Average Medicaid Eye Exam Payments in Sheboygan, WI: $20.19
Avg. Paid
$20.19
Range
$5.28 – $45.00
Total Claims
16,951
Providers
14
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 Sheboygan, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bartley J Behling
609 S Taylor Dr |
$23.71 | 9,959 | 8,999 |
|
Andrew C Lavey
1442 N 31St St |
$18.56 | 3,308 | 2,763 |
|
Jordyn Grace Matuschka
2644 N 8Th St |
$19.67 | 932 | 745 |
|
Shannon Macnab
518 S Taylor Dr |
$12.66 | 776 | 720 |
|
Mallory Florence Andrews
2414 Kohler Memorial Dr |
$5.42 | 627 | 489 |
|
Todd Robert Larson
1442 N 31St St |
$14.06 | 424 | 360 |
|
Glen R Kohlhagen
2414 Kohler Memorial Dr |
$9.58 | 269 | 223 |
|
Samuel K Soda
1442 N 31St St |
$6.50 | 177 | 131 |
|
Taylor R Kohlhagen
2414 Kohler Memorial Dr |
$5.54 | 122 | 97 |
|
Steven J Shircel
2414 Kohler Memorial Dr |
$5.40 | 121 | 91 |
|
Hailee Rae Kohlhagen
2414 Kohler Memorial Dr |
$6.79 | 106 | 93 |
|
Christopher L Larson
1442 N 31St St |
$5.28 | 91 | 78 |
|
Larry M Zweben
2414 Kohler Memorial Dr |
$16.82 | 25 | 25 |
|
Patrick B Sesso
2229 S Memorial Pl |
$45.00 | 14 | 14 |
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 Sheboygan, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Sheboygan, WI is $20.19 per claim, based on 16,951 claims from 14 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 Sheboygan, WI?
There are 14 Medicaid providers offering Eye Exam related services in Sheboygan, WI according to public payment data.
What is the price range for Eye Exam in Sheboygan, WI?
Medicaid reimbursement for Eye Exam in Sheboygan, WI ranges from $5.28 to $45.00 per claim, with an average of $20.19. 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
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Chicago, IL
Avg $26.50
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Las Vegas, NV
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Flushing, NY
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