Average Medicaid Eye Exam Payments in Milpitas, CA: $7.95
Avg. Paid
$7.95
Range
$0.00 – $42.42
Total Claims
38,871
Providers
23
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 Milpitas, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
George Peter Contos
462 E Calaveras Blvd |
$2.40 | 12 | 12 |
|
Tina K Ku
611 S Milpitas Blvd |
$4.15 | 57 | 51 |
|
Hang T. Ly
770 E Calaveras Blvd |
$39.99 | 58 | 58 |
|
Khanh-Linh Vo Dang
310 Barber Ct |
$7.66 | 79 | 79 |
|
Donna Nguyen
61 Serra Way Ste 128 |
$3.21 | 122 | 122 |
|
Emil S Louie
770 E Calaveras Blvd |
$0.00 | 132 | 132 |
|
Lauren Pham
61 Serra Way Ste 128 |
$3.04 | 204 | 202 |
|
Thanh-Huong Doan Nguyen
770 E Calaveras Blvd |
$3.23 | 487 | 484 |
|
Xuan Huong Thi Pham
1535 Landess Ave # 117 |
$3.91 | 1,006 | 1,005 |
|
Thao Buu
61 Serra Way Ste 128 |
$3.31 | 1,099 | 1,090 |
|
Diana Huang
138 N Milpitas Blvd |
$6.32 | 1,176 | 1,161 |
|
Quoc A. Ngo
1759 Landess Ave |
$2.41 | 1,189 | 1,186 |
|
Jane M Chi
611 S Milpitas Blvd |
$12.39 | 1,438 | 1,416 |
|
Lily Yee
310 Barber Ct |
$26.51 | 1,452 | 1,395 |
|
Yaushi B Chen
61 Serra Way |
$3.68 | 1,686 | 1,669 |
|
Nhusuong Phamle
208 Great Mall Dr |
$1.58 | 1,695 | 1,687 |
|
Sophie K Dao
991 Montague Expy Ste 111 |
$3.93 | 1,943 | 1,801 |
|
Lin Guo
532 Barber Ln |
$7.73 | 2,136 | 2,133 |
|
Sanket U Shah
1109 S Park Victoria Dr |
$42.42 | 2,276 | 2,195 |
|
Sandra Wei-Jen Chen
532 Barber Ln |
$9.40 | 2,514 | 2,501 |
|
Ha Thao Lai
367 Jacklin Rd |
$3.95 | 3,969 | 3,937 |
|
Alice T. Vu
1553 Landess Ave |
$3.40 | 4,665 | 4,640 |
|
David Schymeinsky
462 E Calaveras Blvd |
$4.67 | 9,476 | 9,441 |
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 Milpitas, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Milpitas, CA is $7.95 per claim, based on 38,871 claims from 23 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 Milpitas, CA?
There are 23 Medicaid providers offering Eye Exam related services in Milpitas, CA according to public payment data.
What is the price range for Eye Exam in Milpitas, CA?
Medicaid reimbursement for Eye Exam in Milpitas, CA ranges from $0.00 to $42.42 per claim, with an average of $7.95. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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Avg $50.07
3,393,865 claims · 654 providers
Brooklyn, NY
Avg $43.97
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Chicago, IL
Avg $26.50
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Avg $18.49
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Avg $51.98
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San Diego, CA
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Las Vegas, NV
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