Average Medicaid Eye Exam Payments in Modesto, CA: $6.91
Avg. Paid
$6.91
Range
$0.49 – $46.34
Total Claims
81,774
Providers
35
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 Modesto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard Alan Portillo
1624 I St |
$5.61 | 14,769 | 14,762 |
|
G. Barnard Wilson
1317 Oakdale Rd |
$3.35 | 12,292 | 12,280 |
|
Brandie Jean Medina
1011 Sylvan Ave Ste C |
$10.81 | 9,324 | 9,318 |
|
Lina Lee
3200 Sisk Rd |
$5.91 | 8,589 | 8,390 |
|
Mark Henry Harder
501 E Orangeburg Ave Ste B |
$5.32 | 7,858 | 7,386 |
|
Ronald F Janda
1011 Sylvan Ave |
$6.28 | 6,072 | 5,913 |
|
Stanley Michael Martin
1011 Sylvan Ave |
$6.15 | 4,036 | 3,916 |
|
Kathryn L Larsson
1150 W Orangeburg Ave |
$1.11 | 3,301 | 3,275 |
|
Preeti Bhukhan
2911 E Hatch Rd |
$10.14 | 2,015 | 1,985 |
|
Rangram Chandran
304 Banner Ct |
$6.47 | 1,668 | 1,648 |
|
Amin Ashrafzadeh
1741 Coffee Rd |
$15.96 | 1,583 | 1,574 |
|
Brendan Richard James
1019 16Th St |
$16.92 | 1,315 | 1,302 |
|
Valley Children'S Medical Group
1524 Mchenry Ave |
$8.30 | 1,197 | 1,144 |
|
Angela M Abe
4601 Dale Rd |
$9.37 | 1,053 | 1,040 |
|
Eric L. Kramer
1208 Floyd Ave |
$7.78 | 981 | 956 |
|
Marissa Brooke Wall
1011 Sylvan Ave |
$0.49 | 778 | 771 |
|
Daljit Kaur Srai
4601 Dale Rd |
$14.28 | 708 | 702 |
|
Keith Yun Kong Wong
3401 Dale Rd |
$11.11 | 628 | 626 |
|
Danielle Myers
1121 Hammond St |
$7.23 | 619 | 617 |
|
Sylvester Nguyen
3200 Sisk Rd |
$6.48 | 589 | 587 |
|
Vitreo-Retinal Medical Group, Inc.
4712 Stoddard Rd |
$30.06 | 512 | 492 |
|
Kerry Alan Horner
1011 Sylvan Ave |
$9.57 | 411 | 403 |
|
Delma Faria Zardo
810 Standiford Ave Ste 4 |
$1.14 | 307 | 307 |
|
Mitchell Mark Nass
1524 Mchenry Ave |
$8.66 | 206 | 205 |
|
Golden Valley Health Center
1524 Mchenry Ave Ste 535 |
$34.88 | 202 | 202 |
|
Ross B Redding
1011 Sylvan Ave |
$26.55 | 188 | 188 |
|
Andrea Marie Swan
4601 Dale Rd |
$37.92 | 142 | 142 |
|
Chea-Yo Chang
4601 Dale Rd |
$12.56 | 86 | 86 |
|
Brian S Fechter
1011 Sylvan Ave |
$33.88 | 73 | 73 |
|
James Allen Gammon
500 Coffee Road |
$13.97 | 69 | 69 |
|
Spencer H Whatcott
1700 Mchenry Avenue |
$19.84 | 63 | 63 |
|
Brian Alexander Lenser
3109 Coffee Rd |
$14.91 | 49 | 48 |
|
Sunita Verma
600 Coffee Rd |
$46.32 | 41 | 41 |
|
Gopika Gangupantula
1213 Coffee Rd Ste D |
$46.34 | 38 | 38 |
|
John A Latham
1011 Sylvan Ave |
$24.75 | 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 Modesto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Modesto, CA is $6.91 per claim, based on 81,774 claims from 35 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 Modesto, CA?
There are 35 Medicaid providers offering Eye Exam related services in Modesto, CA according to public payment data.
What is the price range for Eye Exam in Modesto, CA?
Medicaid reimbursement for Eye Exam in Modesto, CA ranges from $0.49 to $46.34 per claim, with an average of $6.91. 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
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