Average Medicaid Eye Exam Payments in Tyler, TX: $22.21
Avg. Paid
$22.21
Range
$0.00 – $50.51
Total Claims
25,106
Providers
23
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 Tyler, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Harshivinderjit Singh Bains
1201 W Grande Blvd |
$18.26 | 3,813 | 3,558 |
|
Seth Lyle Goolsbee
5791 New Copeland Rd |
$34.50 | 3,322 | 3,192 |
|
Christy Guenther
3355 Earl Campbell Pkwy |
$32.60 | 3,019 | 2,859 |
|
Mohsan Ali
701 W Southwest Loop 323 |
$0.52 | 2,665 | 2,630 |
|
Amar Patel
1201 W Grande Blvd |
$22.28 | 2,403 | 2,296 |
|
Matthew R Marshall
3355 Earl Campbell Pkwy |
$24.68 | 2,377 | 2,141 |
|
Thomas Bochow
2440 E 5Th St |
$20.01 | 2,131 | 2,078 |
|
Joshua Lee Jones
3355 Earl Campbell Pkwy |
$23.89 | 1,254 | 1,204 |
|
Bryan E Frazier
5791 New Copeland Rd |
$30.60 | 1,087 | 1,025 |
|
Mother Frances Hospital Regional Health Care Center
800 E Dawson St |
$16.69 | 883 | 870 |
|
Ming Lu
1327 Troup Hwy |
$16.31 | 633 | 610 |
|
Samuel Anthony Minaker
1201 W Grande Blvd |
$16.18 | 413 | 384 |
|
Gregory D Kiblinger
2440 E 5Th St |
$20.28 | 327 | 320 |
|
Logan Russ Vincent
3355 Earl Campbell Pkwy |
$21.64 | 292 | 262 |
|
Jeffrey P Wick
2440 E 5Th St |
$27.85 | 186 | 184 |
|
John Robert Mcgough
4524 S Broadway Ave |
$0.00 | 103 | 102 |
|
Austin Thomas Lash
2440 E 5Th St |
$50.51 | 80 | 77 |
|
Jared Ryan Lambson
701 W Southwest Loop 323 |
$13.34 | 29 | 28 |
|
Jeremy Russell Cefalu
1327 Troup Hwy |
$14.02 | 28 | 28 |
|
John Magnus Ketcher
1424 E Front St |
$3.52 | 25 | 25 |
|
Adam Patrick Dossey
3355 Earl Campbell Pkwy |
$12.92 | 12 | 12 |
|
Todd Matthew Nickel
3355 Earl Campbell Pkwy |
$29.12 | 12 | 12 |
|
Hans Schuricht
1327 Troup Hwy |
$6.42 | 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 Tyler, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Tyler, TX is $22.21 per claim, based on 25,106 claims from 23 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 Tyler, TX?
There are 23 Medicaid providers offering Eye Exam related services in Tyler, TX according to public payment data.
What is the price range for Eye Exam in Tyler, TX?
Medicaid reimbursement for Eye Exam in Tyler, TX ranges from $0.00 to $50.51 per claim, with an average of $22.21. 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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