Average Medicaid Eye Exam Payments in Valley Stream, NY: $45.98
Avg. Paid
$45.98
Range
$0.00 – $101.65
Total Claims
44,036
Providers
18
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 Valley Stream, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Swerdin
70 E Sunrise Hwy Ste 400 |
$52.99 | 14,950 | 14,892 |
|
Yuliya Angelova
10 E Merrick Rd |
$39.24 | 9,039 | 8,986 |
|
Marta Mckeague
70 E Sunrise Hwy Ste 400 |
$56.51 | 6,143 | 6,108 |
|
Mark Joel Bashover
845 Newburg Ave |
$31.51 | 2,988 | 2,967 |
|
Sherman Lee
1041 Green Acres Mall |
$20.72 | 2,730 | 2,721 |
|
Myra S. Krokoff
46 W Sunrise Hwy |
$48.36 | 2,279 | 2,213 |
|
Yuliya Bababekova
1088 Green Acres Mall Ste 118 |
$49.45 | 2,116 | 2,100 |
|
Gerard D'Aversa
70 E Sunrise Hwy Ste 400 |
$40.65 | 1,914 | 1,900 |
|
Edward M Baron
65 Roosevelt Ave |
$39.52 | 902 | 883 |
|
Janki H Parikh
260 W. Sunrise Hwy, Ste. 200 |
$101.65 | 335 | 331 |
|
Arthur Michael Purvin
10 E. Merrick Rd. |
$27.18 | 208 | 204 |
|
Vaishali Nigam
77 Green Acres Rd |
$38.99 | 93 | 93 |
|
Green Acres Vistasite Inc
1088 Green Acres Mall # 118 |
$44.94 | 89 | 89 |
|
Alison L Risko
475 W Merrick Rd |
$30.98 | 78 | 77 |
|
Brenda Liang
10 E Merrick Rd Ste 201 |
$12.50 | 75 | 74 |
|
Valley Stream Optometric Services Pc
5 Sunrise Plz Ste 101 |
$0.00 | 46 | 46 |
|
Cheaper Peepers Of New York Mdiv, Inc
12 Green Acres Rd |
$13.33 | 39 | 39 |
|
Andrew P Horn
213 W Merrick Rd |
$53.91 | 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 Valley Stream, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Valley Stream, NY is $45.98 per claim, based on 44,036 claims from 18 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 Valley Stream, NY?
There are 18 Medicaid providers offering Eye Exam related services in Valley Stream, NY according to public payment data.
What is the price range for Eye Exam in Valley Stream, NY?
Medicaid reimbursement for Eye Exam in Valley Stream, NY ranges from $0.00 to $101.65 per claim, with an average of $45.98. 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
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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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Flushing, NY
Avg $55.73
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