Average Medicaid Eye Exam Payments in San Jose, CA: $6.41
Avg. Paid
$6.41
Range
$0.00 – $99.82
Total Claims
523,365
Providers
141
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 Jose, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Santa Clara
751 S. Bascom Avenue |
$4.62 | 60,799 | 59,049 |
|
Ngoc Nguyen
2380 Montpelier Dr Ste 300 |
$3.82 | 33,434 | 32,700 |
|
Mark Glenn Mitchell
678 E Santa Clara St |
$4.07 | 29,218 | 29,012 |
|
Son Trang Nguyen
1066 S White Rd |
$7.06 | 23,682 | 23,108 |
|
Minh Nhat Vu Le
1652 E Capitol Expy |
$3.74 | 18,147 | 18,034 |
|
Tammy Nguyen
1818 Tully Rd |
$3.98 | 16,214 | 15,969 |
|
Andrea Wai Yan Wong
1066 S White Rd |
$8.35 | 14,752 | 13,608 |
|
Lan Tuyet Nguyen
135 N Jackson Ave |
$1.00 | 13,561 | 13,489 |
|
Lisa Y Shiroishi
1530 The Alameda Ste 210 |
$4.27 | 12,495 | 12,448 |
|
Tracy Thao Le
301 N Jackson Ave |
$4.61 | 11,976 | 11,845 |
|
Kari Tran
2380 Montpelier Dr |
$4.02 | 11,849 | 11,846 |
|
John Zhong Xie
200 Jose Figueres Ave |
$7.35 | 11,836 | 11,657 |
|
Danny B Luong
200 Jose Figueres Ave |
$8.05 | 10,626 | 9,640 |
|
Richard Tom
874C Blossom Hill Rd |
$4.71 | 10,096 | 8,725 |
|
Allen Lee Beede
1530 The Alameda |
$4.15 | 9,793 | 9,710 |
|
James Edward Egbert
751 S Bascom Ave |
$12.88 | 9,763 | 9,576 |
|
Dale Irvin Barr
2730 Union Ave |
$5.28 | 9,212 | 9,157 |
|
Kelly Lao
240 Meridian Ave Ste 1 |
$5.78 | 8,643 | 8,582 |
|
Eric Shieh
200 Jose Figueres Ave Ste 350 |
$5.11 | 8,342 | 8,140 |
|
My D Guino-O
2009 Tully Rd |
$3.95 | 8,263 | 8,163 |
|
Emily H Do
2114 Senter Rd |
$3.79 | 7,010 | 6,916 |
|
Claudio Salvador Contreras
2120 Mckee Rd |
$17.11 | 6,563 | 6,444 |
|
Khanh D Bui
1013 E Capitol Expy |
$4.37 | 6,330 | 6,255 |
|
Hau Thi Nguyen
751 S Bascom Ave |
$4.65 | 5,979 | 5,881 |
|
Emilie Dung Truong
1916 Aborn Rd |
$3.97 | 5,783 | 5,751 |
|
Nicholas Faberowski
751 S Bascom Ave |
$6.69 | 5,611 | 5,498 |
|
Tram Le Pham
265 Meridian Ave |
$4.04 | 5,566 | 5,449 |
|
Carl Kwong
1937-A Tully Rd |
$4.51 | 5,380 | 5,341 |
|
Jennifer N. Le
2722 Aborn Rd |
$5.23 | 5,210 | 5,018 |
|
Keshav Narain
455 Oconnor Dr |
$2.09 | 5,137 | 4,999 |
|
Thuy-Trang Nguyen
874 Blossom Hill Rd Ste C |
$3.61 | 4,810 | 4,796 |
|
Lisa K. Ko
618 Blossom Hill Rd |
$4.79 | 4,727 | 4,688 |
|
Alexander C Lee
3239 Stevens Creek Blvd |
$5.23 | 4,580 | 4,579 |
|
William P Lee
55 E Julian St |
$2.05 | 4,489 | 4,390 |
|
Cindy Phuong Nguyen
2980 E Capitol Expy Ste 20 |
$4.37 | 4,295 | 4,288 |
|
Mai-Anh Chtn Nguyen
1661 Burdette Dr |
$2.74 | 4,152 | 4,125 |
|
Gloria Chow
1575 Alum Rock Ave |
$4.63 | 3,895 | 3,848 |
|
Amanda Tran
1066 S White Rd Ste 170 |
$7.97 | 3,562 | 2,830 |
|
Anh-Thu Huynh
4807 Rue Loiret |
$28.06 | 3,471 | 3,462 |
|
Randal Tanh Pham
455 Oconnor Dr |
$1.92 | 3,336 | 2,992 |
|
Anjie Angela Zheng
2110 Forest Ave Ste B |
$15.25 | 3,312 | 2,585 |
|
Jerry Mercado
2505 Samaritan Drive |
$9.86 | 3,097 | 3,096 |
|
Kenneth H Ballentine
5275 Prospect Rd |
$3.42 | 2,946 | 2,921 |
|
Juan C Carrillo
2880 Story Rd |
$16.90 | 2,851 | 2,705 |
|
Tanya Tran
751 S Bascom Ave |
$4.67 | 2,838 | 2,098 |
|
Han Le Duong
713 Blackfoot Ct |
$4.41 | 2,773 | 2,767 |
|
Khoa D Nguyen
2100 Forest Ave |
$2.47 | 2,661 | 2,653 |
|
Bang K Tran
3005 Silver Creek Rd |
$3.70 | 2,543 | 2,516 |
|
Sima Stein
105 N Bascom Ave #102 |
$10.57 | 2,534 | 2,514 |
|
Anh-Thy N. Huynh
1569 Lexann Ave Ste 124 |
$29.24 | 2,467 | 2,405 |
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 Jose, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in San Jose, CA is $6.41 per claim, based on 523,365 claims from 141 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 Jose, CA?
There are 141 Medicaid providers offering Eye Exam related services in San Jose, CA according to public payment data.
What is the price range for Eye Exam in San Jose, CA?
Medicaid reimbursement for Eye Exam in San Jose, CA ranges from $0.00 to $99.82 per claim, with an average of $6.41. 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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