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 |
|---|---|---|---|
|
H George Tanaka
1515 Scott St |
$3.10 | 12 | 12 |
|
Sid Borirak
2200 Ofarrell St |
$0.00 | 12 | 12 |
|
Suzanne G Li
2100 Webster St Ste 212 |
$0.00 | 12 | 12 |
|
Jessica Wing-Saun Yuen
4150 Clement St |
$1.33 | 12 | 12 |
|
Jonathan C. Horton
533 Parnassus Ave |
$131.93 | 12 | 12 |
|
Ako Takakura
2351 Clay St Ste 380 |
$3.10 | 12 | 12 |
|
Solomon Samuel Gelbart
490 Post St |
$50.54 | 13 | 13 |
|
George Lee
1635 Divisadero St |
$0.00 | 13 | 13 |
|
Jessica Gowramma Shantha
490 Illinois St |
$24.48 | 13 | 12 |
|
Samantha Timpog Bautista
4 Embarcadero Ctr # Ll3 |
$0.00 | 13 | 13 |
|
Cityview Eye Center, A Medical Corporation
929 Clay St Ste 405 |
$52.54 | 14 | 14 |
|
Gabriel Linton Aguilar
909 Hyde Street |
$0.00 | 14 | 14 |
|
Andrew George Iwach
55 Stevenson St |
$14.11 | 14 | 14 |
|
Clark T Welsh
1635 Divisadero St Ste 400 |
$8.14 | 14 | 14 |
|
Tiffany A Chen
1825 4Th St Fl 5 |
$1.69 | 15 | 15 |
|
Loreley Denise Smith
8 Koret Way |
$2.87 | 15 | 14 |
|
Kathryn Anne Werner
2211 Bush St Fl 2 |
$119.09 | 16 | 16 |
|
Truyet Tran
8 Koret Way |
$1.80 | 24 | 24 |
|
Adam Glover
458 27Th Ave Apt 4 |
$52.79 | 24 | 24 |
|
Thomas N. Hwang
400 Parnassus Ave # 344 |
$8.72 | 25 | 25 |
|
Tina Zeng
490 Illinois St |
$32.07 | 25 | 24 |
|
Ryan Tuan Quy Ngo
651 Divisadero St |
$0.00 | 25 | 25 |
|
Adrienne Coulter
490 Illinois St |
$1.28 | 25 | 25 |
|
North East Medical Services
2574 San Bruno Ave |
$97.24 | 26 | 13 |
|
Jorge Arturo Pico
559 Clay St Ste 200 |
$2.11 | 27 | 27 |
|
Melissa Tawa
4150 Clement St # 112-A |
$0.92 | 28 | 28 |
|
Jamie Hancock
711 Van Ness Ave Ste 300 |
$0.57 | 28 | 28 |
|
Michael I Seider
10 Koret Way |
$33.23 | 33 | 32 |
|
Ira G. Wong
95 Kirkham St |
$14.79 | 37 | 37 |
|
Michael Joseph Gee
1635 Divisadero St |
$0.00 | 37 | 37 |
|
Jamie Totsubo
1826A Buchanan St |
$3.56 | 38 | 38 |
|
Marcellus Tin-Yau Chow
3201 Mission St |
$0.00 | 40 | 38 |
|
M Reza Vagefi
400 Parnassus Ave |
$12.31 | 40 | 37 |
|
Usha Sathishchandra Rao
8 Koret Way |
$68.54 | 41 | 41 |
|
Laura Leis
400 Parnassus Ave |
$14.65 | 43 | 43 |
|
Sutter West Bay Hospitals
2333 Buchanan Street |
$0.81 | 46 | 41 |
|
Sharon Wai-Mon Lee
1719 Noriega St |
$0.00 | 52 | 52 |
|
Jennifer Lu Tran
490 Illinois St |
$12.82 | 54 | 54 |
|
Daniel M. Schwartz
400 Parnassus Ave # 0344 # A-750 |
$14.86 | 57 | 55 |
|
Wendy Zhen
490 Illinois St |
$1.60 | 58 | 58 |
|
Jennifer Currier
8 Koret Way |
$5.57 | 71 | 70 |
|
Kristine Lee
2425 Geary Blvd # M160 |
$31.76 | 74 | 74 |
|
Alice Yu
728 Pacific Ave Ste 703 |
$0.00 | 78 | 78 |
|
Itamar Livnat
1001 Potrero Avenue |
$22.81 | 81 | 78 |
|
Pacific Eye Associates, A Medical Corporation
2100 Webster St |
$54.72 | 82 | 82 |
|
Susy Balla Vrouvas
1635 Divisadero St |
$3.53 | 86 | 86 |
|
Manvi P Maker
1001 Potrero Avenue |
$20.47 | 95 | 93 |
|
Jaskirat Takhar
1001 Potrero Ave. Bldg. 5, 4M |
$28.98 | 95 | 94 |
|
Kenneth C. Ip
2200 Ofarrell St |
$82.20 | 95 | 93 |
|
Georgia Niki Kamboj
1445 Bush St |
$27.57 | 101 | 86 |
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
Other Procedures in San Francisco, CA
Office Visit
Avg $27.38
4,381,925 claims
Substance Abuse Treatment
Avg $24.87
3,627,413 claims
Blood Work & Lab Tests
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
Vaccines & Immunizations
Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
477,994 claims