Average Medicaid Eye Exam Payments in San Francisco, CA: $15.17
Avg. Paid
$15.17
Range
$0.00 – $147.86
Total Claims
396,535
Providers
200
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 San Francisco, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anna W.Y. Szeto
2574 San Bruno Ave |
$3.25 | 23,950 | 23,738 |
|
Kelvin Kwok Mak
1520 Stockton St |
$2.14 | 23,653 | 23,149 |
|
Francisco A Garcia
2480 Mission St |
$3.92 | 21,522 | 21,380 |
|
Randall Go
2458 Mission St |
$3.48 | 15,797 | 15,796 |
|
City & County Of San Francisco
1001 Potrero Ave |
$7.13 | 14,410 | 14,050 |
|
Simon Lai
781 Vallejo St |
$2.43 | 14,344 | 14,169 |
|
Ali Akbar Zaidi
2100 Webster St |
$9.92 | 14,183 | 12,932 |
|
Scott C So
2100 Webster St Ste 302 |
$10.93 | 13,650 | 13,462 |
|
Jon Luen Yang
929 Clay St |
$42.19 | 12,184 | 11,807 |
|
Lisa Choon Hong Tsang
2574 San Bruno Ave |
$11.59 | 10,987 | 10,389 |
|
Kalina Ponsavanh Grimm
4150 Clement St |
$35.43 | 10,841 | 10,656 |
|
Marta Andrea Banh
4150 Clement St |
$24.22 | 10,199 | 9,640 |
|
Theresa Tai Ngor Chew
781 Vallejo St |
$2.43 | 6,886 | 6,884 |
|
Julia Shao
2574 San Bruno Ave |
$1.66 | 5,968 | 5,737 |
|
Aristides Carcamo
1000 Valencia St |
$22.13 | 5,957 | 5,889 |
|
Douglas Go
2458 Mission St |
$2.93 | 5,616 | 5,616 |
|
J Michael Jumper
1445 Bush St |
$25.71 | 5,507 | 5,341 |
|
Jane Pouvaranukoah
4150 Clement St |
$20.66 | 5,378 | 5,325 |
|
Jennifer Sung
2100 Webster St |
$14.58 | 5,193 | 4,937 |
|
Robert B. Bhisitkul
400 Parnassus Ave |
$31.11 | 5,005 | 4,914 |
|
Martha Tanya Klufas
1000 Valencia St |
$13.40 | 4,751 | 4,740 |
|
Rachelle Arjona Rebong
2351 Clay St Ste 380 |
$33.39 | 4,744 | 4,683 |
|
University Of California, San Francisco
505 Parnassus Ave |
$95.95 | 4,630 | 4,483 |
|
Danny Y Lin
2100 Webster St |
$4.02 | 4,569 | 3,779 |
|
Isabel Kazemi
5515 Geary Blvd |
$0.06 | 4,230 | 4,150 |
|
Angie Kei Pang Lau
2540 Mission St |
$25.63 | 4,183 | 3,733 |
|
Jay Chong Wang
1001 Potrero Avenue |
$13.69 | 3,783 | 3,487 |
|
Judy Ju-Yi Chen
1445 Bush St |
$32.84 | 3,522 | 3,275 |
|
Peggy Zeng
360 Post St Ste 1005 |
$20.56 | 3,397 | 3,396 |
|
Hannah Walsh
711 Van Ness Ave Ste 320 |
$11.53 | 3,303 | 3,277 |
|
Jonathan Nguyen-Khoi Pham
4150 Clement Street |
$4.08 | 3,241 | 2,414 |
|
Jay M. Stewart
400 Parnassus Ave |
$23.97 | 3,166 | 3,027 |
|
Christopher Tong
899 Washington St Ste 6 |
$1.02 | 3,161 | 3,161 |
|
Winnie F Yee
940 Geneva Ave |
$26.72 | 3,094 | 2,968 |
|
Dong Lin
950 Stockton Street |
$43.37 | 3,078 | 3,077 |
|
Ruby Sanchez
2490 Mission Street |
$8.66 | 3,021 | 3,015 |
|
Wilson Lee
140 Battery St |
$45.22 | 2,998 | 2,991 |
|
Michael Makedonsky
6918 Geary Blvd |
$6.67 | 2,829 | 2,827 |
|
Tiffanie Truong
4150 Clement St |
$12.81 | 2,805 | 2,800 |
|
Gena Damento
711 Van Ness Ave Ste 250 |
$3.62 | 2,747 | 1,726 |
|
Hieu N Tran
1001 Potrero Ave |
$12.74 | 2,733 | 2,522 |
|
Avon Wai Kwong
611 Broadway |
$1.24 | 2,565 | 2,564 |
|
Katerina Zisman
4150 17Th St |
$8.93 | 2,564 | 2,562 |
|
Bradford Chang
929 Clay St Ste 203 |
$2.16 | 2,350 | 2,350 |
|
Senoch P Tong
899 Washington St |
$1.22 | 2,320 | 2,320 |
|
Su-Mui Kuo
728 Pacific Ave. |
$43.86 | 2,231 | 2,226 |
|
Anita Agarwal
1445 Bush St |
$28.76 | 2,099 | 2,028 |
|
Ronald Neal Hiura
1418 Polk St |
$3.65 | 2,073 | 2,073 |
|
H. Richard Mcdonald
1445 Bush St |
$22.97 | 2,061 | 1,923 |
|
David Heiden
2100 Webster St |
$7.09 | 2,014 | 1,962 |
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 San Francisco, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in San Francisco, CA is $15.17 per claim, based on 396,535 claims from 200 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 San Francisco, CA?
There are 200 Medicaid providers offering Eye Exam related services in San Francisco, CA according to public payment data.
What is the price range for Eye Exam in San Francisco, CA?
Medicaid reimbursement for Eye Exam in San Francisco, CA ranges from $0.00 to $147.86 per claim, with an average of $15.17. 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 $27.38
4,381,925 claims
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Avg $24.87
3,627,413 claims
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Avg $9.39
1,330,034 claims
Emergency Room Visit
Avg $99.86
864,304 claims
Case Management Services
Avg $219.34
857,389 claims
X-Ray
Avg $10.29
837,190 claims
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Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
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