Average Medicaid Eye Exam Payments in Wheaton, IL: $27.53
Avg. Paid
$27.53
Range
$12.01 – $62.16
Total Claims
65,372
Providers
35
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 Wheaton, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mei Zhou
2015 N Main St |
$58.55 | 12 | 12 |
|
Frini A. Makadia
2015 N Main St |
$15.21 | 13 | 13 |
|
Timothy J. Kietzman
2015 N Main St |
$23.74 | 14 | 13 |
|
Marni Harris Tahvilian
2015 N Main St |
$17.95 | 15 | 15 |
|
Padmini Kaushal
2015 N Main St |
$18.93 | 16 | 12 |
|
Evan B Price
2015 N Main St |
$19.76 | 38 | 37 |
|
Ruth D Williams
2015 N Main St |
$13.11 | 39 | 39 |
|
Jeffrey R Haag
2015 N Main St |
$18.38 | 47 | 42 |
|
Martin G Mullen
2015 N Main St |
$32.04 | 52 | 50 |
|
Krishna B Patel
2015 N Main St |
$19.50 | 83 | 78 |
|
Kai B Kang
2015 N Main St |
$62.16 | 200 | 174 |
|
Jeremy B Wingard
2015 N Main St |
$18.46 | 244 | 205 |
|
Stephen C Gieser
2015 N Main St |
$13.88 | 297 | 269 |
|
Rasha Dhaher
2254 Blacksmith Dr |
$22.53 | 318 | 318 |
|
Mark J Daily
2015 N Main St |
$15.75 | 371 | 324 |
|
Siya Huo
2015 N Main St |
$12.01 | 438 | 411 |
|
Edward Sung
2015 N Main St |
$12.11 | 451 | 426 |
|
Saaquib R Bakhsh
2015 N Main St |
$21.45 | 516 | 399 |
|
Susan J Anderson-Nelson
2015 N Main St |
$18.98 | 519 | 480 |
|
Bradley A Sacher
2015 N Main St |
$25.84 | 624 | 553 |
|
Thomas S Michelson
2015 N Main St |
$21.60 | 633 | 589 |
|
Terry G Voirin
2015 N Main St |
$28.42 | 1,748 | 1,674 |
|
Nisha Gupta
310 S County Farm Rd Ste B |
$23.97 | 1,977 | 1,759 |
|
Curtis Weaver
160 Danada Sq W |
$30.60 | 2,334 | 2,269 |
|
Gregory Lucien Fenton
2015 N Main St |
$16.42 | 2,461 | 2,222 |
|
Huizi Yin
2015 N Main St |
$28.40 | 2,479 | 2,360 |
|
Vanesa Cohen
115 Danada Sq E |
$28.72 | 2,561 | 2,392 |
|
Nathaniel Erick Mcintyre
2015 N Main St |
$32.45 | 3,476 | 3,278 |
|
Vikram J Setlur
2015 N Main St |
$16.32 | 3,481 | 3,107 |
|
Kelly D. Laurenti
2015 N Main St |
$42.06 | 4,754 | 4,181 |
|
Rachel Boram Park
219 E Cole Ave |
$16.61 | 4,967 | 4,706 |
|
Colleen M Govekar
2015 N Main St |
$31.73 | 5,601 | 5,309 |
|
Noha S Ekdawi
2015 N Main St |
$27.93 | 6,200 | 5,670 |
|
Michael A Kipp
2015 N Main St |
$25.89 | 6,965 | 6,318 |
|
Grishma Premal Patel
1325 N Main St |
$31.60 | 11,428 | 10,250 |
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 Wheaton, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Wheaton, IL is $27.53 per claim, based on 65,372 claims from 35 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 Wheaton, IL?
There are 35 Medicaid providers offering Eye Exam related services in Wheaton, IL according to public payment data.
What is the price range for Eye Exam in Wheaton, IL?
Medicaid reimbursement for Eye Exam in Wheaton, IL ranges from $12.01 to $62.16 per claim, with an average of $27.53. 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
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