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Based on public Medicaid payment data.

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.

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