Average Medicaid Eye Exam Payments in Winchester, VA: $36.04
Avg. Paid
$36.04
Range
$0.00 – $60.38
Total Claims
25,584
Providers
26
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 Winchester, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dr David A Tufts O D Pllc
650 Cedar Creek Grade |
$0.00 | 13 | 13 |
|
Michael James Collins
3051 Valley Ave Ste 102 |
$8.03 | 15 | 14 |
|
Alla Yurievna Golovkina-Hynes
158 Front Royal Pike Ste 303 |
$8.89 | 20 | 13 |
|
Frank H Reuling
302 S Cameron St |
$15.67 | 22 | 14 |
|
Commonwealth Of Virginia State Board Of Health
10 Baker Street |
$19.63 | 33 | 33 |
|
Myeyedr Optometry Of Virginia, Pllc
2028 S Pleasant Valley Rd |
$48.68 | 34 | 34 |
|
Lori Suzanne Snyder
1845 Plaza Dr |
$27.49 | 85 | 81 |
|
Anthony J Viti
1870 Amherst St |
$52.26 | 115 | 89 |
|
Annette Marie Hoover
2017 S Loudoun St |
$14.87 | 228 | 228 |
|
Clare Kelliher Ni Cheilleachair
190 Campus Blvd Ste 210 |
$60.38 | 228 | 208 |
|
Jacqueline A Garringer
302 S Cameron St |
$22.99 | 338 | 270 |
|
Shaina Marie Rubino Loverde
190 Campus Blvd Ste 320 |
$19.28 | 418 | 372 |
|
Valley Physician Enterprise, Inc.
190 Campus Blvd Ste 210 |
$53.55 | 486 | 449 |
|
Retina Associates, Pc
190 Campus Blvd Ste 320 |
$22.12 | 549 | 452 |
|
John Bocock Carter
190 Campus Blvd |
$26.95 | 853 | 684 |
|
Eric Raymond Steuer
190 Campus Blvd |
$20.12 | 1,133 | 936 |
|
Bruce J Keenan
1014 Amherst St |
$47.23 | 1,198 | 1,198 |
|
Jamie Clay Simmers
125 Prosperity Drive |
$20.20 | 1,204 | 1,167 |
|
Waqas Ilyas
347 Westside Station Dr |
$12.09 | 1,240 | 1,012 |
|
Norman F Woodlief
190 Campus Blvd Ste 210 |
$26.09 | 1,332 | 1,121 |
|
Nicholas Gerard Luthman
2028 S Pleasant Valley Rd |
$47.10 | 1,463 | 1,458 |
|
Nancy Kunjukunju
190 Campus Blvd Ste 320 |
$32.21 | 1,711 | 1,532 |
|
Andrew Justin Mcfarland
190 Campus Blvd Ste 320 |
$17.67 | 1,770 | 1,493 |
|
Jason P Ruggiero
190 Campus Blvd |
$17.92 | 2,002 | 1,664 |
|
Thomas P Keenan
190 Campus Blvd Ste 210 |
$37.81 | 2,952 | 2,465 |
|
Fiona Elizabeth Seager
190 Campus Blvd Ste 210 |
$58.68 | 6,142 | 5,242 |
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 Winchester, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Winchester, VA is $36.04 per claim, based on 25,584 claims from 26 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 Winchester, VA?
There are 26 Medicaid providers offering Eye Exam related services in Winchester, VA according to public payment data.
What is the price range for Eye Exam in Winchester, VA?
Medicaid reimbursement for Eye Exam in Winchester, VA ranges from $0.00 to $60.38 per claim, with an average of $36.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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Avg $43.97
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