Average Medicaid Eye Exam Payments in La Jolla, CA: $32.97
Avg. Paid
$32.97
Range
$0.16 – $68.44
Total Claims
46,152
Providers
29
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 La Jolla, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sujata Prabhu
Shiley Eye Ctr |
$28.27 | 10,784 | 10,506 |
|
Brittney Ann Dautremont
7334 Girard Ave Ste 202 |
$68.44 | 9,814 | 9,470 |
|
Shagun Kumari Bhatia
9415 Campus Point Dr |
$17.80 | 8,663 | 8,458 |
|
Shervin Alborzian
9834 Genesee Ave Ste 209 |
$28.03 | 3,054 | 2,972 |
|
Damian M Ploof
4130 La Jolla Village Dr Ste 102 |
$20.09 | 2,757 | 2,743 |
|
Tina Khieu
9850 Genesee Ave Ste 310 |
$16.77 | 2,480 | 2,480 |
|
Jeffrey Ewing Lee
9415 Campus Point Drive, #257 |
$33.70 | 1,479 | 1,422 |
|
Mehri Moshtaghi
9850 Genesee Ave Ste 310 |
$9.71 | 920 | 892 |
|
Garrett Pennell
4130 La Jolla Village Dr Ste 300 |
$47.82 | 822 | 820 |
|
Usha Rajapuram Kumar
9415 Campus Point Dr # 257 |
$27.71 | 661 | 626 |
|
Pamela A Hoo
9415 Campus Point Dr |
$6.80 | 643 | 636 |
|
Stephanie Midtling
9850 Genesee Ave Ste 310 |
$32.54 | 532 | 528 |
|
Mathieu Fahim Bakhoum
9415 Campus Point Dr |
$28.46 | 511 | 483 |
|
Doran Bott Spencer
10710 N Torrey Pines Rd |
$26.61 | 492 | 474 |
|
Rami Michael
9850 Genesee Ave Ste 900 |
$0.16 | 401 | 350 |
|
Sasan Moghimi Araghi
Shiley Eye Institute Room 251 9415 Campus Point Drive |
$20.24 | 294 | 289 |
|
Weldon Haw
9415 Campus Point Drive |
$19.00 | 281 | 279 |
|
Anne Marie Hanneken
9850 Genesee Ave Ste 700 |
$16.01 | 278 | 251 |
|
Natalie A Afshari
9415 Campus Point Dr |
$30.05 | 257 | 228 |
|
Gregory Allen Stainer
1212 Skylark Dr |
$18.71 | 222 | 197 |
|
Daniel Lee Chao
9415 Campus Point Dr |
$23.35 | 200 | 191 |
|
Jiun Lap Do
9415 Campus Point Dr |
$21.77 | 170 | 169 |
|
Lara Dawn Hustana
9415 Campus Point Dr |
$5.30 | 148 | 147 |
|
Don O. Kikkawa
9415 Campus Point Drive |
$31.74 | 143 | 142 |
|
Carol Yu
9415 Campus Point Dr |
$4.97 | 68 | 67 |
|
Steven G Pratt
9850 Genesee Ave |
$16.07 | 38 | 38 |
|
Jonathan Tung
Ucsd Shiley Eye Center 9415 Campus Point Dr # 257 |
$10.20 | 15 | 15 |
|
Karin Elizabeth Thomas
9415 Campus Point Dr |
$17.56 | 13 | 12 |
|
Arthur C Perry
9850 Genesee Ave |
$7.28 | 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 La Jolla, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in La Jolla, CA is $32.97 per claim, based on 46,152 claims from 29 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 La Jolla, CA?
There are 29 Medicaid providers offering Eye Exam related services in La Jolla, CA according to public payment data.
What is the price range for Eye Exam in La Jolla, CA?
Medicaid reimbursement for Eye Exam in La Jolla, CA ranges from $0.16 to $68.44 per claim, with an average of $32.97. 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 La Jolla, CA
Office Visit
Avg $47.42
400,355 claims
X-Ray
Avg $9.48
195,991 claims
Emergency Room Visit
Avg $75.86
141,788 claims
Blood Work & Lab Tests
Avg $7.53
117,443 claims
EKG / ECG (Electrocardiogram)
Avg $12.31
77,431 claims
CT Scan (Computed Tomography)
Avg $57.83
61,848 claims
Psychiatric Evaluation
Avg $36.00
50,998 claims
Urinalysis & Urine Tests
Avg $2.93
49,341 claims