Average Medicaid Eye Exam Payments in Santa Monica, CA: $14.37
Avg. Paid
$14.37
Range
$0.00 – $46.60
Total Claims
26,134
Providers
18
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 Monica, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Svetlana Pilyugina
2222 Santa Monica Blvd |
$14.15 | 8,005 | 7,778 |
|
Brenda Nuyen
1908 Santa Monica Blvd |
$14.37 | 5,847 | 5,728 |
|
Barry Joel Cohen
808 Wilshire Blvd |
$17.01 | 4,434 | 4,406 |
|
King Yue Wong
1431 7Th St |
$11.94 | 2,476 | 2,476 |
|
Courtney Tamiko Mizuhara-Cheng
2901 Ocean Park Blvd Ste 207 |
$1.97 | 1,373 | 1,373 |
|
Bijan Cohenmehr
3116 Wilshire Blvd |
$6.96 | 1,142 | 1,142 |
|
Reza Alizadeh
1807 Wilshire Blvd Ste 203 |
$39.79 | 878 | 867 |
|
Amanda Wels Hikin
1234 7Th Street |
$15.70 | 627 | 627 |
|
Irina Yakubin
718 Montana Ave |
$17.62 | 589 | 584 |
|
Rebecca Lynn Rodriguez
1711 Ocean Park Blvd |
$0.38 | 173 | 173 |
|
Madhu Chawla
195 Santa Monica Pl |
$13.73 | 166 | 166 |
|
Peter John Kappel
1908 Santa Monica Blvd |
$46.60 | 101 | 98 |
|
Diana Hoffman
2509 Pico Blvd |
$1.17 | 74 | 70 |
|
John Winton Elman
1431 7Th St |
$0.11 | 64 | 64 |
|
Daniel Sand
1807 Wilshire Blvd Ste 203 |
$2.85 | 54 | 45 |
|
Sophie H Chang
2509 Pico Blvd |
$0.00 | 54 | 37 |
|
Mercedes Avila
1223 16Th St Ste 3100 |
$0.00 | 52 | 52 |
|
John Kelly Schofield
2222 Santa Monica Blvd Ste 302 |
$2.15 | 25 | 25 |
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 Monica, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Santa Monica, CA is $14.37 per claim, based on 26,134 claims from 18 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 Monica, CA?
There are 18 Medicaid providers offering Eye Exam related services in Santa Monica, CA according to public payment data.
What is the price range for Eye Exam in Santa Monica, CA?
Medicaid reimbursement for Eye Exam in Santa Monica, CA ranges from $0.00 to $46.60 per claim, with an average of $14.37. 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 $22.57
373,557 claims
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Avg $4.49
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Avg $8.96
258,632 claims
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Avg $30.17
163,467 claims
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Avg $51.77
135,686 claims
CT Scan (Computed Tomography)
Avg $61.05
127,182 claims