Average Medicaid Eye Exam Payments in Wyomissing, PA: $28.89
Avg. Paid
$28.89
Range
$5.76 – $45.51
Total Claims
34,338
Providers
27
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 Wyomissing, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Darryl Marsden Greenwood
1901 Ridgewood Ave |
$38.28 | 5,858 | 5,790 |
|
Clark Mitchell Ocker
1665 State Hill Rd |
$33.73 | 4,525 | 4,479 |
|
David Sherman Goldberg
1 Granite Point Dr Ste 100 |
$17.35 | 3,556 | 3,507 |
|
Angela Au Barbera
1 Granite Point Dr Ste 100 |
$23.19 | 2,874 | 2,684 |
|
Anastasia Traband
1 Granite Point Dr Ste 100 |
$21.94 | 2,738 | 2,584 |
|
Kathryn Ann Hopper
714 Woodland Rd |
$30.48 | 2,377 | 2,217 |
|
Barry C Malloy
1 Granite Point Dr Ste 100 |
$22.69 | 2,016 | 1,946 |
|
Tapan Patel
1 Granite Point Dr Ste 100 |
$27.48 | 1,777 | 1,702 |
|
Travis James Gabriel
1802 Papermill Rd |
$39.59 | 1,465 | 1,412 |
|
Mark A Dipillo
2630 Westview Dr |
$32.27 | 1,422 | 1,404 |
|
Yun Katherine Hu
1 Granite Point Dr Ste 100 |
$24.78 | 1,370 | 1,303 |
|
Abhishek Kumar Nemani
1 Granite Point Dr Ste 100 |
$27.06 | 945 | 904 |
|
Moiz M. Carim
2630 Westview Dr |
$17.66 | 683 | 628 |
|
Kasey Lee Pierson
1802 Papermill Rd |
$26.07 | 557 | 520 |
|
Michael P Smith
1 Granite Point Dr Ste 100 |
$28.83 | 345 | 330 |
|
Michael D Burkhart
714 Woodland Rd |
$16.12 | 289 | 288 |
|
Peggy Dixon
1300 Broadcasting Rd |
$40.00 | 278 | 277 |
|
Visionworks, Inc.
2733 Papermill Rd |
$41.70 | 277 | 229 |
|
Mehul Harish Nagarsheth
1 Granite Point Dr Ste 100 |
$18.60 | 210 | 204 |
|
Solomon C. Luo, Md, Pc
1300 Broadcasting Rd |
$40.00 | 200 | 200 |
|
Alpha Eye Wyomissing, Llc
714 Woodland Rd |
$45.51 | 174 | 170 |
|
Wal-Mart Stores East, Lp
1135 Berkshire Blvd |
$40.00 | 116 | 78 |
|
Christina Marie Lippe
1 Granite Point Dr Ste 100 |
$26.43 | 97 | 90 |
|
Kevin J Shah
1 Granite Point Dr Ste 100 |
$30.42 | 81 | 75 |
|
Francisco L Tellez
1802 Papermill Rd |
$27.99 | 78 | 76 |
|
National Vision, Inc.
1153 Berkshire Blvd |
$40.00 | 18 | 18 |
|
Heidi Lynn Sensenig
50 Berkshire Ct |
$5.76 | 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 Wyomissing, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Wyomissing, PA is $28.89 per claim, based on 34,338 claims from 27 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 Wyomissing, PA?
There are 27 Medicaid providers offering Eye Exam related services in Wyomissing, PA according to public payment data.
What is the price range for Eye Exam in Wyomissing, PA?
Medicaid reimbursement for Eye Exam in Wyomissing, PA ranges from $5.76 to $45.51 per claim, with an average of $28.89. 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
Other Procedures in Wyomissing, PA
Office Visit
Avg $53.27
136,210 claims
EKG / ECG (Electrocardiogram)
Avg $6.82
25,354 claims
Dialysis
Avg $31.23
23,149 claims
Blood Work & Lab Tests
Avg $6.53
21,277 claims
Dental Cleaning & Exam
Avg $30.08
19,194 claims
Physical Therapy
Avg $98.41
13,622 claims
Urinalysis & Urine Tests
Avg $3.75
12,087 claims
Hearing Test (Audiometry)
Avg $15.18
10,492 claims