Average Medicaid Eye Exam Payments in Pleasanton, CA: $15.26
Avg. Paid
$15.26
Range
$1.29 – $150.42
Total Claims
22,876
Providers
17
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 Pleasanton, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Scott Glantz
7601 Stoneridge Dr |
$150.42 | 12 | 12 |
|
Nilda Agnes Abella Abellera
5720 Stoneridge Mall Rd Ste 390 |
$2.99 | 43 | 43 |
|
Fiona Hoo Yeun Kim
7601 Stoneridge Dr |
$105.43 | 105 | 97 |
|
Bryan Michael Rogoff
6754 Bernal Ave Ste 740-204 |
$21.60 | 106 | 89 |
|
Leland Toy
7601 Stoneridge Dr |
$1.29 | 123 | 123 |
|
Steven H Hong
4501 Rosewood Dr |
$15.52 | 127 | 127 |
|
Charles Jerome Hom
5679 Gibraltar Dr |
$20.01 | 160 | 160 |
|
Connie Husserl
2709 Stoneridge Dr Ste 112 |
$24.08 | 234 | 234 |
|
Jennifer Zhao
5575 W Las Positas Blvd Ste 240 |
$3.06 | 338 | 338 |
|
Douglas F Lee
1104 Stoneridge Mall Rd |
$25.50 | 391 | 389 |
|
Debra Susn Atchinson
Kaiser Permanente 7601 Stoneridge Dr. |
$3.42 | 541 | 541 |
|
Gurkirat Kaur Atkar
5575 W Las Positas Blvd Ste 240 |
$19.39 | 1,126 | 1,081 |
|
Chi Kien Ngo
4501 Rosewood Dr |
$7.10 | 1,821 | 1,799 |
|
Steve Kenny Ng
7601 Stoneridge Dr |
$15.61 | 2,031 | 2,030 |
|
Wei Jiang
7601 Stoneridge Dr |
$25.32 | 2,977 | 2,899 |
|
Todd A Auker
2324 Santa Rita Rd |
$22.04 | 4,562 | 4,464 |
|
Lijing Yao
1104 Stoneridge Mall Rd |
$8.25 | 8,179 | 7,160 |
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 Pleasanton, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Pleasanton, CA is $15.26 per claim, based on 22,876 claims from 17 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 Pleasanton, CA?
There are 17 Medicaid providers offering Eye Exam related services in Pleasanton, CA according to public payment data.
What is the price range for Eye Exam in Pleasanton, CA?
Medicaid reimbursement for Eye Exam in Pleasanton, CA ranges from $1.29 to $150.42 per claim, with an average of $15.26. 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
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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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