Average Medicaid Eye Exam Payments in Westerville, OH: $20.13
Avg. Paid
$20.13
Range
$8.11 – $58.45
Total Claims
69,173
Providers
16
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 Westerville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David M. Ohle
635 Park Meadow Rd Ste 213 |
$13.42 | 16,481 | 15,286 |
|
Evangelia Fragoulis
50 E Schrock Rd |
$23.93 | 12,381 | 12,244 |
|
Diana L Milheim
50 E Schrock Rd |
$23.71 | 9,499 | 9,277 |
|
Stacy D Schonberg
450 Alkyre Run Ste 100 |
$21.87 | 9,058 | 7,981 |
|
Khaled M Khamees
50 N State St |
$31.20 | 7,163 | 7,126 |
|
Juan Francisco Lebron
575 Charring Cross Dr |
$8.45 | 4,102 | 3,694 |
|
David Brian Schnitzer
575 Charring Cross Dr |
$8.11 | 2,606 | 2,285 |
|
Elisabeth J Binnig
570 N State St Ste 210 |
$22.02 | 2,525 | 2,426 |
|
Michael J Weber
555 W Schrock Rd Ste B |
$24.99 | 1,884 | 1,843 |
|
Todd Mathew Clark
395 N West St |
$14.88 | 1,365 | 1,320 |
|
George Franklin Calloway
495 Cooper Rd |
$28.39 | 765 | 684 |
|
Isidoros Fragoulis
50 E Schrock Rd |
$17.69 | 734 | 727 |
|
Steven Hwan Suh
450 Alkyre Run |
$18.34 | 365 | 343 |
|
Christopher Jordan
636 W Schrock Road |
$18.95 | 144 | 126 |
|
Kerianne Phillips Sayre
487 Lazelle Rd |
$58.45 | 87 | 87 |
|
Sarah Rule
555 W Schrock Rd Ste B |
$16.37 | 14 | 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 Westerville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Westerville, OH is $20.13 per claim, based on 69,173 claims from 16 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 Westerville, OH?
There are 16 Medicaid providers offering Eye Exam related services in Westerville, OH according to public payment data.
What is the price range for Eye Exam in Westerville, OH?
Medicaid reimbursement for Eye Exam in Westerville, OH ranges from $8.11 to $58.45 per claim, with an average of $20.13. 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 Westerville, OH
Home Health Visit
Avg $53.03
1,155,652 claims
Office Visit
Avg $58.21
585,772 claims
Blood Work & Lab Tests
Avg $3.36
282,970 claims
Durable Medical Equipment (DME)
Avg $34.13
268,628 claims
Emergency Room Visit
Avg $94.20
239,848 claims
Physical Therapy
Avg $19.38
166,895 claims
Psychiatric Evaluation
Avg $73.32
118,006 claims
Dental Cleaning & Exam
Avg $26.39
88,323 claims