Average Medicaid Eye Exam Payments in Smithtown, NY: $67.94
Avg. Paid
$67.94
Range
$5.70 – $176.39
Total Claims
33,774
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 Smithtown, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Daniel Dondiego
2 Miller Pl |
$5.70 | 13 | 13 |
|
John F Romanelli
222 E Main St |
$176.39 | 25 | 25 |
|
Ilana Lindsay Forchheimer
329 E Main St |
$114.23 | 47 | 47 |
|
Jeffrey L Martin
260 Middle Country Rd |
$79.98 | 51 | 51 |
|
John Mauro
260 E Middle Country Rd |
$82.51 | 344 | 336 |
|
Lawrence Zweibel
260 Middle Country Rd |
$47.20 | 411 | 410 |
|
Zachary Davis
260 E Middle Country Rd Ste 201 |
$24.97 | 420 | 383 |
|
Samuel Baharestani
260 E Middle Country Rd |
$71.17 | 508 | 485 |
|
Faye Knoll
260 E Middle Country Rd |
$68.08 | 523 | 523 |
|
Kathleen R Van Valkenburg
260 E Middle Country Rd |
$70.47 | 1,393 | 1,385 |
|
Yuan S Tran
260 E Middle Country Rd |
$47.88 | 1,591 | 1,488 |
|
Mukesh Kumar
260 E Middle Country Rd Ste 201 |
$69.55 | 2,288 | 2,281 |
|
Andrew N. Bainnson
260 E Middle Country Rd |
$62.61 | 7,063 | 7,048 |
|
Michelle Liebert
260 E Middle Country Rd |
$72.00 | 19,097 | 19,084 |
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 Smithtown, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Smithtown, NY is $67.94 per claim, based on 33,774 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 Smithtown, NY?
There are 14 Medicaid providers offering Eye Exam related services in Smithtown, NY according to public payment data.
What is the price range for Eye Exam in Smithtown, NY?
Medicaid reimbursement for Eye Exam in Smithtown, NY ranges from $5.70 to $176.39 per claim, with an average of $67.94. 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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Avg $18.49
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San Diego, CA
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Las Vegas, NV
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Flushing, NY
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