Average Medicaid Eye Exam Payments in Springfield, IL: $28.53
Avg. Paid
$28.53
Range
$9.37 – $81.27
Total Claims
96,310
Providers
28
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 Springfield, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen Michael Holland
1025 S 6Th St |
$17.48 | 16 | 12 |
|
Randal J. Peterson
1025 S 6Th St |
$15.26 | 27 | 26 |
|
Tomas D Tredici
1025 S 6Th St |
$81.27 | 31 | 27 |
|
Phyllis Eze
1025 S 6Th St |
$11.14 | 82 | 76 |
|
Justin Michael Valenti
3427 Freedom Dr |
$45.00 | 137 | 137 |
|
Harvey Mack
2020 W Iles Ave |
$18.86 | 182 | 180 |
|
Mohammad Ali Sadiq
1025 S 6Th St |
$25.87 | 249 | 213 |
|
Frederick M Rauscher
2020 W Iles Ave |
$16.82 | 409 | 391 |
|
Monica Ryan
2020 W Iles Ave |
$25.78 | 600 | 518 |
|
Ashley Abraham
400 N 9Th St Fl 3 |
$20.56 | 741 | 562 |
|
James Patrick Walsh
2300 W White Oaks Dr |
$31.86 | 765 | 735 |
|
Kaylyn Marie Nickelson
2020 W Iles Ave |
$23.94 | 809 | 716 |
|
Jennifer Waller
2020 W Iles Ave |
$25.15 | 899 | 865 |
|
Gaylan Wayne Moushon
1025 S 6Th St |
$24.85 | 1,118 | 1,000 |
|
Sean David Hendricks
2020 W Iles Ave |
$12.91 | 1,161 | 917 |
|
Robert James Blumthal
2020 W Iles Ave |
$29.58 | 1,184 | 1,071 |
|
William Wen-Long Yang
2020 W Iles Ave |
$27.09 | 1,295 | 1,166 |
|
Chelsey Moore
2020 W Iles Ave |
$19.51 | 1,381 | 1,302 |
|
Robert Allen Lowenthal
1025 S 6Th St |
$9.37 | 1,472 | 1,348 |
|
Jeffrey Alan Young
1025 S 6Th St |
$28.88 | 1,551 | 1,214 |
|
Abdulrahman Khamiss Rageh
2020 W Iles Ave |
$18.84 | 2,044 | 1,834 |
|
Emily Beyer
2020 W Iles Ave |
$25.89 | 2,666 | 2,454 |
|
Aleksandr Kagan
1025 S 6Th St |
$15.54 | 3,285 | 2,819 |
|
Ramanath Bhandari
1025 S 6Th St |
$14.61 | 3,337 | 2,974 |
|
Thandeka Myeni
2020 W Iles Ave |
$36.10 | 5,329 | 4,889 |
|
Robert P Edwards
3055 Wabash Ave |
$31.27 | 17,370 | 15,609 |
|
Marc Christopher Sarmiento
3055 Wabash Ave |
$30.67 | 20,522 | 18,919 |
|
Molly Guithues
3055 Wabash Ave |
$30.86 | 27,648 | 25,263 |
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 Springfield, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Springfield, IL is $28.53 per claim, based on 96,310 claims from 28 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 Springfield, IL?
There are 28 Medicaid providers offering Eye Exam related services in Springfield, IL according to public payment data.
What is the price range for Eye Exam in Springfield, IL?
Medicaid reimbursement for Eye Exam in Springfield, IL ranges from $9.37 to $81.27 per claim, with an average of $28.53. 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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Avg $5.40
1,969,993 claims
Office Visit
Avg $38.46
1,154,993 claims
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Avg $6.66
606,310 claims
Urinalysis & Urine Tests
Avg $3.01
520,146 claims
Emergency Room Visit
Avg $69.78
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Avg $17.02
248,732 claims
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Avg $50.70
241,309 claims
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Avg $32.13
212,993 claims