Average Medicaid Eye Exam Payments in Twin Falls, ID: $64.27
Avg. Paid
$64.27
Range
$6.31 – $107.45
Total Claims
47,487
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 Twin Falls, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brandon Clark Nielsen
568 Falls Ave |
$60.24 | 16,069 | 15,969 |
|
Edward Ford
2139 Village Park Ave Ste 100 |
$84.40 | 9,253 | 9,238 |
|
Nicholas James Kelsey
731 N College Rd |
$34.58 | 4,502 | 4,026 |
|
Matt G. Merrell
526H Shoup Ave W. |
$99.75 | 3,144 | 3,077 |
|
Jay A. Hartwell
1543 Poleline Rd E |
$53.13 | 2,612 | 2,591 |
|
Michael K Taylor
261 Canyon Crest Dr Ste 100 |
$32.77 | 2,407 | 2,163 |
|
Nathan Robert Welch
526 Shoup Ave Ste H |
$48.10 | 2,290 | 2,068 |
|
Rustin M Hatch
526 Shoup Ave W |
$101.02 | 1,575 | 1,558 |
|
Alexander Durrant
1605 Blue Lakes Blvd N Ste A |
$59.18 | 1,536 | 1,536 |
|
Tonya R Ford
1411 Falls Ave E |
$107.45 | 1,049 | 1,049 |
|
Jason Halverson
261 Canyon Crest Dr Ste 100 |
$46.90 | 958 | 858 |
|
Kyle Nathaniel Klingler
1415 Parkview Dr. |
$13.86 | 623 | 600 |
|
Brandon Fish
731 N College Rd |
$92.26 | 434 | 433 |
|
Maria C Marez
1415 Park View Drive |
$105.47 | 269 | 269 |
|
Jennifer Kay Ruprecht
1952 Addison Ave E |
$6.31 | 205 | 200 |
|
Katherine Grill Nate
844 Shoshone St E |
$8.32 | 191 | 185 |
|
James Morgan Coombs
1415 Parkview Dr |
$8.09 | 180 | 177 |
|
Jared P. Walker
568 Falls Ave |
$96.30 | 173 | 170 |
|
Robert C Welch
526 Shoup Ave W |
$16.04 | 17 | 13 |
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 Twin Falls, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Twin Falls, ID is $64.27 per claim, based on 47,487 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 Twin Falls, ID?
There are 19 Medicaid providers offering Eye Exam related services in Twin Falls, ID according to public payment data.
What is the price range for Eye Exam in Twin Falls, ID?
Medicaid reimbursement for Eye Exam in Twin Falls, ID ranges from $6.31 to $107.45 per claim, with an average of $64.27. 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 Twin Falls, ID
Office Visit
Avg $57.25
475,696 claims
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Avg $42.45
466,064 claims
Dental Cleaning & Exam
Avg $43.04
242,818 claims
Blood Work & Lab Tests
Avg $6.66
172,186 claims
Vaccines & Immunizations
Avg $13.58
133,740 claims
Home Health Visit
Avg $58.62
133,648 claims
Psychiatric Evaluation
Avg $69.11
123,942 claims
Personal Care Services
Avg $21.02
107,979 claims