Average Medicaid Eye Exam Payments in Springfield, MA: $39.35
Avg. Paid
$39.35
Range
$0.00 – $91.76
Total Claims
294,246
Providers
33
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, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher M Symolon
275 Bicentennial Hwy Ste 101 |
$35.92 | 44,775 | 44,052 |
|
Tracy A Haradon
453 Sumner Ave |
$34.59 | 42,312 | 42,256 |
|
Britt E Adornato
453 Sumner Ave |
$34.09 | 36,528 | 36,498 |
|
Daniel Edward Bausch
289 Bridge St |
$35.53 | 33,573 | 30,413 |
|
Baystate Medical Center Inc
759 Chestnut St |
$91.76 | 19,460 | 19,343 |
|
David William Quartz
1907 Wilbraham Rd |
$32.29 | 19,150 | 19,110 |
|
Kathryn Skarbez
299 Carew St Ste 201 |
$39.23 | 14,853 | 14,572 |
|
Andrew S Jusko
299 Carew St |
$54.53 | 12,842 | 12,364 |
|
William V Derr
299 Carew St |
$35.51 | 7,728 | 7,627 |
|
Brittany Bausch
11 Wilbraham Rd |
$39.34 | 7,338 | 7,279 |
|
Andrew Lam
3640 Main St |
$24.50 | 6,836 | 6,203 |
|
Elizabeth T Arsenio
299 Carew St |
$51.34 | 6,217 | 5,954 |
|
David Ryan Lally
3640 Main St |
$27.96 | 5,727 | 5,008 |
|
Tavish Nanda
759 Chestnut Street |
$11.83 | 5,175 | 3,499 |
|
John Cammisa
1624 Main St |
$38.16 | 3,945 | 3,943 |
|
Steven T Berger
275 Bicentennial Hwy Ste 101 |
$45.83 | 3,926 | 3,864 |
|
Shilpa Gulati
3640 Main St Ste 201 |
$24.61 | 3,409 | 2,915 |
|
James Andrews
1105 Boston Rd |
$36.52 | 3,361 | 3,361 |
|
Kimberly Krusell
299 Carew St Ste 201 |
$46.98 | 2,970 | 2,944 |
|
Rebecca Russ Soares
3640 Main St Ste 201 |
$18.87 | 2,342 | 2,058 |
|
Ronald J Gailun
3640 Main St |
$23.50 | 2,211 | 1,948 |
|
Hari Mylvaganam
3640 Main St Ste 201 |
$19.95 | 1,912 | 1,744 |
|
Eric David Dostal
1655 Boston Rd |
$19.50 | 1,484 | 1,466 |
|
David Diran Agahigian
3640 Main St |
$27.63 | 1,374 | 1,242 |
|
Steven Jared Covici
3640 Main St Ste 203 |
$64.15 | 1,180 | 1,146 |
|
Mary Ann Celentano
305 Bicentennial Highway |
$43.54 | 958 | 954 |
|
Joseph Peter Bouvier
275 Bicentennial Hwy Ste 101 |
$34.78 | 955 | 923 |
|
Pamela Renee Henderson
299 Carew St |
$80.42 | 698 | 660 |
|
Jeffrey G Robins
1268 Sumner Ave |
$31.83 | 441 | 434 |
|
Maryann Katherine Rubis
1515 Allen St |
$24.13 | 266 | 266 |
|
Caring Health Center, Inc.
1049 Main Street |
$0.00 | 145 | 145 |
|
Santwana Prasad
300 Stafford St |
$3.92 | 85 | 85 |
|
Raymond G Magauran
55 Saint George Rd |
$73.29 | 70 | 64 |
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, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Springfield, MA is $39.35 per claim, based on 294,246 claims from 33 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, MA?
There are 33 Medicaid providers offering Eye Exam related services in Springfield, MA according to public payment data.
What is the price range for Eye Exam in Springfield, MA?
Medicaid reimbursement for Eye Exam in Springfield, MA ranges from $0.00 to $91.76 per claim, with an average of $39.35. 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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