Average Medicaid Eye Exam Payments in Kailua Kona, HI: $23.10
Avg. Paid
$23.10
Range
$0.40 – $37.81
Total Claims
16,820
Providers
10
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 Kailua Kona, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Inna Litvin
75-1015 Henry St Ste 700 |
$26.99 | 5,496 | 5,126 |
|
Jay K Honda
75-166 Kalani St |
$26.30 | 2,561 | 2,403 |
|
Kellie R M Abe
75-166 Kalani St Ste 102 |
$22.80 | 2,427 | 2,276 |
|
Valerie Sachiko Kitamori
73-5600 Maiau St |
$16.47 | 1,601 | 1,218 |
|
Rajwinder Gill
75-5722 Kuakini Hwy |
$5.14 | 1,524 | 1,517 |
|
Susan Heidi Senft
75-1028 Henry St |
$37.81 | 1,406 | 1,186 |
|
Wallace M Kojima
73-5600 Maiau St |
$21.30 | 766 | 692 |
|
Lauren A. Choy
74-517 Honokohau St |
$16.30 | 526 | 526 |
|
Van Wu
75-5719 Alii Dr Ste 119 |
$14.21 | 366 | 366 |
|
Ken R Clayton
78-6831 Alii Dr Ste 411 |
$0.40 | 147 | 147 |
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 Kailua Kona, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Kailua Kona, HI is $23.10 per claim, based on 16,820 claims from 10 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 Kailua Kona, HI?
There are 10 Medicaid providers offering Eye Exam related services in Kailua Kona, HI according to public payment data.
What is the price range for Eye Exam in Kailua Kona, HI?
Medicaid reimbursement for Eye Exam in Kailua Kona, HI ranges from $0.40 to $37.81 per claim, with an average of $23.10. 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 Kailua Kona, HI
Office Visit
Avg $107.14
119,695 claims
Blood Work & Lab Tests
Avg $33.65
118,619 claims
Psychiatric Evaluation
Avg $87.08
62,221 claims
Physical Therapy
Avg $29.06
47,343 claims
Dental Cleaning & Exam
Avg $17.47
34,219 claims
Urinalysis & Urine Tests
Avg $0.79
26,345 claims
Substance Abuse Treatment
Avg $51.00
26,097 claims
Vaccines & Immunizations
Avg $4.15
19,547 claims