Average Medicaid Eye Exam Payments in Covina, CA: $18.76
Avg. Paid
$18.76
Range
$0.00 – $60.46
Total Claims
18,906
Providers
16
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 Covina, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shelly N Bagai Lapsi
554 E San Bernardino Rd |
$23.38 | 4,202 | 4,115 |
|
Samantha P Hua
420 W Rowland St |
$12.22 | 3,303 | 3,280 |
|
Clifford M Hitomi
525 N Azusa Ave |
$10.14 | 2,252 | 2,252 |
|
Nicolas Ismael Gonzalez
505 S Albertson Ave |
$60.46 | 2,230 | 2,193 |
|
Carmen Reza Gutierrez
364 E Rowland St |
$17.78 | 1,361 | 1,352 |
|
Steven Kenji Moriyasu
924 N Citrus Ave |
$6.85 | 1,287 | 1,287 |
|
Nuria F Pleitez
430 W Badillo St |
$0.32 | 1,285 | 1,285 |
|
Edwin Wu
911 N Grand Ave |
$12.50 | 1,136 | 1,136 |
|
Raymond Hsiung Hsiang Wu
911 N Grand Ave |
$2.93 | 617 | 617 |
|
Stephen Kang
1275 N Azusa Ave |
$15.02 | 317 | 317 |
|
Dinna Lea
1275 N Azusa Ave |
$3.68 | 316 | 316 |
|
Emanate Health Medical Group
210 W San Bernardino Rd |
$0.00 | 225 | 224 |
|
Hoa Tran
554 E San Bernardino Rd Ste 102 |
$7.06 | 159 | 159 |
|
Chenh Man Vong
141 N. Citrus Ave. |
$5.25 | 155 | 155 |
|
Paul Hill
2043 E Brookport St |
$21.64 | 49 | 49 |
|
Van Viet Phan
1275 N Azusa Ave |
$0.00 | 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 Covina, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Covina, CA is $18.76 per claim, based on 18,906 claims from 16 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 Covina, CA?
There are 16 Medicaid providers offering Eye Exam related services in Covina, CA according to public payment data.
What is the price range for Eye Exam in Covina, CA?
Medicaid reimbursement for Eye Exam in Covina, CA ranges from $0.00 to $60.46 per claim, with an average of $18.76. 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 Covina, CA
Behavioral & Mental Health Therapy
Avg $147.56
1,170,874 claims
Blood Work & Lab Tests
Avg $2.85
428,318 claims
Office Visit
Avg $41.94
324,704 claims
Case Management Services
Avg $206.19
203,895 claims
Speech Therapy
Avg $43.82
177,723 claims
Emergency Room Visit
Avg $58.12
122,922 claims
Urinalysis & Urine Tests
Avg $1.53
98,576 claims
Dental Cleaning & Exam
Avg $57.24
95,827 claims