Average Medicaid Eye Exam Payments in South Portland, ME: $54.38
Avg. Paid
$54.38
Range
$4.55 – $171.94
Total Claims
19,121
Providers
10
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 South Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark E. Elkinson
200 Gorham Rd |
$35.12 | 14 | 13 |
|
Francis H Robbins
10 Q St |
$48.71 | 32 | 30 |
|
Peter F Morse
213 Maine Mall Rd |
$4.55 | 237 | 216 |
|
Abigail Anne Delahanty
510 Maine Mall |
$20.61 | 324 | 307 |
|
Krishna Krithivas
743 Broadway |
$15.11 | 392 | 354 |
|
Joseph A Russo
364 Maine Mall Rd Ste F128 |
$24.69 | 1,000 | 955 |
|
Roger R Gagnon
510 Mainemall Rd. |
$26.13 | 2,251 | 2,133 |
|
Shannon Belinda Farr
Harbor View Eye Care, Llc. |
$171.94 | 2,961 | 2,718 |
|
Amy M Abbott
510 Mainemall Rd. |
$28.69 | 3,064 | 2,958 |
|
Jonathan Frank Olmes
335 Maine Mall Rd. |
$38.84 | 8,846 | 8,698 |
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 South Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in South Portland, ME is $54.38 per claim, based on 19,121 claims from 10 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 South Portland, ME?
There are 10 Medicaid providers offering Eye Exam related services in South Portland, ME according to public payment data.
What is the price range for Eye Exam in South Portland, ME?
Medicaid reimbursement for Eye Exam in South Portland, ME ranges from $4.55 to $171.94 per claim, with an average of $54.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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Avg $43.97
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