Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Wilmington, DE: $32.56

Avg. Paid

$32.56

Range

$0.00 – $58.33

Total Claims

77,151

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 Wilmington, DE

Provider	Avg. Paid	Claims	Patients
Simon Eye Associates Pa 5301 Limestone Rd Ste 128	$32.90	13,523	12,674
Anthony P Betts 2205 Concord Pike	$40.21	12,348	12,134
Advanced Eye Care P A 213 Greenhill Ave	$35.57	10,095	8,550
Eye Physicians & Surgeons, Pa 1207 N Scott St	$37.12	6,952	6,054
The Nemours Foundation 1600 Rockland Rd	$31.39	5,873	4,851
Delaware Ophthalmology Consultants Pa 3509 Silverside Rd	$45.46	4,723	4,381
Christiana Care Health Services Inc 501 W 14Th St	$27.63	3,569	2,802
Retinovitreous Associates Ltd 1523 Concord Pike Ste 101	$20.14	3,097	2,446
Delaware Eye Surgeons Pa 2710 Centerville Rd	$37.31	1,635	1,484
Delaware Eye M.D'S Associates 2055 Limestone Rd	$34.93	1,560	1,382
Charles Wang, Md, Pa 1700 Wawaset St	$21.86	1,476	1,198
Leanne Bridget Heuer 1601 Kirkwood Hwy	$38.37	1,099	1,089
Laura Ann Goldberg 1601 Kirkwood Hwy	$58.33	955	955
Nikolas Sutsko 1601 Kirkwood Hwy	$8.96	870	792
Jing Jin 1600 Rockland Rd	$5.43	696	644
Phyllis E Chambers 1401 Silverside Rd	$41.32	693	668
David Gary Jupiter 2500 Grubb Rd	$19.26	679	607
Delaware Vision Academy Llc 3105 Limestone Rd	$14.55	526	443
Dorothy M Moore 2055 Limestone Rd	$4.35	523	433
Paula Ko 1207 N Scott St	$1.77	519	335
Amanda M Friess 1600 Rockland Rd	$0.14	506	453
Michael Brosman M.D., Llc 4514 Kirkwood Hwy	$0.00	479	357
Dorothy H. Hendricks 1600 Rockland Rd	$8.72	474	443
Sharon S. Lehman A.I. Dupont Hospital For Children	$8.87	422	394
Chinye Mukosolu Otojare 1207 N Scott St	$1.59	408	331
Stefan S. O'Connor M.D. P.A. 2055 Limestone Rd	$37.81	404	294
Carolyn Glazer-Hockstein 1207 N Scott St	$1.36	356	230
Pecos T. Olurin Md, Pa 1403 N Rodney St	$54.66	353	306
Pimpiroon Ploysangam 1600 Rockland Rd	$19.46	310	292
The Nemours Foundation 1801 Rockland Rd	$11.97	233	183
Michael K Brosman 213 Greenhill Ave	$0.63	221	175
Brian William Toussaint 1700 Wawaset St	$1.63	199	136
Wilmington Family Eye Care Llc 801 E Newport Pike	$38.48	189	181
Optometry Associates, P.A. 419 N Market St	$45.00	187	187
Temidayo Adekoyejo Olurin 1403 N Rodney St	$4.85	170	125
Jonathan H. Salvin A.I. Dupont Hospital For Children	$0.23	147	141
Christopher P Davolos 213 Greenhill Ave	$16.93	146	137
Agnes Forsac Esaka 3208A Kirkwood Hwy	$40.09	144	134
Katherine W Taylor 1801 Rockland Rd	$20.29	93	86
Julianne C Lin 5305 Limestone Rd Ste 201	$1.71	80	64
Jason A Kaplan 3501 Silverside Rd	$4.45	65	50
Charles Wang 1700 Wawaset St	$4.73	59	55
Stefan S. O'Connor 2055 Limestone Rd	$38.22	49	37
Tomilade Adepoju 501 W 14Th St Ste 2N71	$36.23	31	28
Steven Dale Warwick 1801 Rockland Rd	$13.24	15	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 Wilmington, DE?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Wilmington, DE is $32.56 per claim, based on 77,151 claims from 45 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 Wilmington, DE?

There are 45 Medicaid providers offering Eye Exam related services in Wilmington, DE according to public payment data.

What is the price range for Eye Exam in Wilmington, DE?

Medicaid reimbursement for Eye Exam in Wilmington, DE ranges from $0.00 to $58.33 per claim, with an average of $32.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Eye Exam Payments in Wilmington, DE: $32.56

Providers Offering Eye Exam in Wilmington, DE

What to Expect: Eye Exam

Cost Components

Frequently Asked Questions

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