Average Medicaid Eye Exam Payments in National City, CA: $13.27
Avg. Paid
$13.27
Range
$0.00 – $24.65
Total Claims
86,994
Providers
18
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 National City, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ankur Kalra
1481 E Plaza Blvd |
$14.14 | 42,189 | 42,029 |
|
Raymundo G Mendoza
2411 E Plaza Blvd |
$15.99 | 13,721 | 13,682 |
|
John Bao Vinh
655 Euclid Ave Ste 302 |
$13.78 | 11,480 | 11,430 |
|
Austin Lee
1033 Highland Ave |
$14.94 | 4,928 | 4,916 |
|
Roonggan Klaisri Felce
1481 E Plaza Blvd |
$3.63 | 3,594 | 3,568 |
|
Teresita Trimor Barbadillo
655 Euclid Ave |
$0.59 | 2,478 | 2,458 |
|
Jung H. Lee
3030 Plaza Bonita Rd |
$24.65 | 1,849 | 1,828 |
|
Guillermo Allan Cantu-Reyna
217 Highland Ave |
$10.52 | 1,816 | 1,391 |
|
Greg Lief Marlay
1132 E Plaza Blvd |
$9.92 | 1,534 | 1,534 |
|
La Maestra Family Clinic, Inc.
217 Highland Avenue |
$2.24 | 1,505 | 1,498 |
|
Anita Koo
1520 E Plaza Blvd |
$8.58 | 520 | 520 |
|
Stephen W Lum
1200 Highland Ave |
$1.89 | 503 | 503 |
|
Rachel Stones
217 Highland Ave |
$4.34 | 438 | 318 |
|
Zulma Curet
217 Highland Ave |
$6.24 | 179 | 179 |
|
Greg L Marlay
1132 E Plaza Blvd |
$0.00 | 117 | 117 |
|
Maria Teresa Carriedo-Ceniceros
1136 D Avenue |
$0.71 | 88 | 88 |
|
Eva Yuting Wu
1033 Highland Ave |
$6.70 | 38 | 38 |
|
Keddington & Kalra Optometrists Apc
1481 E Plaza Blvd |
$6.79 | 17 | 17 |
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 National City, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in National City, CA is $13.27 per claim, based on 86,994 claims from 18 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 National City, CA?
There are 18 Medicaid providers offering Eye Exam related services in National City, CA according to public payment data.
What is the price range for Eye Exam in National City, CA?
Medicaid reimbursement for Eye Exam in National City, CA ranges from $0.00 to $24.65 per claim, with an average of $13.27. 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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Avg $18.49
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San Diego, CA
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Las Vegas, NV
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Avg $55.73
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