Average Medicaid Eye Exam Payments in Sacramento, CA: $16.60
Avg. Paid
$16.60
Range
$0.00 – $95.08
Total Claims
474,915
Providers
181
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 Sacramento, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Larisa Marie Johnson-Tong
4860 Y St |
$6.61 | 12 | 12 |
|
Evelyn Amber Kaovorakarn
1495 River Park Dr Ste 200 |
$0.00 | 12 | 12 |
|
Vitreo-Retinal Medical Group, Inc.
5775 Greenback Ln |
$0.00 | 12 | 12 |
|
James A. Kagan
2025 Morse Ave |
$0.00 | 13 | 13 |
|
Tessnim R. Ahmad
4860 Y St |
$29.29 | 13 | 13 |
|
Evan Christopher Chang
4860 Y St Ste 2400 |
$29.16 | 14 | 14 |
|
Scott T. Mcfarland
7501 Hospital Dr Ste 105 |
$0.00 | 15 | 13 |
|
Philip Desouza
3 Scripps Drive |
$63.47 | 15 | 14 |
|
Suzarie Van Spence
6339 Mack Rd |
$0.00 | 16 | 16 |
|
Alexander Grand
1700 Alhambra Blvd |
$4.12 | 18 | 18 |
|
Maybelle Leigh Ornopia Ursales
4400 Duckhorn Dr Ste 100 |
$21.07 | 22 | 12 |
|
Richard D Grutzmacher
1515 River Park Dr |
$7.23 | 23 | 16 |
|
Esther S. Kim
4860 Y St |
$0.00 | 24 | 24 |
|
Lawrence Chih-Hong Hou
1700 Alhambra Blvd |
$58.32 | 25 | 25 |
|
Mark Mcallister
3 Park Center Dr Ste 100 |
$16.87 | 31 | 29 |
|
Sina Vahedi
4860 Y St |
$19.51 | 32 | 26 |
|
Mark William Waldmire
4633 Whitney Ave |
$6.46 | 43 | 39 |
|
Lawrence S. Morse
4860 Y St |
$7.02 | 45 | 43 |
|
Peter R Andrews
1220 25Th St |
$50.18 | 51 | 43 |
|
Nichole Kumiko Nakata
15 Rose River Ct |
$2.52 | 52 | 51 |
|
Brooke Chang
4860 U St Ste 2400 |
$6.10 | 52 | 46 |
|
Heidi Miller
4860 Y St |
$5.98 | 53 | 43 |
|
Mikhail Palatnik
5255 Elkhorn Blvd |
$2.89 | 53 | 53 |
|
H Douglas Cooper
1220 25Th St |
$4.72 | 53 | 49 |
|
Steven Gregory Stockslager
7300 Wyndham Dr |
$25.38 | 54 | 52 |
|
Eye Site Sacramento Medical Group, Inc.
4925 J St |
$25.92 | 54 | 54 |
|
Robert Ross Peabody
1700 Alhambra Blvd |
$13.61 | 63 | 63 |
|
Parham V Morgan
1650 Response Rd |
$95.08 | 68 | 67 |
|
Monica C Robinson
1515 River Park Dr |
$14.95 | 70 | 69 |
|
Marcelina Gutierrez Ibanez
8100 Timberlake Way |
$0.00 | 88 | 24 |
|
Saumya Copparam
Kaiser Permanente Point West Medical Offices |
$44.14 | 92 | 92 |
|
Regents Of The Univ Of Ca
4860 Y St |
$16.72 | 97 | 92 |
|
Michael Leroy Minnig
1650 Response Rd |
$0.00 | 102 | 101 |
|
Mimi Ogawa
7601 Hospital Dr |
$4.00 | 115 | 114 |
|
Patricia Beatriz Sierra
1515 Response Rd |
$27.97 | 120 | 120 |
|
Nichole R. Moos
1009 12Th St |
$16.28 | 124 | 124 |
|
Natalie Lau
1601 Arden Way |
$0.00 | 143 | 143 |
|
Alex Takeda
915 21St St |
$17.18 | 146 | 146 |
|
Olivia Valentina Garcia-Dersch
2000 O St Ste 210B |
$0.00 | 149 | 149 |
|
Jocelyn Kim-Dunlavey
651 Fulton Ave |
$12.36 | 151 | 151 |
|
Clarissa S. Tendero
6600 Bruceville Rd |
$0.33 | 154 | 149 |
|
Peach Tree Healthcare
3810 Rosin Ct |
$0.33 | 158 | 147 |
|
Elaine Brogle
7300 Wyndham Dr |
$30.16 | 161 | 159 |
|
Jennifer Chang
8120 Timberlake Way |
$0.09 | 162 | 161 |
|
Lingling Huang
1650 Response Rd |
$16.01 | 176 | 170 |
|
Gregory J. Rabin
6600 Bruceville Rd |
$29.97 | 199 | 192 |
|
Cares Community Health
1500 21St St |
$23.68 | 203 | 203 |
|
Richard Arnold Jones
4925 J Street |
$11.01 | 203 | 195 |
|
Davida J Dong-Leong
2550 W El Camino Ave |
$0.00 | 208 | 204 |
|
Angelo Joco Nazareno
8118 Timberlake Way |
$0.00 | 210 | 210 |
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 Sacramento, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Sacramento, CA is $16.60 per claim, based on 474,915 claims from 181 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 Sacramento, CA?
There are 181 Medicaid providers offering Eye Exam related services in Sacramento, CA according to public payment data.
What is the price range for Eye Exam in Sacramento, CA?
Medicaid reimbursement for Eye Exam in Sacramento, CA ranges from $0.00 to $95.08 per claim, with an average of $16.60. 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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Avg $3.77
18,102,975 claims
Office Visit
Avg $22.28
5,640,528 claims
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Avg $25.46
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Urinalysis & Urine Tests
Avg $1.87
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Avg $32.44
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Emergency Room Visit
Avg $137.25
1,743,927 claims
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Avg $22.15
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Avg $1.91
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