Average Medicaid Eye Exam Payments in Tucson, AZ: $49.14
Avg. Paid
$49.14
Range
$0.00 – $129.56
Total Claims
408,354
Providers
115
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 Tucson, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nationwide Optometry P.C.
1785 W Valencia Rd Unit 101 |
$120.00 | 13 | 13 |
|
Nevada Foskit
3601 S 6Th Ave # 11-112A |
$58.23 | 13 | 13 |
|
Marcela Jannet Sierra-Romero
5870 E Broadway Blvd Ste 164 |
$106.55 | 13 | 13 |
|
Whitney Allan Lynch
6642 E Carondelet Dr |
$60.73 | 14 | 12 |
|
Nationwide Optometry P.C.
4386 N Oracle Rd Ste 100 |
$37.50 | 16 | 16 |
|
Alma Irma Murphy
490 N Alvernon Way |
$55.21 | 17 | 12 |
|
David Alster
5910 N La Cholla Blvd |
$34.00 | 21 | 21 |
|
Sean J. Mccafferty, Md, Pc
2177 W Orange Grove Rd |
$0.00 | 23 | 23 |
|
Leslie Chana Neems
4709 E Camp Lowell Dr |
$14.24 | 28 | 28 |
|
Alexander Dominicus Zwart
5910 N La Cholla Blvd |
$22.97 | 29 | 28 |
|
Michael Henry
5599 N Oracle Rd |
$55.03 | 33 | 31 |
|
Stephanie Hilde
7041 E Tanque Verde Rd |
$52.07 | 35 | 35 |
|
Barry Kusman
1745 E Skyline Dr Ste 175 |
$79.00 | 35 | 34 |
|
Michelle Lee Flint
2177 W Orange Grove Rd |
$129.56 | 55 | 55 |
|
Carmen Luisa Felix Tacoronte
1110 N El Dorado Pl |
$25.57 | 65 | 59 |
|
Michael C Diesenhouse
5240 E Knight Dr |
$11.79 | 68 | 47 |
|
Roxana Ursea
707 N Alvernon Way Ste 301 |
$55.43 | 73 | 51 |
|
Jacob Jacques Wanon
440 N Alvernon Way |
$24.36 | 77 | 72 |
|
Diego H. Calonje M.D. Pc
1951 N Wilmot Rd |
$10.43 | 78 | 78 |
|
Ann Zerella Mccolgin
6422 E Speedway Blvd |
$47.32 | 92 | 66 |
|
Paul R Cinalli
440 N Alvernon Way |
$21.37 | 97 | 97 |
|
Elham Ghahari
707 N Alvernon Way Ste 301 |
$28.87 | 119 | 115 |
|
Jin Zhang
3601 S 6Th Ave |
$25.77 | 144 | 142 |
|
Joseph Dominic Juliano
7470 N Oracle Rd Ste 100 |
$30.79 | 190 | 179 |
|
Jillian Wang Colson
3601 S 6Th Ave |
$110.16 | 190 | 186 |
|
Rand W Siekert
707 N Alvernon Way Ste 301 |
$121.66 | 251 | 235 |
|
Leslie M Weintraub
3925 E Fort Lowell Rd Ste 100 |
$46.38 | 274 | 238 |
|
Zuraida Zainalabidin
7406 N La Cholla Blvd |
$31.69 | 288 | 280 |
|
George S. Novalis
6585 N Oracle Rd |
$12.70 | 334 | 283 |
|
Joseph Kowalski
1502 N Tucson Blvd |
$93.30 | 383 | 383 |
|
Melissa Van Mendoza
3601 S 6Th Ave # 2-112A |
$41.24 | 395 | 394 |
|
Kimberly Duong
2177 W Orange Grove Rd |
$126.16 | 402 | 398 |
|
El Rio Santa Cruz Neighborhood Health Center, Inc
839 W Congress St |
$0.24 | 406 | 376 |
|
Roy David Swanson
707 N Alvernon Way Ste 301 |
$29.23 | 443 | 440 |
|
Tony Tran Duong
9160 S Houghton Rd Ste 140 |
$36.81 | 477 | 473 |
|
Timothy L. Hodges
1502 N Tucson Blvd |
$26.09 | 487 | 436 |
|
Jacquelyn Jimin Yi
7046 E Golf Links Rd |
$36.96 | 487 | 477 |
|
Luis Arturo Antillon
3925 E Fort Lowell Rd |
$54.88 | 492 | 453 |
|
Jenny La
3601 S 6Th Ave # 11-112A |
$110.45 | 537 | 526 |
|
Paula C Peterson
440 N Alvernon Way |
$24.75 | 544 | 518 |
|
Lisa Ahuactzin
3788 S 16Th Ave |
$23.87 | 551 | 543 |
|
Sheelaa Kesavalu
6422 E Speedway Blvd Ste 100 |
$36.10 | 563 | 560 |
|
Igor Kozak
707 N Alvernon Way Fl 3 |
$59.79 | 585 | 569 |
|
Joseph M Miller
707 N Alvernon Way Ste 301 |
$106.27 | 616 | 564 |
|
Jason Daniel Chmielewski
6159 E Broadway Blvd |
$30.37 | 688 | 656 |
|
Mireille Jabroun
707 N Alvernon Way Ste 301 |
$104.18 | 690 | 660 |
|
Stephanie Tsang
3601 S 6Th Ave |
$2.78 | 721 | 721 |
|
Alexis Diane Romero
4413 E Broadway Blvd |
$53.47 | 734 | 728 |
|
Lynn Polonski
3925 E Fort Lowell Rd Ste 100 |
$57.69 | 738 | 688 |
|
David James Fairley
1650 E Tucson Marketplace Blvd |
$86.42 | 745 | 734 |
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 Tucson, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Tucson, AZ is $49.14 per claim, based on 408,354 claims from 115 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 Tucson, AZ?
There are 115 Medicaid providers offering Eye Exam related services in Tucson, AZ according to public payment data.
What is the price range for Eye Exam in Tucson, AZ?
Medicaid reimbursement for Eye Exam in Tucson, AZ ranges from $0.00 to $129.56 per claim, with an average of $49.14. 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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