Average Medicaid Eye Exam Payments in Aliso Viejo, CA: $19.24
Avg. Paid
$19.24
Range
$7.54 – $34.56
Total Claims
15,471
Providers
5
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 Aliso Viejo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tanya Optometry Corporation
27001 Moulton Pkwy Ste A100 |
$18.43 | 924 | 922 |
|
Parastou Abedi
15 Mareblu |
$7.54 | 1,267 | 1,257 |
|
Aliso Optometry, Inc.
2 Journey |
$15.80 | 2,736 | 2,734 |
|
Shahla Abedi
15 Mareblu |
$34.56 | 4,379 | 4,038 |
|
Shahla Abedi M D A Professional Corporation
15 Mareblu |
$12.41 | 6,165 | 5,901 |
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 Aliso Viejo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Aliso Viejo, CA is $19.24 per claim, based on 15,471 claims from 5 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 Aliso Viejo, CA?
There are 5 Medicaid providers offering Eye Exam related services in Aliso Viejo, CA according to public payment data.
What is the price range for Eye Exam in Aliso Viejo, CA?
Medicaid reimbursement for Eye Exam in Aliso Viejo, CA ranges from $7.54 to $34.56 per claim, with an average of $19.24. 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 Aliso Viejo, CA
Pathology & Lab Services
Avg $64.40
232,199 claims
Non-Emergency Medical Transportation
Avg $36.75
91,156 claims
Molecular & Genetic Testing
Avg $392.15
62,183 claims
Office Visit
Avg $69.40
46,151 claims
Ambulance Transport
Avg $9.76
43,184 claims
Dental Cleaning & Exam
Avg $52.14
39,405 claims
X-Ray
Avg $5.47
26,764 claims
Emergency Room Visit
Avg $115.44
13,031 claims