Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Worcester, MA: $35.87

Avg. Paid

$35.87

Range

$1.35 – $112.51

Total Claims

293,556

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 Worcester, MA

Provider	Avg. Paid	Claims	Patients
Alia Nazer Khalaf 10 Lincoln Sq	$13.27	12	12
Medical Eye Care Services Pc 33 Lincoln St	$56.72	14	14
Jessica S Walter 10 Lincoln Sq	$1.35	15	15
Teri Kleinberg 25 Oak Ave	$25.11	15	12
Pascale Perusse 67 Belmont St	$91.53	25	25
Linh Thuy Thi Trang 1 Tobias Boland Way	$29.93	48	48
Misha-Michelle M Faustina 281 Lincoln St	$39.87	61	60
Jad Ayash 281 Lincoln Street	$36.04	66	64
Patricia Hall Peffer 281 Lincoln St	$13.07	72	72
Eyes On Worcester Llc 488 Pleasant St	$34.79	112	112
Saleha Z Munir 605 Lincoln St	$40.26	113	109
Kathleen P O'Leary 10 Lincoln Sq	$23.26	139	139
Joseph Martin Stamm 10 Lincoln Sq	$19.90	142	142
Vincent Domenic Giovannucci 348 Shrewsbury St	$28.31	143	143
Isha Vijaykumar Ingle 281 Lincoln Street	$9.89	145	143
Jeffrey P Gallo 25 Oak Avenue	$65.91	149	148
Kathryn Surdovel 377 Plantation St # 4	$13.79	163	158
Richard M Eisenberg 25 Oak Ave	$48.01	227	227
Heather A Bell 10 Lincoln Sq	$20.05	267	265
Stuart W Weisman 25 Oak Ave	$58.46	269	269
Roberto Cavalieros 135 Gold Star Blvd	$34.52	308	306
Jeffrey D Levine 372 Chandler St	$85.74	407	406
Alan Paul Moss 255 Park Ave	$41.25	512	504
Olga M Ceron 5 Neponset St	$112.51	560	522
Tyla Louise Girouard 10 Lincoln Sq	$38.69	632	632
Mark Julian Forgues 152 Russell St	$28.94	763	762
Bradley Scott Daines 5 Neponset St	$97.04	824	780
Peter T Zacharia 33 Lancaster St	$37.27	828	776
Dan Liu 591 Lincoln St	$51.41	829	817
Valarie A Ricciardi 335 Park Ave	$26.03	920	914
Edward M. Kennedy Community Health Center, Inc 605 Lincoln St	$35.30	977	977
Jenna Maureen Larocque 281 Lincoln St	$26.72	1,007	973
Lauren Ann Thamel 335 Park Ave	$26.62	1,102	1,079
Mary Gilman 10 Lincoln Sq	$28.47	1,150	1,147
George B Peters 281 Lincoln St	$25.17	1,368	1,192
Shlomit Schaal 281 Lincoln Street	$29.78	1,533	1,476
Karen Jeng-Miller 281 Lincoln St	$34.99	1,699	1,536
Jeanette Marie Sewell 10 Lincoln Sq	$29.38	1,726	1,723
Lauren Ann Branchini 281 Lincoln St	$45.48	1,862	1,831
Elvisa Loshe 281 Lincoln St	$33.18	2,133	2,020
Brian Steven Thamel 335 Park Ave	$26.04	2,598	2,588
Eugenio M Candal 5 Neponset St	$95.81	2,675	2,533
Michael J Bradbury 63 Lincoln St	$19.47	2,739	2,281
Edward Kazarian 591 Lincoln St	$40.58	3,135	3,124
Benjamin Wise Botsford 281 Lincoln St	$27.01	3,390	2,981
Kevin Quang 591 Lincoln St	$26.41	3,560	3,540
Nicole Frances Cerio 335 Park Ave	$29.79	3,624	3,585
Lianna Valdes 281 Lincoln St	$41.17	3,642	3,452
Mark Francis Scott 120 Stafford Street	$38.70	4,208	4,187
Kathryn Mary Chehade 10 Lincoln Sq	$32.72	4,466	3,940

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 Worcester, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Worcester, MA is $35.87 per claim, based on 293,556 claims from 73 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 Worcester, MA?

There are 73 Medicaid providers offering Eye Exam related services in Worcester, MA according to public payment data.

What is the price range for Eye Exam in Worcester, MA?

Medicaid reimbursement for Eye Exam in Worcester, MA ranges from $1.35 to $112.51 per claim, with an average of $35.87. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Eye Exam Payments in Worcester, MA: $35.87

Providers Offering Eye Exam in Worcester, MA

What to Expect: Eye Exam

Cost Components

Frequently Asked Questions

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