Average Medicaid Eye Exam Payments in Worcester, MA: $35.87
Avg. Paid
$35.87
Range
$1.35 – $112.51
Total Claims
293,556
Providers
73
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 |
|---|---|---|---|
|
Jeremy Blair Meltzer
33 Lincoln St |
$43.87 | 39,870 | 37,888 |
|
Colleen Davey Gonyea
8 Federal St |
$37.58 | 24,657 | 24,597 |
|
Umass Memorial Medical Center, Inc.
55 Lake Avenue |
$45.18 | 19,615 | 19,229 |
|
Edward M. Kennedy Community Health Center, Inc
19 Tacoma St |
$34.42 | 15,305 | 15,283 |
|
Jungling Wang
383 Main St |
$31.03 | 11,636 | 11,226 |
|
Nicholas R Feucht
488 Pleasant St |
$31.12 | 11,322 | 11,259 |
|
Ana P Bonaldi
281 Lincoln St |
$34.61 | 9,369 | 9,205 |
|
Marie Mantelli
377 Plantation St |
$18.60 | 8,506 | 4,743 |
|
Jeffrey R Underkoffler
5 Neponset St |
$33.86 | 8,303 | 7,715 |
|
Firas Peter Kassira
1099 Pleasant St Ste B |
$31.01 | 8,017 | 7,960 |
|
Christopher C Teng
281 Lincoln Street |
$22.90 | 7,962 | 7,323 |
|
Priya M Janardhana
281 Lincoln St |
$38.38 | 7,745 | 7,381 |
|
Kurtis Roy Zimmerman
5 Neponset St |
$35.96 | 7,237 | 6,809 |
|
Juan Ding
281 Lincoln St |
$42.84 | 7,022 | 6,917 |
|
Nikhil Saini
488 Pleasant St |
$27.96 | 6,889 | 6,753 |
|
Teresa L Stone
5 Neponset St |
$33.18 | 6,724 | 6,288 |
|
Adrian Kohn
10 Lincoln Sq |
$17.08 | 6,069 | 5,828 |
|
Frank J Mccabe
67 Belmont Street |
$21.80 | 5,917 | 4,339 |
|
Bryan Kun Hong
67 Belmont St |
$16.90 | 5,381 | 3,603 |
|
Family Health Center Of Worcester, Inc.
26 Queen St |
$30.03 | 4,947 | 4,932 |
|
Robert L Gise
210 Lincoln Street |
$81.99 | 4,663 | 4,587 |
|
Brad J Baker
67 Belmont Street |
$19.29 | 4,542 | 3,159 |
|
Justine Grier
281 Lincoln St |
$36.00 | 4,484 | 4,338 |
|
Kathryn Mary Chehade
10 Lincoln Sq |
$32.72 | 4,466 | 3,940 |
|
Mark Francis Scott
120 Stafford Street |
$38.70 | 4,208 | 4,187 |
|
Lianna Valdes
281 Lincoln St |
$41.17 | 3,642 | 3,452 |
|
Nicole Frances Cerio
335 Park Ave |
$29.79 | 3,624 | 3,585 |
|
Kevin Quang
591 Lincoln St |
$26.41 | 3,560 | 3,540 |
|
Benjamin Wise Botsford
281 Lincoln St |
$27.01 | 3,390 | 2,981 |
|
Edward Kazarian
591 Lincoln St |
$40.58 | 3,135 | 3,124 |
|
Michael J Bradbury
63 Lincoln St |
$19.47 | 2,739 | 2,281 |
|
Eugenio M Candal
5 Neponset St |
$95.81 | 2,675 | 2,533 |
|
Brian Steven Thamel
335 Park Ave |
$26.04 | 2,598 | 2,588 |
|
Elvisa Loshe
281 Lincoln St |
$33.18 | 2,133 | 2,020 |
|
Lauren Ann Branchini
281 Lincoln St |
$45.48 | 1,862 | 1,831 |
|
Jeanette Marie Sewell
10 Lincoln Sq |
$29.38 | 1,726 | 1,723 |
|
Karen Jeng-Miller
281 Lincoln St |
$34.99 | 1,699 | 1,536 |
|
Shlomit Schaal
281 Lincoln Street |
$29.78 | 1,533 | 1,476 |
|
George B Peters
281 Lincoln St |
$25.17 | 1,368 | 1,192 |
|
Mary Gilman
10 Lincoln Sq |
$28.47 | 1,150 | 1,147 |
|
Lauren Ann Thamel
335 Park Ave |
$26.62 | 1,102 | 1,079 |
|
Jenna Maureen Larocque
281 Lincoln St |
$26.72 | 1,007 | 973 |
|
Edward M. Kennedy Community Health Center, Inc
605 Lincoln St |
$35.30 | 977 | 977 |
|
Valarie A Ricciardi
335 Park Ave |
$26.03 | 920 | 914 |
|
Dan Liu
591 Lincoln St |
$51.41 | 829 | 817 |
|
Peter T Zacharia
33 Lancaster St |
$37.27 | 828 | 776 |
|
Bradley Scott Daines
5 Neponset St |
$97.04 | 824 | 780 |
|
Mark Julian Forgues
152 Russell St |
$28.94 | 763 | 762 |
|
Tyla Louise Girouard
10 Lincoln Sq |
$38.69 | 632 | 632 |
|
Olga M Ceron
5 Neponset St |
$112.51 | 560 | 522 |
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.
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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