Average Medicaid Physical Therapy Payments in Carlsbad, CA: $26.35
Avg. Paid
$26.35
Range
$9.95 – $102.98
Total Claims
41,814
Providers
12
Typical Payment Range
Typical Medicaid Physical Therapy payments fall between $19.59 and $59.02 per claim (median: $32.75). The top 10% of payments exceed $86.40.
Based on per-provider averages across all Medicaid claims in this category.
Physical therapy helps restore movement and function when someone is affected by injury, illness, or disability. Includes exercises, manual therapy, and modalities.
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 Physical Therapy in Carlsbad, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pua Kapu
5050 Avenida Encinas |
$14.57 | 22,584 | 13,090 |
|
David C Boutelle
3070 Madison St |
$11.50 | 7,246 | 3,047 |
|
Tiffany Nicole Brijbag
2705 Avenida De Anita Apt 30 |
$102.98 | 5,344 | 913 |
|
Barbara Jean Boutelle/Carlsbad Physical Therapy
3070 Madison St |
$23.42 | 3,582 | 1,026 |
|
Mathew Uyeji
3070 Madison St |
$9.95 | 1,242 | 392 |
|
Juan Pablo Murcia
6884 Embarcadero Ln |
$27.57 | 589 | 459 |
|
Deveshma Maharaj
5870 El Camino Real Ste 101 |
$22.11 | 506 | 442 |
|
Jenifer Walsh
7524 Gibraltar St |
$18.76 | 319 | 231 |
|
Jacqueline Mcgee
3070 Madison St |
$17.53 | 153 | 60 |
|
Kevin Joyce
3219 Via Pescado |
$24.81 | 123 | 95 |
|
Barbara Jean Boutelle
3070 Madison St |
$27.16 | 90 | 44 |
|
Cory Parker
3070 Madison St |
$31.77 | 36 | 12 |
What to Expect: Physical Therapy
Physical therapy sessions typically last 30-60 minutes. Your first visit includes an evaluation where the therapist assesses your condition and creates a treatment plan. Sessions may include stretching, strengthening exercises, manual therapy, ultrasound, electrical stimulation, or heat/ice therapy. Most treatment plans involve 2-3 sessions per week for several weeks.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 97110 | Therapeutic exercises | $36.58 | 135,669,845 | 56,453 |
| 97530 | Therapeutic activities | $49.28 | 126,200,638 | 53,019 |
| 97140 | Manual therapy techniques | $19.55 | 45,357,985 | 26,587 |
| 97112 | Neuromuscular reeducation | $24.45 | 37,646,570 | 25,985 |
| 97535 | Self-care training | $72.94 | 21,914,840 | 7,790 |
| 97150 | Group therapeutic procedure | $58.98 | 10,916,093 | 6,468 |
| 97116 | Gait training therapy | $19.91 | 6,172,658 | 3,724 |
| 97161 | PT eval low complexity | $54.82 | 4,464,808 | 8,341 |
| 97162 | PT eval moderate complexity | $53.65 | 3,173,942 | 6,316 |
| 97124 | Therapeutic massage | $51.08 | 3,114,141 | 1,206 |
| 97113 | Aquatic therapy | $62.25 | 1,126,860 | 1,234 |
| 97165 | OT eval low complexity | $55.88 | 940,983 | 2,183 |
| 97164 | PT re-evaluation | $38.89 | 790,759 | 2,769 |
| 97163 | PT eval high complexity | $54.70 | 754,018 | 1,953 |
| 97166 | OT eval moderate complexity | $65.44 | 617,431 | 1,845 |
| 97167 | OT eval high complexity | $71.77 | 327,373 | 822 |
| 97168 | OT re-evaluation | $64.00 | 279,352 | 1,132 |
| 97542 | Wheelchair training | $30.27 | 252,292 | 394 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Physical Therapy cost in Carlsbad, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Carlsbad, CA is $26.35 per claim, based on 41,814 claims from 12 providers. Typical payments fall between $19.59 and $59.02. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Physical Therapy in Carlsbad, CA?
There are 12 Medicaid providers offering Physical Therapy related services in Carlsbad, CA according to public payment data.
What is the price range for Physical Therapy in Carlsbad, CA?
Medicaid reimbursement for Physical Therapy in Carlsbad, CA ranges from $9.95 to $102.98 per claim, with an average of $26.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Physical Therapy in Other Cities
Brooklyn, NY
Avg $36.50
12,339,597 claims · 1013 providers
New York, NY
Avg $39.29
5,089,280 claims · 527 providers
Phoenix, AZ
Avg $44.43
3,735,748 claims · 737 providers
Louisville, KY
Avg $91.42
3,677,814 claims · 454 providers
Miami, FL
Avg $41.78
3,470,277 claims · 402 providers
Bronx, NY
Avg $33.00
3,372,618 claims · 312 providers
Indianapolis, IN
Avg $33.23
2,875,864 claims · 404 providers
Las Vegas, NV
Avg $41.92
2,229,957 claims · 556 providers
Other Procedures in Carlsbad, CA
Durable Medical Equipment (DME)
Avg $31.42
271,397 claims
Dental Cleaning & Exam
Avg $47.87
241,744 claims
Office Visit
Avg $38.23
100,555 claims
Dental Filling
Avg $63.58
71,315 claims
Psychiatric Evaluation
Avg $30.20
67,149 claims
Behavioral & Mental Health Therapy
Avg $129.56
51,899 claims
Ambulance Transport
Avg $126.51
41,229 claims
Pathology & Lab Services
Avg $44.91
37,504 claims