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Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Washington, DC: $40.12

Avg. Paid

$40.12

Range

$0.00 – $92.61

Total Claims

372,949

Providers

103

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 Washington, DC

Provider Avg. Paid Claims Patients
Ronald Lee Anderson

2041 Martin Luther King Jr Ave Se

$43.31 49,286 43,347
Medstar Washington Hospital Center

110 Irving St Nw

$75.26 34,457 30,198
Gregory Butler

1647 Benning Rd Ne

$22.85 27,624 26,218
Juanita Sonya Bryant

660 Pennsylvania Ave Se

$18.46 18,575 14,823
Maureen Judith Kimmeth

801 Pennsylvania Ave Nw

$48.23 17,279 17,086
Lisa Kish Ziliak

6900 Georgia Ave Nw

$30.64 16,829 15,977
Keesha Marie Williams-Elliott

1647 Benning Rd Ne

$28.72 13,976 12,897
Theodore A Gancayco

1160 Varnum St Ne

$16.88 12,612 10,823
Chrysavgi Adamopoulou

110 Irving St Nw

$61.41 12,278 11,772
Dominic Sunday Onwukwe

2451 Good Hope Rd Se

$66.33 12,197 11,898
Rose Gregory

1536 Benning Rd Ne

$40.76 10,714 10,388
Frank Anthony Spellman

660 Pennsylvania Ave Se

$11.33 8,127 6,039
Christopher Keith Burris

810 Potomac Ave Se

$22.38 7,369 6,742
Andrew Hammer

Walter Reed Army Medical Ctr

$38.13 7,171 6,789
Teresa C Ung

1335 G St Nw

$2.46 5,793 4,869
Jeevan Mathura

1160 Varnum St Ne Ste 208

$22.17 5,025 4,452
Salim I Butrus

650 Pennsylvania Ave Se

$8.58 4,942 4,189
Children'S Hospital

111 Michigan Ave Nw

$89.24 4,563 4,418
Samuel Stoleru

3553 16Th St Nw

$23.39 4,547 2,674
Mohammad Cameron Ghafouri

1160 Varnum St Ne

$14.85 4,494 3,928
Reginald Dacosta Barnes

2112 F St Nw Ste 802

$32.88 4,059 3,516
Richard Hampden Birdsong

Walter Reed Army Medical Center Opthalmology Service

$35.02 3,965 3,810
Mallika S Patel

4301 Wisconsin Ave Nw

$53.45 3,896 3,840
Martin P Kolsky

106 Irving St Nw

$22.69 3,892 3,577
Hampton Addis Khanna

111 Michigan Ave Nw

$50.36 3,826 3,741
Ronald Cameron Vanroekel

Walter Reed Army Medical Ctr

$74.04 3,779 3,735
William P Madigan

111 Michigan Ave Nw

$43.63 3,600 3,497
Mitzy Attokaren

700 2Nd St Ne

$84.50 3,516 3,485
Sara Lee Aggarwal

800 K St Nw

$60.76 3,512 3,387
Jeffrey Allen Dunn

949 1St St Se Ste B

$72.21 3,138 3,050
Charles Gamboa

1776 Eye St Nw

$56.10 3,131 3,056
Jane J Lee

1130 Connecticut Ave Nw

$31.16 3,085 3,070
Richard S Simon

2021 L St Nw

$41.19 2,841 2,836
Mohamad Sami Jaafar

111 Michigan Ave Nw

$33.06 2,493 2,377
Monica Dilip Dalal

2150 Pennsylvania Ave Nw

$17.20 2,474 2,207
Nicole F Koba

2100 Pennsylvania Ave Nw

$69.69 2,370 2,247
Tommie Lee

1304 G St Nw

$42.63 2,285 2,263
Katrina C Chin Loy

2041 Georgia Ave Nw

$36.61 2,249 1,931
Nima S Moainie

4301 Connecticut Ave Nw Ste 125

$27.97 1,984 1,927
Marlet G Bazemore

111 Michigan Ave Nw

$34.98 1,970 1,855
Mehdi Tavakoli Dastjerdi

2150 Pennsylvania Ave Nw

$34.74 1,780 1,399
Yea Kim

1330 Connecticut Ave Nw

$24.10 1,740 1,734
Salman J Yousuf

2041 Georgia Ave Nw Ste 2100

$18.73 1,703 1,432
Nguyen Waterman

1160 Varnum St Ne Ste 11

$58.41 1,560 1,357
Keith J Wroblewski

2150 Pennsylvania Ave Nw

$28.96 1,517 1,392
Emmanuel O Okala

1100 Connecticut Ave Nw

$22.13 1,444 1,443
Geneva Leigh Cleveland

2150 Pennsylvania Ave Nw

$3.91 1,437 1,059
Glenn Patrick Allouche

1201 F St Nw

$62.80 1,411 1,382
Unity Health Care, Inc

765 Kenilworth Ter Ne

$0.00 1,395 890
Richard Larry Dotson

1647 Benning Rd Ne

$20.81 1,146 976

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 Washington, DC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Washington, DC is $40.12 per claim, based on 372,949 claims from 103 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 Washington, DC?

There are 103 Medicaid providers offering Eye Exam related services in Washington, DC according to public payment data.

What is the price range for Eye Exam in Washington, DC?

Medicaid reimbursement for Eye Exam in Washington, DC ranges from $0.00 to $92.61 per claim, with an average of $40.12. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Eye Exam in Other Cities

Other Procedures in Washington, DC