Average Medicaid Eye Exam Payments in Santa Clara, CA: $11.80
Avg. Paid
$11.80
Range
$0.00 – $115.35
Total Claims
12,487
Providers
29
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 Santa Clara, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Steven N Lee Tran
710 Lawrence Expy |
$9.16 | 1,410 | 1,398 |
|
Armando Amador Tapia
710 Lawrence Expy |
$8.48 | 1,138 | 1,136 |
|
Anne Yen Nguyen
710 Lawrence Expy |
$6.64 | 1,116 | 1,103 |
|
Alexander Young Jong Park
2366 El Camino Real |
$6.90 | 1,023 | 1,020 |
|
Ashley Greenawalt Chung
710 Lawrence Expy Dept 486 |
$5.24 | 1,014 | 1,013 |
|
Kevin Douglas Merrill
710 Lawrence Expy |
$11.23 | 926 | 826 |
|
Tammy H Tran
3929 Rivermark Plz |
$3.58 | 855 | 839 |
|
John M. Lewis
710 Lawrence Expy |
$36.42 | 778 | 756 |
|
Anhdao Thi Duong
710 Lawrence Expy |
$6.69 | 656 | 656 |
|
Joey Phi Tran
2794 El Camino Real Ste 100 |
$4.39 | 626 | 626 |
|
Curtis Allen Choy
710 Lawrence Expy |
$3.89 | 577 | 576 |
|
Joseph Cheng
710 Lawrence Expy |
$6.09 | 483 | 479 |
|
Neha Vashishtha
710 Lawrence Expy |
$40.05 | 243 | 240 |
|
Sudha Sudesh
710 Lawrence Expy |
$19.90 | 242 | 214 |
|
Rubin W. Kim
710 Lawrence Expy |
$50.50 | 231 | 221 |
|
Alana Zhou
710 Lawrence Expy Dept 486 |
$0.47 | 229 | 229 |
|
Neda Jam
710 Lawrence Expy |
$8.16 | 212 | 212 |
|
Michael Lee
2366 El Camino Real Ste 5 |
$0.00 | 142 | 140 |
|
Jeremy Cheung
710 Lawrence Expy |
$7.48 | 131 | 131 |
|
Elisha Garg
710 Lawrence Expy |
$38.58 | 89 | 86 |
|
Ricky Cui
710 Lawrence Expy Dept 490 |
$115.35 | 68 | 66 |
|
Jason L. Lauffer
710 Lawrence Expy |
$0.66 | 64 | 63 |
|
Liyung Chou
710 Lawrence Expy |
$94.45 | 51 | 44 |
|
Homer Chiang
700 Lawrence Expy |
$99.63 | 41 | 40 |
|
Jeffery Allen Calmere
770 Scott Blvd |
$0.00 | 38 | 38 |
|
Cecilia L Pham
710 Lawrence Expy |
$0.00 | 37 | 37 |
|
Valerie Kiyomi Hamamoto
710 Lawrence Expy |
$0.00 | 27 | 26 |
|
Alina Yang
700 Lawrence Expy |
$59.26 | 27 | 25 |
|
Aileen Sy
710 Lawrence Expy Dept 490 |
$0.00 | 13 | 13 |
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 Santa Clara, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Santa Clara, CA is $11.80 per claim, based on 12,487 claims from 29 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 Santa Clara, CA?
There are 29 Medicaid providers offering Eye Exam related services in Santa Clara, CA according to public payment data.
What is the price range for Eye Exam in Santa Clara, CA?
Medicaid reimbursement for Eye Exam in Santa Clara, CA ranges from $0.00 to $115.35 per claim, with an average of $11.80. 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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Office Visit
Avg $17.48
205,653 claims
Blood Work & Lab Tests
Avg $1.57
156,552 claims
Dental Cleaning & Exam
Avg $54.19
94,692 claims
Emergency Room Visit
Avg $90.22
75,545 claims
Vaccines & Immunizations
Avg $2.56
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X-Ray
Avg $15.11
51,420 claims
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Avg $5.33
51,111 claims
Urinalysis & Urine Tests
Avg $0.62
40,664 claims