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Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Palo Alto, CA: $24.78

Avg. Paid

$24.78

Range

$0.00 – $81.03

Total Claims

36,174

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 Palo Alto, CA

Provider Avg. Paid Claims Patients
Debbie Kuo

795 El Camino Real

$16.60 12 12
Elise May Chu

3801 Miranda Ave

$9.00 12 12
Marc A Swanson

795 El Camino Real

$12.48 13 13
Allison Stiller

195 Page Mill Rd Ste 103

$0.00 18 18
Sutter Bay Medical Foundation

795 El Camino Real

$30.43 25 25
Sachin Hitesh Patel

300 Pasteur Dr

$81.03 30 30
Anne Elizabeth Stuart

725 Welch Rd

$4.60 30 16
Susan Connolly

795 El Camino Real

$39.44 39 38
Tracy Wang

3801 Miranda Ave

$1.02 98 98
Ashish Loomba

725 Welch Rd

$43.89 110 105
Shannon Jeanine Beres

725 Welch Rd

$30.24 112 109
Kathleen Sarah O'Hearn

725 Welch Rd

$4.43 131 128
Janelle Yanogacio Santa Maria

3801 Miranda Ave

$6.84 173 173
Zibya Karolia

3801 Miranda Ave

$6.08 190 188
Desiree Sherri Kehaulani Cadiz

3801 Miranda Ave

$11.15 425 425
Vasudha Rao

3801 Miranda Ave

$45.28 437 437
Steven Binder

900 Blake Wilbur Dr

$9.00 463 462
Connie Minah Woo

3801 Miranda Ave

$25.80 506 505
Scott Reed Lambert

725 Welch Rd

$32.48 517 509
Tawna Leeanne Roberts

725 Welch Rd

$9.28 524 523
Gayathri Srinivasan

725 Welch Rd

$27.85 709 709
Emily Sarah Charlson

2452 Watson Ct

$10.57 762 713
Kim Thi Can Ho

3801 Miranda Ave

$7.14 855 853
Laura C. Huang

2452 Watson Ct

$11.05 879 868
Dorothy Karen Ma

3801 Miranda Ave

$0.66 1,025 683
Gurunadh Atmaram Vemulakonda

795 El Camino Real

$16.27 1,070 1,043
Christopher Daniel Yee

3801 Miranda Ave

$34.32 1,203 1,202
Anurag Shrivastava

3801 Miranda Ave

$68.13 1,273 1,261
Annie Chan

795 El Camino Real

$31.66 1,286 1,262
Lakshmi Leishangthem

795 El Camino Real

$28.44 2,663 2,441
Cheryl Ann Conovaloff

3801 Miranda Ave

$36.61 2,669 2,668
Kimberly Pham

3801 Miranda Ave

$67.09 3,156 3,140
May Sanguanlosit

3801 Miranda Ave

$20.50 3,537 3,531
Darius Mohammad Moshfeghi

2452 Watson Ct

$21.85 3,768 2,975
Kirandeep Kaur

2452 Watson Ct

$6.15 7,454 7,345

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 Palo Alto, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Palo Alto, CA is $24.78 per claim, based on 36,174 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 Palo Alto, CA?

There are 35 Medicaid providers offering Eye Exam related services in Palo Alto, CA according to public payment data.

What is the price range for Eye Exam in Palo Alto, CA?

Medicaid reimbursement for Eye Exam in Palo Alto, CA ranges from $0.00 to $81.03 per claim, with an average of $24.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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