Average Medicaid Eye Exam Payments in Wayne, NJ: $23.96
Avg. Paid
$23.96
Range
$8.50 – $54.36
Total Claims
33,983
Providers
15
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 Wayne, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yvonne E Kersulec-Morillo
1386 Alps Rd |
$17.27 | 20,022 | 19,900 |
|
Lekha Gopal
1 Corporate Dr |
$27.27 | 5,381 | 5,193 |
|
Jing Jing Feng
220 Hamburg Tpke Ste 7 |
$48.94 | 2,979 | 2,953 |
|
Jonathan Phillip Greenberg
1044 Route 23 Ste 208 |
$39.81 | 2,267 | 1,820 |
|
Noel S Caragian
1450 Willowbrook Mall |
$8.59 | 905 | 899 |
|
Joel Pakett
968 Hamburg Tpke |
$54.36 | 904 | 862 |
|
Svetlana Gladoun
1680 Route 23 Ste 350 |
$8.50 | 555 | 555 |
|
Maysoon Majdi Salem
590 Valley Rd |
$30.95 | 313 | 307 |
|
Linda Lee Hogan
1508 Willowbrook Mall |
$23.11 | 146 | 115 |
|
Nancy Hae-Jin Choo
220 Hamburg Tpke |
$23.11 | 113 | 113 |
|
Thomas M Obrotka
516 Hamberg Tnpk |
$14.73 | 110 | 108 |
|
Scott W Silodor
1211 Hamburg Tpke |
$17.32 | 86 | 77 |
|
Kevin J Mickey
57 Willowbrook Blvd |
$31.59 | 80 | 72 |
|
Charles Scot Reing
220 Hamburg Tpke |
$30.10 | 63 | 60 |
|
Sherry Yang
57 Willowbrook Blvd |
$16.52 | 59 | 59 |
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 Wayne, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Wayne, NJ is $23.96 per claim, based on 33,983 claims from 15 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 Wayne, NJ?
There are 15 Medicaid providers offering Eye Exam related services in Wayne, NJ according to public payment data.
What is the price range for Eye Exam in Wayne, NJ?
Medicaid reimbursement for Eye Exam in Wayne, NJ ranges from $8.50 to $54.36 per claim, with an average of $23.96. 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 Wayne, NJ
Office Visit
Avg $48.44
418,690 claims
Ambulance Transport
Avg $79.63
196,872 claims
Home Health Visit
Avg $77.72
168,226 claims
Nursing Facility Care
Avg $10.92
100,358 claims
EKG / ECG (Electrocardiogram)
Avg $4.43
70,378 claims
Case Management Services
Avg $896.57
67,230 claims
Non-Emergency Medical Transportation
Avg $51.14
64,527 claims
Psychiatric Evaluation
Avg $89.23
62,022 claims