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 |
|---|---|---|---|
|
Thomas S. Cory
401 Bicentennial Way |
$0.00 | 12 | 12 |
|
Douglas Jimenez
1300 N Dutton Ave |
$0.63 | 13 | 12 |
|
Brien A. Seeley
4739 Hoen Ave |
$12.42 | 14 | 14 |
|
Marie Mulligan
1110 N Dutton Ave |
$0.00 | 14 | 14 |
|
Guillermo Padilla
3569 Round Barn Cir Ste 200 |
$0.00 | 14 | 14 |
|
Benjamin Robert Zumwalt
751 Lombardi Ct |
$0.00 | 14 | 14 |
|
Barbara Leigh Vall-Spinosa
1300 N Dutton Ave |
$0.00 | 14 | 14 |
|
Sonoma County Indian Health Project, Inc
144 Stony Point Rd |
$0.00 | 19 | 19 |
|
Hannah Louise Stein Watson
751 Lombardi Ct |
$2.44 | 27 | 26 |
|
Julie Kiser
751 Lombardi Ct # B |
$0.00 | 29 | 29 |
|
Anthony Anh-Minh Truong
3925 Old Redwood Hwy |
$10.80 | 40 | 40 |
|
Margot Shipley
1430 Guerneville Rd Ste 3 |
$0.00 | 61 | 61 |
|
Robert Louis Anderson
1017 2Nd St |
$25.80 | 79 | 77 |
|
Christine W Ku
3925 Old Redwood Hwy |
$17.17 | 90 | 89 |
|
Mark Edwin Jacobson
1260 N Dutton Ave Ste 160 |
$11.88 | 110 | 110 |
|
Grace Shuang Zhang
1140 Sonoma Ave Ste 2A |
$31.46 | 128 | 126 |
|
Charlene Crockett
3925 Old Redwood Hwy |
$41.39 | 136 | 133 |
|
Jasdeep Singh Sabharwal
380 Tesconi Ct |
$45.47 | 169 | 161 |
|
Lisa M. Ward
1110 N Dutton Ave |
$0.09 | 177 | 175 |
|
Tom Tseng
3540 Mendocino Ave Ste 200 |
$8.91 | 188 | 182 |
|
Stephen P Krumland
3569 Round Barn Cir |
$0.16 | 204 | 203 |
|
Patricia Whooley Kulawiak
1300 N Dutton Ave |
$1.82 | 256 | 233 |
|
Jane H Lee-Koida
3925 Old Redwood Hwy |
$1.73 | 298 | 297 |
|
Daniel George Rich
3035 Cleveland Ave Ste 100 |
$43.81 | 319 | 308 |
|
Ava Wallen
3925 Old Redwood Hwy |
$22.06 | 475 | 472 |
|
Douglas K. Von Brauchitsch
401 Bicentennial Way |
$12.09 | 516 | 515 |
|
Bruce P Abramson
3035 Cleveland Ave Ste 100 |
$22.44 | 536 | 535 |
|
Nina Ni
3035 Cleveland Ave Ste 100 |
$43.55 | 546 | 514 |
|
Deirdre Bernard Pearl
962 Sebastopol Rd |
$0.00 | 662 | 661 |
|
William H Bartlett
380 Tesconi Ct |
$14.42 | 725 | 723 |
|
Rose Kaw
3925 Old Redwood Hwy |
$2.73 | 950 | 947 |
|
Carla Price Longchamp
1300 N Dutton Ave |
$0.52 | 980 | 964 |
|
James Alexander Orosz
3925 Old Redwood Hwy |
$2.74 | 1,128 | 1,124 |
|
Patrick J Caskey
3536 Mendocino Ave |
$32.86 | 1,366 | 1,292 |
|
Elizabeth Nguyen Tran
3925 Old Redwood Hwy |
$8.00 | 1,452 | 1,445 |
|
Josue Olaf Gonzalez Pena
707 4Th St # A |
$13.56 | 1,552 | 1,548 |
|
Hollis Loren Stavn
2305 Mendocino Ave |
$0.01 | 1,654 | 1,652 |
|
Eric Keoni Vierra
3925 Old Redwood Hwy |
$5.57 | 1,764 | 1,762 |
|
Ksheeraja Subramanian
3925 Old Redwood Hwy Bldg 4 |
$29.04 | 1,780 | 1,779 |
|
Arwa Alsamarae
3035 Cleveland Ave Ste 100 |
$31.24 | 1,911 | 1,813 |
|
Lisa Jean Quang
3925 Old Redwood |
$4.58 | 1,940 | 1,866 |
|
Deborah Donlon
751 Lombardi Ct Ste B |
$1.03 | 2,075 | 2,043 |
|
Lillian Yang
3035 Cleveland Ave Ste 100 |
$41.13 | 2,378 | 2,268 |
|
Emil Shieh
401 Bicentennial Way |
$21.58 | 2,399 | 2,368 |
|
Dick Leon
401 Bicentennial Way |
$26.09 | 2,513 | 2,510 |
|
Venkatesh Brahma
3035 Cleveland Ave Ste 100 |
$43.20 | 2,537 | 2,458 |
|
Avni A Shah
3035 Cleveland Ave Ste 100 |
$30.42 | 2,634 | 2,564 |
|
Todd Jeffrey Harter
2451 Summerfield Rd |
$36.41 | 2,731 | 2,725 |
|
Eye Care Institute, A Medical Corporation
3035 Cleveland Ave Ste 100 |
$23.08 | 3,488 | 3,427 |
|
Denise Kayser
3536 Mendocino Ave |
$31.28 | 3,757 | 3,577 |
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
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Flushing, NY
Avg $55.73
752,320 claims · 93 providers
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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
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Avg $71.21
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Avg $16.73
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Avg $50.06
255,325 claims
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Avg $40.57
251,882 claims
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Avg $37.81
234,328 claims