Average Medicaid Eye Exam Payments in West Covina, CA: $16.95
Avg. Paid
$16.95
Range
$0.00 – $70.52
Total Claims
79,753
Providers
42
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 West Covina, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dhruv Kumar Sharma
1300 S Sunset Ave |
$0.00 | 12 | 12 |
|
Vanessa Gonzalez
1026 W West Covina Pkwy |
$4.81 | 12 | 12 |
|
Joseph Lengeeh Lin
1135 S Sunset Ave |
$51.42 | 26 | 26 |
|
East Valley Community Health Center, Inc
420 S Glendora Ave |
$0.00 | 27 | 26 |
|
Santosh K Garg Md 'A Professional Medical Corporation'
1535 W Merced Ave |
$0.00 | 31 | 31 |
|
Oliver Lee Chiu
741 S Orange Ave Ste 151 |
$1.22 | 61 | 57 |
|
Just 4 Kids Pediatrics, Inc
1433 W Merced Ave |
$0.00 | 69 | 69 |
|
Yingfuh Alex Wang
420 S Glendora Ave |
$0.29 | 94 | 93 |
|
Thear Bun
1000 Lakes Dr Ste 180 |
$11.82 | 96 | 96 |
|
Asha R. Kumar, M.D. Inc.
820 W Service Ave |
$0.00 | 103 | 103 |
|
Asha Rani Kumar
820 W Service Ave |
$0.75 | 131 | 129 |
|
Nicole Fuerst
1135 S Sunset Ave Ste 312 |
$28.79 | 152 | 145 |
|
Santosh Kumar Garg
1535 W Merced Ave |
$2.62 | 207 | 204 |
|
Joseph L Lin Md Inc
1135 S Sunset Ave |
$4.79 | 245 | 219 |
|
Roger L. Wu
2707 E Valley Blvd |
$46.63 | 264 | 264 |
|
Alicia Xiaoxi Liu
2707 E Valley Blvd |
$0.00 | 269 | 269 |
|
Jackyln Wai-Shan Chan
2707 E Valley Blvd Ste 215 |
$0.00 | 301 | 301 |
|
Mayflower Medical Group, Inc.
140 N Orange Ave. |
$0.20 | 403 | 398 |
|
Miguel Isleta Domingo
512 S Glendora Ave |
$0.00 | 429 | 429 |
|
Shannon Olario Alturas
3658 S Nogales St |
$4.33 | 498 | 498 |
|
Aarti Kulshrestha
1135 S Sunset Ave Ste 401 |
$3.74 | 508 | 508 |
|
David Jonathan Fuerst
1135 S. Sunset Ave |
$16.46 | 522 | 500 |
|
Philip Ngai Md, Incorporated
1250 S Sunset Ave Ste 205 |
$4.80 | 691 | 683 |
|
Christine M. Chang
2359 S. Azusa Ave. |
$15.09 | 908 | 908 |
|
Kiet Bui
1209 Plaza Dr |
$16.59 | 961 | 961 |
|
Dennis Cheng
2707 E Valley Blvd |
$12.37 | 1,108 | 1,104 |
|
Heidi Baxter
1026 W West Covina Pkwy |
$45.02 | 1,385 | 1,383 |
|
Phong Quoc Nguyen
2402 S Azusa Ave |
$9.52 | 1,849 | 1,849 |
|
Accuvision Optometry Inc
236 S Citrus St |
$40.56 | 2,015 | 2,015 |
|
Janice Q Hung
3658 S Nogales St |
$3.08 | 2,119 | 2,115 |
|
Philip Ngai
1250 S Sunset Ave Ste 205 |
$10.70 | 2,740 | 2,699 |
|
Fanny Lee
1026 W West Covina Pkwy Ste B |
$13.39 | 3,002 | 2,963 |
|
Jenny Hyesil Sung
1026 W West Covina Pkwy Ste B |
$16.34 | 3,173 | 3,163 |
|
Jessika Claudia Martinez
428 N Azusa Ave |
$8.01 | 3,250 | 3,250 |
|
Nicolas Gabriel Biro
1135 S Sunset Ave Ste 210 |
$70.52 | 3,283 | 3,164 |
|
Vincent Hsu
236 S Citrus St |
$17.89 | 3,340 | 3,338 |
|
Eva Y Chan
2707 E Valley Blvd Ste 215 |
$1.63 | 3,801 | 3,595 |
|
James P Cheung
4141 S Nogales St |
$12.95 | 4,391 | 4,386 |
|
Stella Kim
2225 E Garvey Ave N Ste A |
$21.06 | 4,622 | 4,104 |
|
Andrew Burton Wong
1026 W West Covina Pkwy Ste B |
$14.64 | 4,655 | 4,619 |
|
Chieh-Ju Lee
1200 S Sunset Ave |
$13.74 | 6,880 | 6,878 |
|
Deval Achit Patel
2233 E Garvey Ave N Ste A |
$16.14 | 21,120 | 21,109 |
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 West Covina, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in West Covina, CA is $16.95 per claim, based on 79,753 claims from 42 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 West Covina, CA?
There are 42 Medicaid providers offering Eye Exam related services in West Covina, CA according to public payment data.
What is the price range for Eye Exam in West Covina, CA?
Medicaid reimbursement for Eye Exam in West Covina, CA ranges from $0.00 to $70.52 per claim, with an average of $16.95. 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
Other Procedures in West Covina, CA
Office Visit
Avg $18.59
1,073,885 claims
Blood Work & Lab Tests
Avg $3.18
398,597 claims
Dental Cleaning & Exam
Avg $49.90
383,558 claims
Vaccines & Immunizations
Avg $2.95
312,564 claims
Physical Therapy
Avg $14.46
222,916 claims
Urinalysis & Urine Tests
Avg $1.39
183,574 claims
Emergency Room Visit
Avg $46.31
173,869 claims
Ultrasound
Avg $60.42
156,802 claims