$99.44 | 37 | 37 |
|
Jeffrey T. Paul
414 Maple Ave Ste 200 |
$1.35 | 56 | 55 |
|
Chad Anthony Vaughn
170 S Broadway |
$0.00 | 118 | 118 |
|
Meghan Elizabeth Brown
235 Washington St |
$60.39 | 121 | 121 |
|
Jaime Morgan Schwarz
3039 Route 50 |
$44.44 | 127 | 127 |
|
Anne Griffin
235 Washington St |
$63.65 | 152 | 152 |
|
Teresa L Blackstone
414 Maple Ave Ste 200 |
$24.18 | 308 | 308 |
|
Punit Jain
3065 Route 50 |
$9.87 | 506 | 505 |
|
Vivian Lu
3039 Route 50 |
$46.58 | 676 | 675 |
|
Robert Burtch
205 Lake Ave |
$20.67 | 769 | 767 |
|
Gregory Leonard Pinto
414 Maple Ave |
$39.32 | 1,323 | 1,315 |
|
David I Garfinkel
Wilson Square 3039 Route 50 |
$55.01 | 1,573 | 1,573 |
|
Saratoga Hospital
211 Church St |
$106.26 | 2,037 | 2,036 |
|
Maureen Ann Sienko
254 Church Street |
$38.22 | 2,407 | 2,405 |
|
Mariana Dalecio Maeda
235 Washington St Ste 1 |
$36.38 | 2,575 | 2,127 |
|
Empire Vision Center Inc
3039 Route 50 |
$33.23 | 6,876 | 6,837 |
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 Saratoga Springs, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Saratoga Springs, NY is $43.49 per claim, based on 19,737 claims from 20 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 Saratoga Springs, NY?
There are 20 Medicaid providers offering Eye Exam related services in Saratoga Springs, NY according to public payment data.
What is the price range for Eye Exam in Saratoga Springs, NY?
Medicaid reimbursement for Eye Exam in Saratoga Springs, NY ranges from $0.00 to $106.26 per claim, with an average of $43.49. 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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