Average Medicaid Physical Therapy Payments in Fullerton, CA: $18.15
Avg. Paid
$18.15
Range
$0.00 – $180.53
Total Claims
159,544
Providers
24
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 Fullerton, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nakisa Danyal Verdugo-Garcia
233 Orangefair Mall |
$112.00 | 42 | 13 |
|
Sarah Mercado
2501 E Chapman Ave |
$180.53 | 72 | 24 |
|
Cherlene Hung
2501 E Chapman Ave Ste 160 |
$14.03 | 139 | 138 |
|
Jong Soo Son
2132 Associated Rd Apt B |
$0.00 | 255 | 143 |
|
Majidreza Tabibzadeh
1300 E Wilshire Ave Apt 230 |
$23.28 | 371 | 233 |
|
Danielle Noriega-Jereza
233 Orangefair Mall |
$4.56 | 648 | 302 |
|
Richard Soung Bien
1401 S Brookhurst Rd |
$11.25 | 1,020 | 281 |
|
Noel Delgado
3806 W Valencia Dr Apt I |
$79.09 | 1,156 | 427 |
|
North Orange County Physical Rehabilitation, Inc
279 Imperial Hwy Ste 770 |
$13.53 | 1,180 | 885 |
|
Thu Vu
4200 Franklin Ave |
$24.39 | 1,297 | 421 |
|
One Promise Physical Therapy
1817 W Orangethorpe Ave |
$7.45 | 1,481 | 425 |
|
Mariella Ysobel Romero Timbang
423 Imperial Hwy |
$91.93 | 2,186 | 746 |
|
Cornerstone Acupuncture Clinic
150 Laguna Rd Ste A |
$44.80 | 2,389 | 1,594 |
|
John Nick Torres
1001 S Brookhurst Rd |
$5.85 | 2,643 | 633 |
|
Reekstin Enterprises Inc.
1027 N Harbor Blvd |
$6.79 | 3,665 | 1,057 |
|
Fullerton Healthcare, Inc.
2800 N Harbor Blvd |
$6.93 | 5,502 | 390 |
|
Windsor Gardens Healthcare Center Of Fullerton, Llc
245 E Wilshire Ave |
$13.51 | 6,481 | 556 |
|
Leah Catherine Loyd
2000 E Chapman Ave Ste 100 |
$12.96 | 7,042 | 3,142 |
|
James Blakemore
159 N Raymond Ave |
$10.75 | 7,421 | 4,737 |
|
Eugene You
1323 W Woodcrest Ave |
$26.85 | 11,262 | 5,361 |
|
Fullerton Healthcare & Wellness Centre, Lp
2222 N Harbor Blvd |
$12.36 | 12,107 | 1,261 |
|
Gordon Lane Healthcare Llc
1821 E Chapman Ave |
$12.00 | 15,176 | 1,571 |
|
Santa Catalina Healthcare, Inc.
245 E Wilshire Ave |
$9.42 | 23,561 | 1,622 |
|
St Jude Hospital Inc
101 E Valencia Mesa Dr |
$22.92 | 52,448 | 21,037 |
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 Fullerton, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Fullerton, CA is $18.15 per claim, based on 159,544 claims from 24 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 Fullerton, CA?
There are 24 Medicaid providers offering Physical Therapy related services in Fullerton, CA according to public payment data.
What is the price range for Physical Therapy in Fullerton, CA?
Medicaid reimbursement for Physical Therapy in Fullerton, CA ranges from $0.00 to $180.53 per claim, with an average of $18.15. 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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