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Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Wilmington, NC: $15.34

Avg. Paid

$15.34

Range

$0.00 – $75.68

Total Claims

30,878

Providers

37

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, NC

Provider Avg. Paid Claims Patients
Henry Holt

1801 New Hanover Medical Park Dr

$7.66 5,394 3,266
Igor Westra

1801 New Hanover Medical Park Dr

$8.05 4,441 2,691
Leon Charkoudian

1104 Medical Center Dr

$6.55 3,220 2,183
Robert Lee Brownlow

1104 Medical Center Dr

$6.94 2,738 1,965
Kevin James Bray

1104 Medical Center Dr

$9.05 2,504 2,026
Hilary Beth Cox

1729 New Hanover Medical Park Dr

$65.24 1,620 1,427
Melissa Faith Game Shipley

1729 New Hanover Medical Park Dr

$75.68 1,562 1,367
Alexandra Lee Buckley

1729 New Hanover Medical Park Dr

$19.17 1,124 927
Richard Dax Hawkins

1729 New Hanover Medical Park Drive

$5.90 1,115 776
John Randolph Deans

1801 New Hanover Medical Park Dr

$12.32 1,018 730
Mary Elizabeth Price

1907 S 17Th Street

$11.70 974 670
Tiffany L Jackson

273 N Front St

$16.87 891 697
Matej Polomsky

1729 New Hanover Medical Park Dr

$9.88 822 596
Robert Charles O'Connor Wann

1104 Medical Center Dr

$11.38 662 510
Amanda Britt Baden

1729 New Hanover Medical Park Dr

$6.72 609 454
Brian Groat

1915 S 17Th St Ste 101

$5.63 379 171
Erin Fuchs

1729 New Hanover Medical Park Dr

$10.55 345 268
Christopher D. Covington

1729 New Hanover Medical Park Dr

$8.69 250 156
Samantha Watson

1729 New Hanover Medical Park Dr

$6.16 215 165
Alan W Brown

1717 Shipyard Blvd

$7.55 119 78
Benjamin Mccray Taylor

1613 Military Cutoff Rd Ste 230

$7.77 110 71
Hannah Demarino

3501 Oleander Dr Ste 7

$15.54 104 91
Gerard Hendrik Vanrens

1801 New Hanover Medical Park Dr

$9.23 74 40
David M Wenz

3901 Oleander Dr

$43.22 73 73
Mary Katherine Hoffman

1729 New Hanover Medical Park Dr

$23.54 64 57
David Hunter Buterbaugh

3501 Oleander Dr Ste 7

$26.41 59 59
Courtney Danielle Walters

818 Pine Grove Dr

$16.65 58 42
Robert Alan Van Der Vaart

1729 New Hanover Medical Park Dr

$0.87 58 46
Molly V Allen

1120 Medical Center Dr

$5.38 55 41
Chad Everett Tisdale

1729 New Hanover Medical Park Dr

$4.51 50 40
Nicole Lynch

1994 S 17Th St

$0.00 39 39
Travis Clarke Jenkins

1729 New Hanover Medical Park Dr

$7.68 35 30
Susan Andracchi

2512 Delaney Ave

$29.60 35 27
Jeffrey R Coleman

919 S 16Th St

$10.25 19 14
Leann Lynette Geerts

1729 New Hanover Medical Park Dr

$15.04 18 18
Timothy G Kelly

1915 Tradd Ct

$3.52 13 13
Edward Weaver

1205 Floral Pkwy

$23.34 12 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, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Wilmington, NC is $15.34 per claim, based on 30,878 claims from 37 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, NC?

There are 37 Medicaid providers offering Eye Exam related services in Wilmington, NC according to public payment data.

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

Medicaid reimbursement for Eye Exam in Wilmington, NC ranges from $0.00 to $75.68 per claim, with an average of $15.34. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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