Average Medicaid Eye Exam Payments in Warren, PA: $29.30
Avg. Paid
$29.30
Range
$1.73 – $77.07
Total Claims
46,126
Providers
12
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 Warren, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
George Michael Watson
103 W Saint Clair St |
$51.69 | 32 | 32 |
|
Jeffrey Edward Moore
213 W Third Ave |
$8.22 | 53 | 53 |
|
Elizabeth Marie Peterson
103 W Saint Clair St Rm 1A |
$4.86 | 56 | 56 |
|
Michael Mikita
2 Farm Colony Dr |
$77.07 | 139 | 137 |
|
Community Eye Care Specialists, P.C.
2 Farm Colony Drive |
$13.19 | 276 | 275 |
|
Samantha Jenkins
2 Farm Colony Dr |
$1.73 | 944 | 910 |
|
Ralph G. Witchey
2 Farm Colony Dr |
$18.53 | 1,213 | 1,212 |
|
Beau Froebel
2 Farm Colony Dr |
$20.54 | 3,149 | 3,117 |
|
Tyler Mautino
60 Hatch Run Rd |
$27.99 | 4,961 | 4,922 |
|
Michael Vincent Landy
2 Farm Colony Dr |
$38.98 | 7,951 | 7,935 |
|
Gordon Edgar Wuebbolt
2 Farm Colony Drive |
$35.08 | 9,907 | 9,687 |
|
Michael Thomas O'Neill
2 Farm Colony Dr |
$25.77 | 17,445 | 17,356 |
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 Warren, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Warren, PA is $29.30 per claim, based on 46,126 claims from 12 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 Warren, PA?
There are 12 Medicaid providers offering Eye Exam related services in Warren, PA according to public payment data.
What is the price range for Eye Exam in Warren, PA?
Medicaid reimbursement for Eye Exam in Warren, PA ranges from $1.73 to $77.07 per claim, with an average of $29.30. 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 Warren, PA
Office Visit
Avg $38.45
80,069 claims
Emergency Room Visit
Avg $77.13
31,251 claims
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Avg $6.03
20,560 claims
Speech Therapy
Avg $34.79
16,089 claims
Case Management Services
Avg $56.00
15,322 claims
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Avg $6.86
8,857 claims
Urinalysis & Urine Tests
Avg $2.25
6,833 claims
Hearing Test (Audiometry)
Avg $3.04
5,342 claims