Average Medicaid Eye Exam Payments in Toledo, OH: $22.17
Avg. Paid
$22.17
Range
$0.00 – $50.00
Total Claims
161,243
Providers
64
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 Toledo, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Timothy Duvendack
4445 Woodmont Rd |
$27.17 | 55,930 | 54,955 |
|
Lindsey King
222 Mctigue |
$13.16 | 12,231 | 9,507 |
|
Whitney Presto White
222 Mctigue |
$11.21 | 11,077 | 8,011 |
|
Donna Marie Mahaffey
5550 W Central Ave |
$26.63 | 6,960 | 6,739 |
|
John Michael Elchinger
1000 Regency Ct Ste 100 |
$24.53 | 6,735 | 6,234 |
|
Eric L Hohenberger
4011 Secor Rd |
$29.87 | 6,687 | 6,620 |
|
Stanley L Tao
5085 Monroe St |
$12.84 | 6,197 | 5,723 |
|
Promedica Central Physicians
100 Madison Ave |
$40.30 | 6,128 | 6,104 |
|
James A Knupp
1000 Regency Ct Ste 100 |
$19.18 | 4,701 | 4,161 |
|
David J Aloi
4600 Talmadge Rd |
$22.68 | 4,008 | 3,994 |
|
Christopher De Guzman
2244 Collingwood Blvd |
$16.82 | 3,529 | 2,605 |
|
Drs. Ravin, Birndorf & Ravin, Inc.
3000 Regency Ct Ste 100 |
$38.95 | 3,334 | 3,241 |
|
Jeffery Nelson Stephens
2865 N Reynolds Rd |
$9.77 | 3,007 | 2,714 |
|
Niraj Shirish Shah
2865 N Reynolds Rd |
$9.07 | 2,984 | 2,629 |
|
Tia Marie Tucker
4240 Secor Rd |
$31.45 | 2,689 | 2,684 |
|
Philip T Nelsen
2865 N Reynolds Rd |
$9.17 | 2,618 | 2,258 |
|
Brian W Chinavare
3330 Meijer Dr # 1 |
$16.23 | 2,304 | 1,888 |
|
Robert K. Rhee
2927 N Mccord Rd Ste 100 |
$16.22 | 1,743 | 1,678 |
|
Dino J Costa
1000 Regency Ct |
$19.26 | 1,698 | 1,520 |
|
Charles King Dabbs
2865 N Reynolds Rd |
$6.57 | 1,608 | 1,380 |
|
Kelly M Sadowski
301 Morrison Dr |
$9.01 | 1,146 | 637 |
|
Kalynah Zychowicz
2244 Collingwood Blvd |
$10.49 | 1,136 | 654 |
|
Megan Yant
2244 Collingwood Blvd |
$11.67 | 1,127 | 695 |
|
Christina Pacio Tam
1000 Regency Ct |
$11.77 | 1,104 | 1,007 |
|
Sameer Awni Al-Shweiki
3740 W Sylvania Ave |
$43.89 | 1,003 | 959 |
|
Tiffany Ashlynn Schaffner
2400 Collingwood Blvd |
$11.80 | 984 | 599 |
|
Gerald G Striph
3330 Meijer Dr Ste 1 |
$17.41 | 665 | 628 |
|
Jill Pauly Holler
5225 Monroe St |
$21.98 | 657 | 640 |
|
Ira K Orgel
2865 N Reynolds Rd |
$7.25 | 618 | 517 |
|
Stephen R Belanger
4240 Secor Rd |
$35.04 | 560 | 508 |
|
May Ibrahim Elrashedy
3740 W Sylvania Ave |
$8.35 | 521 | 438 |
|
Jenna M Bailey
3000 Regency Ct Ste 100 |
$11.77 | 492 | 429 |
|
Jonathan M Bernstein
3000 Regency Ct Ste 100 |
$10.53 | 431 | 372 |
|
Theresa M Nemeth
3539 Glendale Ave |
$25.06 | 405 | 386 |
|
Nicholas John Leonardy
2865 N Reynolds Rd |
$8.58 | 391 | 359 |
|
Ernest Sidney Spohn
2925 Glendale Ave |
$19.62 | 373 | 371 |
|
Carol J German
1000 Regency Ct |
$17.04 | 334 | 289 |
|
Ronald N Brown
3000 Regency Ct |
$11.21 | 328 | 256 |
|
Sami Mohammed Khan
1000 Regency Ct Ste 100 |
$13.50 | 304 | 257 |
|
John Clarence Burchfield
2865 N Reynolds Rd |
$12.03 | 282 | 268 |
|
Neerja Jindal
4565 Monroe St |
$32.05 | 281 | 281 |
|
Michael J Janowicz
4235 Secor Rd |
$14.45 | 271 | 246 |
|
Sydni Lynn Coleman
3330 Meijer Dr # 1 |
$17.13 | 212 | 201 |
|
Scott Robert Sadowski
2865 N Reynolds Rd |
$19.24 | 202 | 200 |
|
Lucas County Auditor
635 N Erie St |
$27.50 | 160 | 154 |
|
Khalil A Raffoul
1000 Regency Ct |
$21.17 | 160 | 135 |
|
David Trujillo
3000 Regency Ct |
$20.94 | 120 | 113 |
|
Paula Michelle Caldwell
2200 Arlington Ave |
$9.75 | 94 | 48 |
|
Health Partners Of Western Ohio
222 Mctigue Dr |
$0.90 | 93 | 91 |
|
Pingching Nick Kwan
3045 Arlington Ave |
$0.00 | 89 | 89 |
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 Toledo, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Toledo, OH is $22.17 per claim, based on 161,243 claims from 64 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 Toledo, OH?
There are 64 Medicaid providers offering Eye Exam related services in Toledo, OH according to public payment data.
What is the price range for Eye Exam in Toledo, OH?
Medicaid reimbursement for Eye Exam in Toledo, OH ranges from $0.00 to $50.00 per claim, with an average of $22.17. 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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