Average Medicaid Eye Exam Payments in Summerville, SC: $35.80
Avg. Paid
$35.80
Range
$9.00 – $40.38
Total Claims
26,234
Providers
19
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 Summerville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William Justin Dungan
717 Trolley Rd Ste 3 |
$35.29 | 9,299 | 9,272 |
|
Olivia Mesoras Chapman
2601 N Main St Ste E |
$38.64 | 3,263 | 2,925 |
|
Denis R Holmes
9770 Dorchester Rd Unit 101 |
$40.38 | 2,677 | 2,659 |
|
David W Bang
9880 Dorchester Rd |
$36.59 | 2,633 | 2,591 |
|
Brenda Flores Schizas
717 Trolley Rd Ste 3 |
$37.20 | 1,745 | 1,721 |
|
Jessica Spearing
717 Old Trolley Rd Ste 3 |
$32.76 | 1,405 | 1,383 |
|
Jesse Michael Willingham
717 Old Trolley Rd Ste 3 |
$37.53 | 1,210 | 1,182 |
|
Kristian Andre Mostert
717 Old Trolley Rd Ste 4 |
$35.46 | 669 | 655 |
|
Crystal G. Whittington
296 Midland Parkway |
$19.70 | 663 | 529 |
|
Prat Itharat
515 Carnes Crossing Blvd |
$35.77 | 578 | 563 |
|
Kelsey Deborah Smith
717 Old Trolley Rd Ste 3 |
$34.41 | 555 | 545 |
|
Daniel D Coyle
174 Beauregard Rd |
$37.52 | 434 | 420 |
|
Joel James Schultz
105 S Cedar St |
$38.73 | 287 | 284 |
|
Diane Monarch
1101 N Main St Ste 304 |
$20.90 | 213 | 206 |
|
Ocean Eye, Pc
717 Old Trolley Rd Ste 3 |
$22.08 | 203 | 203 |
|
Jessica Marie Palmer
717 Old Trolley Rd Ste 3 |
$34.49 | 198 | 194 |
|
Donald Joe Koets
206 E 2Nd North St |
$30.89 | 115 | 114 |
|
Robert G Reuther
296 Midland Pkwy |
$10.61 | 73 | 50 |
|
Larissa Meredith Simkin
2007 2Nd Ave Ste 2 |
$9.00 | 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 Summerville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Summerville, SC is $35.80 per claim, based on 26,234 claims from 19 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 Summerville, SC?
There are 19 Medicaid providers offering Eye Exam related services in Summerville, SC according to public payment data.
What is the price range for Eye Exam in Summerville, SC?
Medicaid reimbursement for Eye Exam in Summerville, SC ranges from $9.00 to $40.38 per claim, with an average of $35.80. 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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