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.
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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