Average Medicaid Eye Exam Payments in Napa, CA: $13.64
Avg. Paid
$13.64
Range
$0.00 – $42.13
Total Claims
41,803
Providers
19
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 Napa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Sungmin Kim
895 Trancas St |
$32.85 | 11,264 | 10,313 |
|
Samuel Joseph Herbert
1104 Pear Tree Ln |
$0.88 | 10,854 | 10,090 |
|
Loukia Hadjiyianni
1104 Pear Tree Ln |
$0.00 | 4,805 | 4,612 |
|
Elizabeth Ngoc Ha Agbuya
2100 Napa Vallejo Hwy |
$5.28 | 4,757 | 4,757 |
|
Eye Care Center Of Napa Valley A Medical Corporation
895 Trancas St |
$17.57 | 2,167 | 2,093 |
|
Mohit Mehtani
800 Trancas St |
$16.31 | 1,644 | 1,584 |
|
Olivia Israel
1328 Pearl St |
$10.38 | 1,448 | 1,442 |
|
Cameron M Parrett
3280 Montclair Ave |
$21.08 | 1,089 | 1,088 |
|
Jared Hayashi
1675 Permanente Way |
$11.17 | 1,009 | 1,000 |
|
Gregory Scott Wingren
895 Trancas St |
$8.64 | 849 | 845 |
|
Allison M Hinko
800 Trancas St |
$17.62 | 621 | 604 |
|
Eye Specialists Medical Group Of Napa Valley Inc
800 Trancas St |
$33.39 | 397 | 387 |
|
Paul Kun Row
895 Trancas St |
$26.77 | 293 | 283 |
|
Michelle Fessler Kerr
895 Trancas St |
$13.52 | 235 | 232 |
|
David Gorchoff
1141 Pear Tree Ln Ste 100 |
$42.13 | 132 | 132 |
|
Gregg J Beach
1104 Pear Tree Ln |
$2.76 | 92 | 91 |
|
Yungtai Kung
800 Trancas St Ste A |
$11.95 | 69 | 68 |
|
Nancy Anne Jameson
800 Trancas St |
$20.23 | 50 | 48 |
|
Jennifer Ann Wilson
300 Hartle Ct |
$42.13 | 28 | 28 |
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 Napa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Napa, CA is $13.64 per claim, based on 41,803 claims from 19 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 Napa, CA?
There are 19 Medicaid providers offering Eye Exam related services in Napa, CA according to public payment data.
What is the price range for Eye Exam in Napa, CA?
Medicaid reimbursement for Eye Exam in Napa, CA ranges from $0.00 to $42.13 per claim, with an average of $13.64. 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
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Flushing, NY
Avg $55.73
752,320 claims · 93 providers
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Avg $27.44
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