Average Medicaid Eye Exam Payments in Winston Salem, NC: $19.58
Avg. Paid
$19.58
Range
$0.00 – $643.00
Total Claims
30,982
Providers
29
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 Winston Salem, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vishak Johny John
Medical Center Blvd |
$32.60 | 6,026 | 5,380 |
|
Rajiv Edlagan Shah
Medical Center Blvd |
$10.88 | 5,590 | 5,062 |
|
Dean J Bonsall
Medical Center Blvd |
$9.80 | 4,284 | 3,662 |
|
Brian R Kosobucki
3333 Brookview Hills Blvd |
$5.73 | 3,763 | 2,280 |
|
Margaret A Greven
Medical Center Blvd Dept Of Ophthalmology |
$8.00 | 3,080 | 2,767 |
|
Henry Warren Burnett
110 Oakwood Dr Ste 380 |
$3.14 | 3,030 | 1,662 |
|
Charles Patrick Richards
180 Kimel Park Dr |
$7.47 | 1,198 | 718 |
|
Timothy John Martin
Medical Center Blvd |
$14.42 | 794 | 684 |
|
Darren C. Decker
2630 Peters Creek Pkwy |
$28.94 | 670 | 456 |
|
Mark Harvey Nelson
750 Highland Oaks Dr Ste 100 |
$6.59 | 575 | 481 |
|
Vickas Khemsara
1710 South Hawthorne Rd |
$8.29 | 442 | 280 |
|
Sharhonda Bell Harrill
611 Coliseum Dr |
$643.00 | 283 | 281 |
|
Susan K Burden
Medical Center Blvd |
$14.68 | 206 | 201 |
|
Sarah Carey Robinson
Medical Center Blvd |
$32.60 | 170 | 166 |
|
Frank Joseph Moya
1340 Creekshire Way |
$18.49 | 149 | 138 |
|
Gillian Gabrielle Treadwell
Medical Center Blvd |
$14.09 | 124 | 118 |
|
Paul Keith Biggs
3073 Trenwest Dr # 315 |
$14.02 | 108 | 78 |
|
Carl David Sasser
11362 Old Us Highway 52 |
$6.84 | 91 | 52 |
|
Akshay Rao Mentreddy
Medical Center Blvd |
$17.26 | 85 | 82 |
|
Richard Grey Weaver
Medical Center Blvd |
$0.38 | 80 | 77 |
|
Julianne Marie Grissom
2630 Peters Creek Pkwy |
$36.78 | 76 | 71 |
|
Terry W Ellington
8013 N Point Blvd |
$22.35 | 56 | 55 |
|
Jennifer Elizabeth Flaherty
725 Highland Oaks Dr Ste 101 |
$28.74 | 17 | 14 |
|
Owen Louis Krueger
Medical Center Blvd |
$40.72 | 15 | 15 |
|
Jiaxi Ding
755 Highland Oaks Dr Ste 202 |
$11.15 | 15 | 12 |
|
Thomas Anthony Bull
Medical Center Blvd |
$0.00 | 15 | 14 |
|
Michael Forrest Clamp
Medical Center Blvd |
$2.65 | 14 | 14 |
|
Levi Kauffman
Medical Center Blvd |
$24.65 | 13 | 13 |
|
Craig Michael Greven
Medical Center Blvd |
$9.84 | 13 | 13 |
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 Winston Salem, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Winston Salem, NC is $19.58 per claim, based on 30,982 claims from 29 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 Winston Salem, NC?
There are 29 Medicaid providers offering Eye Exam related services in Winston Salem, NC according to public payment data.
What is the price range for Eye Exam in Winston Salem, NC?
Medicaid reimbursement for Eye Exam in Winston Salem, NC ranges from $0.00 to $643.00 per claim, with an average of $19.58. 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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