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 |
|---|---|---|---|
|
Lance Mitchell Siegel
1246 E Arrow Hwy |
$44.12 | 66,973 | 66,072 |
|
Samuel C. Kim
555 N 13Th Ave |
$27.74 | 25,536 | 24,595 |
|
Neil Katz
471 N Central Ave |
$20.85 | 20,564 | 20,428 |
|
Edward Stephen Yung
555 N 13Th Ave |
$25.53 | 14,674 | 14,411 |
|
Peter D Bekendam
555 N 13Th Ave |
$30.16 | 11,302 | 10,963 |
|
Danny Duy Vu
1540 W Foothill Blvd |
$24.64 | 10,467 | 10,411 |
|
Nancy Wang
300 N Euclid Ave Ste A |
$21.41 | 7,329 | 7,291 |
|
Jon Michael Henley
876 N Mountain Ave |
$20.23 | 6,861 | 6,833 |
|
Richmond Emmerson Roeske
555 N 13Th Ave |
$27.71 | 6,019 | 5,819 |
|
Ryan Gregory Smith
555 N 13Th Ave |
$29.90 | 4,970 | 4,760 |
|
Pacific Eye Institute, A Medical Group, Inc.
555 N 13Th Ave |
$36.45 | 4,788 | 4,522 |
|
Jennifer Young-Hee Kim
360 E 7Th St Ste M |
$0.08 | 3,765 | 3,746 |
|
Kweku Grant-Acquah
494 N Mountain Ave |
$22.34 | 3,616 | 3,528 |
|
Marc Howard Shomer
820 N Mountain Ave Ste 102 |
$20.94 | 2,914 | 2,734 |
|
Salma K Chaudhri
1246 E Arrow Hwy Ste A |
$51.34 | 2,824 | 2,806 |
|
Cindy Nguyen
300 N Euclid Ave Ste A |
$27.57 | 2,578 | 2,574 |
|
Martha Henao
555 N 13Th Ave |
$15.28 | 2,391 | 2,295 |
|
Andrea Sheryl Janelle Ching
555 N 13Th Ave |
$28.30 | 2,093 | 2,054 |
|
Pamela Bekendam
555 N 13Th Ave |
$30.80 | 1,543 | 1,483 |
|
Caleb Ng
555 N 13Th Ave |
$27.88 | 1,518 | 1,317 |
|
Glenn Mendoza Perez
630 N.13Th Ave. |
$6.28 | 1,494 | 1,491 |
|
Lethuy T Nguyen
553 N Mountain Ave |
$5.88 | 1,345 | 1,342 |
|
Victor Manuel Campos
360 E 7Th St Ste H |
$0.00 | 936 | 932 |
|
Bryan Pui Wang Chan
980 E Foothill Blvd |
$0.85 | 484 | 478 |
|
Marilyn Katz
471 N Central Ave |
$12.24 | 482 | 472 |
|
Brian Alva
555 N 13Th Ave |
$1.96 | 307 | 307 |
|
Myrna M. Perez
630 N.13Th Ave. |
$0.00 | 252 | 252 |
|
Un Bong (Anne) Lee Kim
360 E 7Th St Ste M |
$0.00 | 170 | 167 |
|
Li Chen Li
563 N Mountain Ave |
$28.76 | 164 | 162 |
|
Children'S Eye Institute, Inc.
1246 E Arrow Hwy |
$4.08 | 157 | 155 |
|
Daksha Ashok Jain
1175 E Arrow Hwy |
$5.46 | 127 | 123 |
|
Chang Sup Lee
555 N 13Th Ave |
$33.39 | 66 | 60 |
|
James Joseph Cutler
1637 N Mountain Ave |
$12.70 | 60 | 60 |
|
Julie Anne King
555 N 13Th Ave |
$46.58 | 38 | 38 |
|
Sharon Liao
555 N 13Th Ave |
$16.37 | 27 | 27 |
|
Sophia Tran
563 N Mountain Ave |
$2.40 | 12 | 12 |
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
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Chicago, IL
Avg $26.50
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Los Angeles, CA
Avg $18.49
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Avg $51.98
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Avg $18.12
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Las Vegas, NV
Avg $34.73
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Avg $55.73
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