Average Medicaid Eye Exam Payments in Upland, CA: $30.79
Avg. Paid
$30.79
Range
$0.00 – $51.34
Total Claims
208,846
Providers
36
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 Upland, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sophia Tran
563 N Mountain Ave |
$2.40 | 12 | 12 |
|
Sharon Liao
555 N 13Th Ave |
$16.37 | 27 | 27 |
|
Julie Anne King
555 N 13Th Ave |
$46.58 | 38 | 38 |
|
James Joseph Cutler
1637 N Mountain Ave |
$12.70 | 60 | 60 |
|
Chang Sup Lee
555 N 13Th Ave |
$33.39 | 66 | 60 |
|
Daksha Ashok Jain
1175 E Arrow Hwy |
$5.46 | 127 | 123 |
|
Children'S Eye Institute, Inc.
1246 E Arrow Hwy |
$4.08 | 157 | 155 |
|
Li Chen Li
563 N Mountain Ave |
$28.76 | 164 | 162 |
|
Un Bong (Anne) Lee Kim
360 E 7Th St Ste M |
$0.00 | 170 | 167 |
|
Myrna M. Perez
630 N.13Th Ave. |
$0.00 | 252 | 252 |
|
Brian Alva
555 N 13Th Ave |
$1.96 | 307 | 307 |
|
Marilyn Katz
471 N Central Ave |
$12.24 | 482 | 472 |
|
Bryan Pui Wang Chan
980 E Foothill Blvd |
$0.85 | 484 | 478 |
|
Victor Manuel Campos
360 E 7Th St Ste H |
$0.00 | 936 | 932 |
|
Lethuy T Nguyen
553 N Mountain Ave |
$5.88 | 1,345 | 1,342 |
|
Glenn Mendoza Perez
630 N.13Th Ave. |
$6.28 | 1,494 | 1,491 |
|
Caleb Ng
555 N 13Th Ave |
$27.88 | 1,518 | 1,317 |
|
Pamela Bekendam
555 N 13Th Ave |
$30.80 | 1,543 | 1,483 |
|
Andrea Sheryl Janelle Ching
555 N 13Th Ave |
$28.30 | 2,093 | 2,054 |
|
Martha Henao
555 N 13Th Ave |
$15.28 | 2,391 | 2,295 |
|
Cindy Nguyen
300 N Euclid Ave Ste A |
$27.57 | 2,578 | 2,574 |
|
Salma K Chaudhri
1246 E Arrow Hwy Ste A |
$51.34 | 2,824 | 2,806 |
|
Marc Howard Shomer
820 N Mountain Ave Ste 102 |
$20.94 | 2,914 | 2,734 |
|
Kweku Grant-Acquah
494 N Mountain Ave |
$22.34 | 3,616 | 3,528 |
|
Jennifer Young-Hee Kim
360 E 7Th St Ste M |
$0.08 | 3,765 | 3,746 |
|
Pacific Eye Institute, A Medical Group, Inc.
555 N 13Th Ave |
$36.45 | 4,788 | 4,522 |
|
Ryan Gregory Smith
555 N 13Th Ave |
$29.90 | 4,970 | 4,760 |
|
Richmond Emmerson Roeske
555 N 13Th Ave |
$27.71 | 6,019 | 5,819 |
|
Jon Michael Henley
876 N Mountain Ave |
$20.23 | 6,861 | 6,833 |
|
Nancy Wang
300 N Euclid Ave Ste A |
$21.41 | 7,329 | 7,291 |
|
Danny Duy Vu
1540 W Foothill Blvd |
$24.64 | 10,467 | 10,411 |
|
Peter D Bekendam
555 N 13Th Ave |
$30.16 | 11,302 | 10,963 |
|
Edward Stephen Yung
555 N 13Th Ave |
$25.53 | 14,674 | 14,411 |
|
Neil Katz
471 N Central Ave |
$20.85 | 20,564 | 20,428 |
|
Samuel C. Kim
555 N 13Th Ave |
$27.74 | 25,536 | 24,595 |
|
Lance Mitchell Siegel
1246 E Arrow Hwy |
$44.12 | 66,973 | 66,072 |
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 Upland, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Upland, CA is $30.79 per claim, based on 208,846 claims from 36 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 Upland, CA?
There are 36 Medicaid providers offering Eye Exam related services in Upland, CA according to public payment data.
What is the price range for Eye Exam in Upland, CA?
Medicaid reimbursement for Eye Exam in Upland, CA ranges from $0.00 to $51.34 per claim, with an average of $30.79. 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 Upland, CA
Office Visit
Avg $44.57
715,468 claims
Blood Work & Lab Tests
Avg $8.30
467,774 claims
Emergency Room Visit
Avg $69.32
227,225 claims
X-Ray
Avg $12.71
148,970 claims
EKG / ECG (Electrocardiogram)
Avg $18.65
134,300 claims
Psychiatric Evaluation
Avg $104.62
120,656 claims
Dental Cleaning & Exam
Avg $46.20
118,688 claims
Urinalysis & Urine Tests
Avg $3.02
116,599 claims