Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Wausau, WI: $19.10

Avg. Paid

$19.10

Range

$0.00 – $43.75

Total Claims

74,852

Providers

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 Wausau, WI

Provider	Avg. Paid	Claims	Patients
Jeffrey M Sarazen 515 N 17Th Ave	$16.98	7,758	6,816
R Christopher Marquardt 515 N 17Th Ave	$18.55	6,852	6,111
Amanda B Hoffmann 800 N 1St St	$22.17	6,850	6,210
Jennifer Nicole D'Acquisto 800 N 1St St	$43.75	6,381	5,346
Ricky L. Scalcucci 800 1St St	$17.45	5,134	4,154
Kelsey B Koerner 205 W Bridge St Ste 101	$17.77	4,592	3,961
Sean Sarazen 2727 Plaza Dr	$21.51	4,035	3,687
Erin Leigh Goga 515 N 17Th Ave	$18.24	3,845	3,470
Luis C Galang 800 1St St	$19.39	3,675	3,255
Gregory Lee Leischer 611 Stevens Dr	$15.27	3,203	2,729
Deepak Sambhara 800 N 1St St	$6.87	2,842	2,377
Lauren Mae Leurquin 205 W Bridge St	$19.75	2,798	2,470
David C. Tuman 800 N 1St St	$10.76	2,670	1,959
L Ferdinand Galang 800 N 1St St	$7.54	2,056	1,529
Jesse Andrew Birsching 800 N 1St St	$16.16	1,817	1,485
Mathew Warren Aschbrenner 800 N 1St St	$6.26	1,678	1,541
Katie J Michalski 800 N 1St Street	$9.74	1,394	1,069
Erin Renee Daggett 200 S 18Th Ave	$37.16	1,001	943
Nancy Shebuski 2727 Plaza Dr	$10.06	985	797
Busisiwe Rose Vandriel 200 S 18Th Ave	$37.51	865	798
John Alexander Flatter 800 N 1St St	$7.28	670	493
Thaddeus J Krolicki 800 N 1St St	$8.84	531	473
Raymond M Goga 515 N 17Th Ave	$10.11	525	389
Maxwell Joseph Wingelaar 800 N 1St St	$6.50	429	336
Christopher J Kucharski 800 N 1St St	$5.75	404	277
Brian Damien Puent 227500 Rib Mountain Dr Ste 120	$18.05	309	278
Thomas Paul Colvin 800 N 1St St	$11.45	256	168
Robert N. Beauchene 800 N 1St St	$6.00	240	173
Daniel T. Stoehr 800 N 1St St	$11.09	210	151
Kevin T. Flaherty 800 N 1St St	$4.66	152	94
Shoptikal Llc 352 S 18Th Ave	$6.47	131	79
Scott Alan Bauer 2727 Plaza Dr	$17.96	114	107
Erica Kirk 800 N 1St St	$15.32	93	71
Christiana Loredana Gandy 800 N 1St St	$1.48	90	43
Afua Annor Shin 800 N 1St St	$4.75	89	54
Robert Kessen 2100 Stewart Ave	$12.47	74	65
Douglas T. Edwards 800 N 1St St	$5.35	41	28
Matthew G. Hattenhauer 800 N 1St St	$4.58	20	12
Connor William Monaghan 800 N 1St St	$5.12	15	12
Susan M Ksiazek 2727 Plaza Dr	$7.62	15	13
Eye Clinic Of Wisconsin Sc 800 N 1St St	$0.00	13	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 Wausau, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Wausau, WI is $19.10 per claim, based on 74,852 claims from 41 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 Wausau, WI?

There are 41 Medicaid providers offering Eye Exam related services in Wausau, WI according to public payment data.

What is the price range for Eye Exam in Wausau, WI?

Medicaid reimbursement for Eye Exam in Wausau, WI ranges from $0.00 to $43.75 per claim, with an average of $19.10. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Eye Exam Payments in Wausau, WI: $19.10

Providers Offering Eye Exam in Wausau, WI

What to Expect: Eye Exam

Cost Components

Frequently Asked Questions

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