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 |
|---|---|---|---|
|
Scott Dinh
2349 Shade Tree Ln |
$3.00 | 12 | 12 |
|
Ranjani Chandramouli
3030 Alum Rock Ave |
$40.14 | 12 | 12 |
|
County Of Santa Clara
751 S. Bascom Avenue |
$0.00 | 12 | 12 |
|
Sandra Kou
1673 Branham Ln |
$32.84 | 15 | 15 |
|
Bay Area Pediatric Primary Care Inc.
244 N Jackson Ave Ste 203 |
$10.00 | 15 | 15 |
|
Minh Quang Thai
60 N 13Th Street |
$36.33 | 15 | 15 |
|
Nhat Van Mai
2641 Senter Rd |
$30.77 | 26 | 26 |
|
Ho Sun Choi
2081 Forest Ave Ste 2 |
$10.49 | 27 | 26 |
|
Priti Dehkharghani
5755 Cottle Rd Bldg 25 |
$39.62 | 28 | 25 |
|
Grace Lynn Su
751 S Bascom Ave |
$27.93 | 29 | 29 |
|
Stephanie Phan Le
1693 Flanigan Dr Ste 100 |
$2.94 | 31 | 31 |
|
Taylor-Tuonglinh Thi Tran
251 Oconnor Dr |
$0.00 | 33 | 33 |
|
Jeehee Kim
2505 Samaritan Dr |
$23.49 | 35 | 35 |
|
Neema B Malhotra
2730 Union Ave Ste B |
$1.89 | 39 | 39 |
|
Mindy Minh-Nguyet Walker
2690 S White Rd Ste 255 |
$1.93 | 41 | 41 |
|
Ilana Traynis
751 S Bascom Ave |
$0.00 | 50 | 47 |
|
Dung My Phan
1693 Flanigan Dr |
$2.54 | 55 | 55 |
|
Erin Brett Lally
2100 Forest Ave Ste 105 |
$10.00 | 61 | 60 |
|
Pronoti Nigam
4205 San Felipe Rd |
$18.16 | 62 | 62 |
|
Sayed Jovkar
4855 Atherton Ave Ste 101 |
$2.68 | 63 | 63 |
|
Heidi Paradela-Ayap Md Inc
115 North Jackson Avenue |
$7.27 | 83 | 83 |
|
Kenneth Pomar Rebong
2350 Mckee Rd |
$14.01 | 83 | 78 |
|
Stephanie Sara Chan
2110 Forest Ave Ste B |
$16.76 | 91 | 86 |
|
Nirali Shah Desai
751 S Bascom Ave |
$99.82 | 95 | 94 |
|
Theresa M Lee-Yip
1101 S Winchester Blvd |
$2.70 | 96 | 96 |
|
Karen To
971 Mclaughlin Ave |
$2.48 | 109 | 109 |
|
Jeanie Paik
220 Meridian Ave |
$17.54 | 155 | 123 |
|
Trach Phuong Dang
2114 Senter Rd Ste 24 |
$12.54 | 157 | 157 |
|
Erlinda T Reyes
2326 Mckee Rd Ste D |
$2.62 | 159 | 159 |
|
Theresa Phuong Anh Vo
970 Mackenzie Ct |
$48.11 | 161 | 148 |
|
Darith S. Khay
200 Jose Figueres Ave |
$22.76 | 174 | 167 |
|
Karen Kallmann
5710 Cahalan Ave |
$2.54 | 183 | 183 |
|
Ngoclien Thi Nguyen
1569 Lexann Ave Ste 120 |
$3.79 | 191 | 191 |
|
Steve-Khoi K. Bui
260 International Cir |
$8.34 | 193 | 189 |
|
Catherine Bichha Pham
220 Meridian Ave |
$55.83 | 211 | 201 |
|
Evelyn Hien Nguyen-Bringas
1055 E Brokaw Rd Ste 50 |
$2.42 | 213 | 213 |
|
Kim V. Dao
806 E Julian St |
$15.00 | 217 | 217 |
|
Tammy Li
2722 Aborn Rd |
$3.35 | 251 | 251 |
|
Minh Quan Huynh
57 N 13Th St |
$9.07 | 257 | 256 |
|
Elton K Wong
1750 Story Rd |
$2.07 | 264 | 263 |
|
Ji-Kwan Park
1721 Technology Dr Dept 110 |
$28.79 | 271 | 257 |
|
Yu-Ju Lin
1630 Oakland Rd Ste A115 |
$3.38 | 274 | 271 |
|
Minh N Dang
3571 N 1St St Ste 200 |
$3.36 | 299 | 299 |
|
Marianne V Mai
25 N 14Th St |
$5.56 | 301 | 62 |
|
Leeanna Nguyen
2577 Samaritan Dr |
$9.17 | 322 | 309 |
|
David Michael Redman
117 Bernal Rd |
$1.70 | 374 | 374 |
|
Bindya S Singh
135 N Jackson Ave |
$33.29 | 397 | 395 |
|
Mindy Dieuminh Trinh
3257 S White Rd |
$3.79 | 407 | 389 |
|
Dipali V Apte
2110 Forest Ave |
$37.86 | 425 | 411 |
|
James Kim-Tzong Eu
1937 Tully Rd Ste A |
$2.87 | 498 | 496 |
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
Other Procedures in San Jose, CA
Office Visit
Avg $17.76
4,087,517 claims
Blood Work & Lab Tests
Avg $2.57
2,345,819 claims
Dental Cleaning & Exam
Avg $52.74
1,100,494 claims
Case Management Services
Avg $220.56
998,173 claims
Behavioral & Mental Health Therapy
Avg $198.51
836,218 claims
Vaccines & Immunizations
Avg $3.93
755,787 claims
X-Ray
Avg $7.17
627,443 claims
Substance Abuse Treatment
Avg $69.65
603,596 claims