Average Medicaid Eye Exam Payments in Santa Rosa, CA: $16.66
Avg. Paid
$16.66
Range
$0.00 – $45.47
Total Claims
126,969
Providers
59
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 Rosa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anthony F Soria
3569 Round Barn Cir |
$6.22 | 21,315 | 17,775 |
|
Michael C Shulkin
1188 Montgomery Dr |
$0.26 | 12,325 | 12,194 |
|
Kristen Glasgow
2320 Midway Dr |
$0.01 | 8,805 | 8,684 |
|
Shalini Yalamanchi
3536 Mendocino Ave |
$33.61 | 8,726 | 8,489 |
|
Thomas K Schlesinger
3536 Mendocino Ave |
$29.96 | 7,755 | 7,475 |
|
Matthew Armstrong Powers
3536 Mendocino Ave |
$26.11 | 5,984 | 5,130 |
|
Ira Schachar
3536 Mendocino Ave Ste 380 |
$21.66 | 5,978 | 5,758 |
|
Stephen Meffert
3536 Mendocino Ave |
$30.86 | 4,739 | 4,511 |
|
Irene Dalusung Baluyut
3569 Round Barn Cir |
$0.12 | 4,468 | 4,453 |
|
Denise Kayser
3536 Mendocino Ave |
$31.28 | 3,757 | 3,577 |
|
Eye Care Institute, A Medical Corporation
3035 Cleveland Ave Ste 100 |
$23.08 | 3,488 | 3,427 |
|
Todd Jeffrey Harter
2451 Summerfield Rd |
$36.41 | 2,731 | 2,725 |
|
Avni A Shah
3035 Cleveland Ave Ste 100 |
$30.42 | 2,634 | 2,564 |
|
Venkatesh Brahma
3035 Cleveland Ave Ste 100 |
$43.20 | 2,537 | 2,458 |
|
Dick Leon
401 Bicentennial Way |
$26.09 | 2,513 | 2,510 |
|
Emil Shieh
401 Bicentennial Way |
$21.58 | 2,399 | 2,368 |
|
Lillian Yang
3035 Cleveland Ave Ste 100 |
$41.13 | 2,378 | 2,268 |
|
Deborah Donlon
751 Lombardi Ct Ste B |
$1.03 | 2,075 | 2,043 |
|
Lisa Jean Quang
3925 Old Redwood |
$4.58 | 1,940 | 1,866 |
|
Arwa Alsamarae
3035 Cleveland Ave Ste 100 |
$31.24 | 1,911 | 1,813 |
|
Ksheeraja Subramanian
3925 Old Redwood Hwy Bldg 4 |
$29.04 | 1,780 | 1,779 |
|
Eric Keoni Vierra
3925 Old Redwood Hwy |
$5.57 | 1,764 | 1,762 |
|
Hollis Loren Stavn
2305 Mendocino Ave |
$0.01 | 1,654 | 1,652 |
|
Josue Olaf Gonzalez Pena
707 4Th St # A |
$13.56 | 1,552 | 1,548 |
|
Elizabeth Nguyen Tran
3925 Old Redwood Hwy |
$8.00 | 1,452 | 1,445 |
|
Patrick J Caskey
3536 Mendocino Ave |
$32.86 | 1,366 | 1,292 |
|
James Alexander Orosz
3925 Old Redwood Hwy |
$2.74 | 1,128 | 1,124 |
|
Carla Price Longchamp
1300 N Dutton Ave |
$0.52 | 980 | 964 |
|
Rose Kaw
3925 Old Redwood Hwy |
$2.73 | 950 | 947 |
|
William H Bartlett
380 Tesconi Ct |
$14.42 | 725 | 723 |
|
Deirdre Bernard Pearl
962 Sebastopol Rd |
$0.00 | 662 | 661 |
|
Nina Ni
3035 Cleveland Ave Ste 100 |
$43.55 | 546 | 514 |
|
Bruce P Abramson
3035 Cleveland Ave Ste 100 |
$22.44 | 536 | 535 |
|
Douglas K. Von Brauchitsch
401 Bicentennial Way |
$12.09 | 516 | 515 |
|
Ava Wallen
3925 Old Redwood Hwy |
$22.06 | 475 | 472 |
|
Daniel George Rich
3035 Cleveland Ave Ste 100 |
$43.81 | 319 | 308 |
|
Jane H Lee-Koida
3925 Old Redwood Hwy |
$1.73 | 298 | 297 |
|
Patricia Whooley Kulawiak
1300 N Dutton Ave |
$1.82 | 256 | 233 |
|
Stephen P Krumland
3569 Round Barn Cir |
$0.16 | 204 | 203 |
|
Tom Tseng
3540 Mendocino Ave Ste 200 |
$8.91 | 188 | 182 |
|
Lisa M. Ward
1110 N Dutton Ave |
$0.09 | 177 | 175 |
|
Jasdeep Singh Sabharwal
380 Tesconi Ct |
$45.47 | 169 | 161 |
|
Charlene Crockett
3925 Old Redwood Hwy |
$41.39 | 136 | 133 |
|
Grace Shuang Zhang
1140 Sonoma Ave Ste 2A |
$31.46 | 128 | 126 |
|
Mark Edwin Jacobson
1260 N Dutton Ave Ste 160 |
$11.88 | 110 | 110 |
|
Christine W Ku
3925 Old Redwood Hwy |
$17.17 | 90 | 89 |
|
Robert Louis Anderson
1017 2Nd St |
$25.80 | 79 | 77 |
|
Margot Shipley
1430 Guerneville Rd Ste 3 |
$0.00 | 61 | 61 |
|
Anthony Anh-Minh Truong
3925 Old Redwood Hwy |
$10.80 | 40 | 40 |
|
Julie Kiser
751 Lombardi Ct # B |
$0.00 | 29 | 29 |
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 Rosa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Santa Rosa, CA is $16.66 per claim, based on 126,969 claims from 59 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 Rosa, CA?
There are 59 Medicaid providers offering Eye Exam related services in Santa Rosa, CA according to public payment data.
What is the price range for Eye Exam in Santa Rosa, CA?
Medicaid reimbursement for Eye Exam in Santa Rosa, CA ranges from $0.00 to $45.47 per claim, with an average of $16.66. 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 Santa Rosa, CA
Office Visit
Avg $21.94
1,410,868 claims
Emergency Room Visit
Avg $93.87
505,118 claims
Blood Work & Lab Tests
Avg $10.43
454,321 claims
Substance Abuse Treatment
Avg $71.21
265,758 claims
X-Ray
Avg $16.73
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Avg $50.06
255,325 claims
Non-Emergency Medical Transportation
Avg $40.57
251,882 claims
Psychiatric Evaluation
Avg $37.81
234,328 claims