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 |
|---|---|---|---|
|
Sam Edwin Sato
3910 N Campbell Ave |
$78.17 | 35,214 | 34,224 |
|
Diego H Calonje
1951 N Wilmot Rd |
$44.08 | 29,306 | 28,263 |
|
Peter H. Kaufer
1745 E Skyline Dr |
$42.21 | 14,413 | 13,898 |
|
Jason M Levine
6422 E Speedway Blvd Ste 100 |
$35.90 | 14,182 | 12,780 |
|
David Wayne Day
1500 N Wilmot Rd |
$46.78 | 12,820 | 12,516 |
|
Mark Kim Walsh
6561 E. Carondelet Dr. |
$35.35 | 11,592 | 10,892 |
|
Jarrod Cross
4386 N Oracle Rd Ste 100 |
$38.52 | 11,143 | 11,058 |
|
Natalie Sophia Gakopoulos
5240 E Knight Dr Ste 104 |
$40.41 | 9,813 | 9,761 |
|
Antonio William Campbell
6572 E Grant Rd Ste 150 |
$40.16 | 9,511 | 9,418 |
|
Keith Eric Votens
7552 N La Cholla Blvd |
$50.56 | 9,059 | 8,966 |
|
April Harris
6561 E Carondelet Dr |
$34.17 | 8,907 | 8,341 |
|
Anand Patel
1785 W Valencia Rd Unit 101 |
$41.58 | 8,883 | 8,806 |
|
Kelly Anne Keith
3788 S 16Th Ave |
$34.69 | 8,802 | 8,704 |
|
Todd W Altenbernd
707 N Alvernon Way |
$53.99 | 8,720 | 7,834 |
|
Trevor Rosenlof
6422 E Speedway Blvd Ste 100 |
$55.51 | 8,705 | 8,396 |
|
Lauren Kanemi Evans
5599 N Oracle Rd |
$74.92 | 8,270 | 7,547 |
|
Anthony Joseph
6561 E Carondelet Dr |
$30.83 | 7,788 | 6,955 |
|
Ryan K Wong
6585 N. Oracle Rd |
$31.35 | 7,532 | 6,981 |
|
Warren Chue
2177 W Orange Grove Rd |
$59.20 | 7,119 | 6,400 |
|
Sean Garrity
6561 E Carondelet Dr |
$30.02 | 7,076 | 6,655 |
|
Cameron G Javid
6561 E Carondelet Dr |
$34.17 | 6,974 | 6,616 |
|
Khin Pyaesone Kilgore
6422 E Speedway Blvd Ste 100 |
$56.61 | 6,834 | 6,671 |
|
Rita M Bhakta
707 N Alvernon Way Ste 301 |
$76.08 | 6,496 | 6,225 |
|
Carol Lipton
4545 N Oracle Rd |
$49.75 | 6,453 | 4,837 |
|
Sean Mccafferty
6422 E Speedway Blvd Ste 100 |
$37.72 | 6,248 | 5,396 |
|
Le Yu
2177 W Orange Grove Rd |
$67.68 | 6,133 | 5,503 |
|
Children'S Clinics For Rehabilitative Services
2600 N Wyatt Dr |
$76.86 | 6,063 | 5,852 |
|
Melissa Muller
395 N Silverbell Rd Ste 255 |
$54.81 | 6,044 | 5,348 |
|
Lisa C Lane
6422 E Speedway Blvd Ste 100 |
$44.27 | 5,894 | 5,147 |
|
Egbert Saavedra
6561 E Carondelet Dr |
$34.07 | 5,584 | 5,196 |
|
Katelyn Hurliman
1370 N Silverbell Rd Ste 140 |
$39.71 | 4,940 | 4,894 |
|
Jeffrey Zane Kartchner
6422 E Speedway Blvd Ste 100 |
$63.90 | 4,876 | 4,759 |
|
Chad Edward Mckinney
3880 W Ina Rd Ste 132 |
$38.14 | 4,551 | 4,501 |
|
Andreas Gonzalez
6561 E Carondelet Dr |
$42.46 | 4,468 | 4,259 |
|
Martin A Worrall
350 N Wilmot Rd |
$27.37 | 4,414 | 3,613 |
|
William Kusek
3601 S 6Th Ave |
$33.62 | 4,277 | 4,148 |
|
Chisom P Umogbai
7046 E Golf Links Rd |
$40.80 | 4,145 | 4,114 |
|
Elizabeth Moseley
3788 S 16Th Ave |
$35.64 | 4,125 | 4,075 |
|
John D Twelker
707 N Alvernon Way Ste 301 |
$86.46 | 3,595 | 3,393 |
|
Stephanie Akemi Cooper
1502 N Tucson Blvd |
$69.00 | 3,533 | 3,436 |
|
Jordan Keeney
5632 E 5Th St |
$55.99 | 3,446 | 3,251 |
|
Burke Lieppman
707 N Alvernon Way Ste 301 |
$60.66 | 3,358 | 3,334 |
|
Theresa M Setlock
6987 N Oracle Rd |
$40.98 | 3,333 | 3,320 |
|
Jason Dale Jensen
2177 W Orange Grove Rd |
$68.23 | 3,087 | 3,013 |
|
Jennifer Anne Wilson
6351 E Broadway Blvd Ste 115 |
$37.55 | 2,994 | 2,957 |
|
Caitlyn Yuriko Lew
2177 W Orange Grove Rd |
$113.30 | 2,938 | 2,816 |
|
Reid F Schindler
4753 East Camp Lowell Drive |
$46.11 | 2,391 | 2,092 |
|
Wayne W Bixenman
6422 E Speedway Blvd Ste 100 |
$38.69 | 2,248 | 2,119 |
|
Angelica Nguyen
2443 N Campbell Ave |
$46.41 | 2,188 | 2,180 |
|
Chris Began
4663 E Speedway Blvd |
$32.51 | 2,105 | 2,064 |
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
Other Procedures in Tucson, AZ
Case Management Services
Avg $33.22
5,915,648 claims
Substance Abuse Treatment
Avg $40.42
5,677,967 claims
Office Visit
Avg $46.43
5,463,316 claims
Blood Work & Lab Tests
Avg $2.95
2,730,604 claims
Personal Care Services
Avg $181.32
2,175,875 claims
Emergency Room Visit
Avg $160.21
2,175,628 claims
Physical Therapy
Avg $34.35
1,681,838 claims
Dental Cleaning & Exam
Avg $16.59
1,430,398 claims