Average Medicaid Physical Therapy Payments in Fairfield, CA: $22.14
Avg. Paid
$22.14
Range
$0.84 – $67.24
Total Claims
44,005
Providers
20
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 Fairfield, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Robert Martin
222 Acacia St |
$24.29 | 18,307 | 5,990 |
|
Napoleon Herrera Tepora
1101 B Gale Wilson Blvd |
$22.82 | 4,854 | 2,057 |
|
Lisa Marie Heller
3250 Rancho Solano Pkwy |
$23.89 | 4,307 | 1,614 |
|
Northbay Healthcare Group
1860 Pennsylvania Ave Ste 230 |
$2.55 | 3,520 | 1,420 |
|
Julie Ann Miller
801 Empire St |
$30.68 | 3,273 | 892 |
|
Annabelle Dilem
1101 B Gale Wilson Blvd |
$17.83 | 2,202 | 813 |
|
Curt K Osuga
2702 Low Ct |
$16.27 | 1,723 | 721 |
|
Sutter Valley Medical Foundation
2720 Low Ct |
$5.94 | 1,652 | 755 |
|
Douglas Hinton
1101 B Gale Wilson Blvd |
$24.89 | 1,357 | 383 |
|
Solano County Ccs
1895 Woolner Ave |
$33.07 | 749 | 505 |
|
Allison Elise Ringuette
2702 Low Ct |
$16.84 | 709 | 336 |
|
Tina Marie Blythe
2560 N Texas St Ste J |
$67.24 | 495 | 185 |
|
Kareen A Caragan
2702 Low Ct |
$19.79 | 320 | 129 |
|
Mark Anthony Rivera
2500 Hilborn Rd |
$33.55 | 174 | 112 |
|
Northbay Healthcare Group
1200 B Gale Wilson Blvd |
$47.00 | 170 | 146 |
|
Lori Rene Russell
2500 Hilborn Rd |
$43.92 | 75 | 38 |
|
Kristen Mary Judson
2702 Low Ct |
$19.21 | 41 | 26 |
|
Solano County Superintendent Of Schools
5100 Business Center Dr |
$40.44 | 36 | 15 |
|
Aaron Sok
648 Parisio Cir |
$1.60 | 28 | 24 |
|
Crystina Robin Santos
2702 Low Ct |
$0.84 | 13 | 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 Fairfield, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Fairfield, CA is $22.14 per claim, based on 44,005 claims from 20 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 Fairfield, CA?
There are 20 Medicaid providers offering Physical Therapy related services in Fairfield, CA according to public payment data.
What is the price range for Physical Therapy in Fairfield, CA?
Medicaid reimbursement for Physical Therapy in Fairfield, CA ranges from $0.84 to $67.24 per claim, with an average of $22.14. 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
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