Average Medicaid Eye Exam Payments in Mission Viejo, CA: $28.87
Avg. Paid
$28.87
Range
$0.00 – $40.78
Total Claims
68,595
Providers
24
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 Mission Viejo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Luis Alberto Chanes
27871 Medical Center Rd |
$40.78 | 24,469 | 23,457 |
|
David Ho
555 Shops At Mission Viejo |
$23.81 | 16,151 | 16,062 |
|
Luis A Chanes, Md Inc
27871 Medical Center Rd |
$30.74 | 7,714 | 7,451 |
|
Lila Chu
30 The Shops At Mission Viejo |
$25.46 | 4,389 | 4,377 |
|
Chinyere Juliet Udonsi
30 The Shops At Mission Viejo |
$6.57 | 3,051 | 3,044 |
|
James R Dugue
25982 Pala |
$15.40 | 2,246 | 2,243 |
|
Teri L. Alpert, O.D.
28601 Marguerite Pkwy |
$19.38 | 1,628 | 1,625 |
|
Linda Hsieh
27800 Medical Center Rd. |
$0.59 | 1,585 | 1,549 |
|
Teri Lynn Alpert
28601 Marguerite Pkwy |
$10.01 | 1,528 | 1,525 |
|
Megan Wright
30 The Shops At Mission Viejo |
$39.10 | 1,334 | 1,298 |
|
Samira Khan
27871 Medical Center Rd Ste 120 |
$15.27 | 851 | 830 |
|
Judy Yuk Kao
555 Shops At Mission Viejo |
$40.60 | 709 | 707 |
|
Amy Wingshan Lam
555 Shops At Mission Viejo |
$33.15 | 668 | 665 |
|
Hesper Pham
27871 Medical Center Rd Ste 120 |
$0.01 | 544 | 544 |
|
Mission Pediatric Medical Clinic, Inc.
27800 Medical Center Rd Ste 116 |
$33.02 | 326 | 323 |
|
Leila Ahmadi
26800 Crown Valley Parkway |
$0.00 | 311 | 311 |
|
Carolina Keyjung Lee
27785 Santa Margarita Pkwy Ste 200 |
$36.13 | 248 | 247 |
|
Amanda Jean Walsh
27724 Santa Margarita Pkwy |
$20.21 | 199 | 199 |
|
Advanced Eye Medical Group A Professional Corporation
26701 Crown Valley Parkway |
$4.08 | 195 | 186 |
|
Ling Tseng Yen
23781 Maquina |
$26.11 | 176 | 176 |
|
Kathryn A Fallon Mijailovic
555 Shops At Mission Viejo |
$2.60 | 151 | 151 |
|
Duke D Kim
26302 La Paz Rd |
$0.00 | 51 | 51 |
|
Deborah Ann Bittner
28601 Marguerite Parkway |
$2.70 | 40 | 40 |
|
Audrey Xi Tai
26800 Crown Valley Pkwy Ste 340 |
$30.14 | 31 | 31 |
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 Mission Viejo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Mission Viejo, CA is $28.87 per claim, based on 68,595 claims from 24 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 Mission Viejo, CA?
There are 24 Medicaid providers offering Eye Exam related services in Mission Viejo, CA according to public payment data.
What is the price range for Eye Exam in Mission Viejo, CA?
Medicaid reimbursement for Eye Exam in Mission Viejo, CA ranges from $0.00 to $40.78 per claim, with an average of $28.87. 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
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Brooklyn, NY
Avg $43.97
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Chicago, IL
Avg $26.50
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Los Angeles, CA
Avg $18.49
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Bronx, NY
Avg $51.98
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San Diego, CA
Avg $18.12
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Las Vegas, NV
Avg $34.73
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Flushing, NY
Avg $55.73
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Avg $48.74
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Avg $6.01
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Avg $7.43
112,984 claims
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