Average Medicaid Eye Exam Payments in Toms River, NJ: $8.29
Avg. Paid
$8.29
Range
$0.00 – $40.19
Total Claims
55,224
Providers
26
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 Toms River, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
National Vision, Inc.
864 Route 37 W |
$0.00 | 14,213 | 14,073 |
|
Charles M. Cummins, Od, Pa
2 Route 37 W |
$0.07 | 11,802 | 11,174 |
|
Jack Robert Schwartz
1341 Highway 9 Ste 10 |
$8.61 | 5,483 | 5,428 |
|
Ravi Dilip Patel
780 Rte 37 W |
$20.16 | 5,089 | 4,816 |
|
Yujie Chang
2 Rte 37 W Ste G5 |
$5.76 | 4,001 | 3,711 |
|
Eugene R Schoener
530 Lakehurst Road |
$38.28 | 3,499 | 3,415 |
|
Jonathan Gerard
530 Lakehurst Rd |
$16.65 | 3,448 | 3,322 |
|
Ivy Hopp Spears
40 Bey Lea Rd |
$5.40 | 1,948 | 1,916 |
|
Epifanio I Sunga
1278 Hooper Ave |
$10.11 | 1,499 | 1,434 |
|
Linda Loos Sinko
28 Main St |
$24.58 | 1,249 | 1,249 |
|
John Emmanuel Komis Ackep
864 Route 37 W |
$0.52 | 769 | 762 |
|
Marez Megalla
14 Mule Rd |
$17.92 | 589 | 520 |
|
Isaiah Engstrom
2 Route 37 W Ste G5 |
$11.10 | 406 | 365 |
|
Sarah Beth Ciccone
864 Route 37 W |
$40.19 | 282 | 274 |
|
Mohammedyusuf Ebrahimadham Hajee
780 Rte 37 W |
$2.99 | 189 | 140 |
|
Dr. Harvey L. Kerker & Dr. Ivy H. Spears, Optometric Physicians, L.L.P
40 Bey Lea Rd |
$0.00 | 175 | 175 |
|
Vipul K Lakhani
413 Lakehurst Rd Bldg 1 |
$3.01 | 160 | 146 |
|
Barinder S Athwal
14 Mule Rd |
$32.40 | 124 | 118 |
|
Harjit S Athwal
14 Mule Rd |
$28.23 | 101 | 91 |
|
Daphney Lezin-Rakis
864 Rte 37 W |
$0.00 | 61 | 61 |
|
Tr Vision Center
28 Main St |
$0.00 | 57 | 57 |
|
Rana J Mady
601 Rte 37 W |
$30.00 | 26 | 26 |
|
Shravan Savant
530 Lakehurst Rd |
$28.37 | 15 | 15 |
|
Sight Saver Optical
1358 Hooper Ave |
$0.00 | 14 | 14 |
|
Lisa Athwal
14 Mule Rd |
$23.10 | 13 | 13 |
|
David R Grossman
601 Route 37 West |
$8.40 | 12 | 12 |
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 Toms River, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Toms River, NJ is $8.29 per claim, based on 55,224 claims from 26 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 Toms River, NJ?
There are 26 Medicaid providers offering Eye Exam related services in Toms River, NJ according to public payment data.
What is the price range for Eye Exam in Toms River, NJ?
Medicaid reimbursement for Eye Exam in Toms River, NJ ranges from $0.00 to $40.19 per claim, with an average of $8.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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Avg $50.07
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Brooklyn, NY
Avg $43.97
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Chicago, IL
Avg $26.50
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Los Angeles, CA
Avg $18.49
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Avg $51.98
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San Diego, CA
Avg $18.12
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Las Vegas, NV
Avg $34.73
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Avg $55.73
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Office Visit
Avg $39.86
767,181 claims
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Avg $16.36
424,620 claims
Blood Work & Lab Tests
Avg $10.60
363,597 claims
Home Health Visit
Avg $76.39
321,882 claims
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Avg $29.14
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Avg $63.62
234,777 claims
Emergency Room Visit
Avg $231.01
206,206 claims
X-Ray
Avg $24.90
131,476 claims