Average Medicaid Physical Therapy Payments in Carlsbad, NM: $40.90
Avg. Paid
$40.90
Range
$9.95 – $126.80
Total Claims
62,519
Providers
17
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, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Benjamin Freston
126 S Canyon St |
$44.60 | 15,704 | 4,391 |
|
Mary Tomas
406 N Alameda St |
$23.06 | 11,263 | 5,070 |
|
Carlsbad Medical Center Llc
2430 W Pierce St |
$52.35 | 10,144 | 3,259 |
|
Christopher Anthony Grossman
1905 W Pierce St |
$30.47 | 6,278 | 2,450 |
|
Nicholas Suardi
126 S Canyon St |
$48.74 | 5,219 | 1,563 |
|
Bridget Colleen Mattes
126 S Canyon St |
$48.90 | 3,274 | 1,056 |
|
Elizabeth Weed
126 S Canyon St |
$38.10 | 2,099 | 716 |
|
Paxton Henry Clark
126 S Canyon St |
$39.28 | 2,022 | 611 |
|
Lauren Miterko
126 S Canyon St |
$39.95 | 1,667 | 594 |
|
Alexandra Cooper
126 S Canyon St |
$23.10 | 1,389 | 605 |
|
Elsa A Paez
1905 W Pierce St |
$126.80 | 1,023 | 390 |
|
Emily Grambo
408 N Canyon St |
$21.14 | 851 | 407 |
|
Sydney Katherine Skarda
700 W Stevens St |
$26.79 | 826 | 395 |
|
Makayla Chain
126 S Canyon St |
$61.80 | 322 | 104 |
|
Lakeview Christian Home Of The Southwest, Inc.
1300 N Canal St |
$9.95 | 255 | 36 |
|
Gustavo Barrazueta
2402 W Pierce St Ste 6E |
$60.62 | 149 | 40 |
|
Helene Lynne Kehrman
1807 Radio Blvd |
$21.49 | 34 | 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, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Carlsbad, NM is $40.90 per claim, based on 62,519 claims from 17 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, NM?
There are 17 Medicaid providers offering Physical Therapy related services in Carlsbad, NM according to public payment data.
What is the price range for Physical Therapy in Carlsbad, NM?
Medicaid reimbursement for Physical Therapy in Carlsbad, NM ranges from $9.95 to $126.80 per claim, with an average of $40.90. 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, NM
Office Visit
Avg $83.99
249,698 claims
Blood Work & Lab Tests
Avg $9.83
159,944 claims
Emergency Room Visit
Avg $154.57
66,228 claims
Vaccines & Immunizations
Avg $22.96
54,144 claims
Home Health Visit
Avg $89.25
49,547 claims
Dental Cleaning & Exam
Avg $31.18
45,594 claims
Urinalysis & Urine Tests
Avg $4.79
39,483 claims
X-Ray
Avg $63.76
21,716 claims