Average Medicaid Physical Therapy Payments in Kailua, HI: $30.58
Avg. Paid
$30.58
Range
$0.00 – $61.24
Total Claims
19,733
Providers
14
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 Kailua, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alton Choy
201 Hamakua Dr # C102 |
$48.74 | 35 | 26 |
|
Rie Takakura
407 Uluniu St |
$0.00 | 42 | 27 |
|
Mark K Iwasaki
1090 Keolu Dr |
$31.21 | 46 | 12 |
|
Bryson T Higa
407 Uluniu St Ste 301 |
$27.68 | 48 | 24 |
|
Nansie R Van Der Hout
354 Uluniu St |
$10.71 | 62 | 38 |
|
Kaylee Chiemi Tamura
201 Hamakua Dr # C102 |
$38.32 | 69 | 41 |
|
Jennifer Ann Grattan
407 Uluniu St Ste 301 |
$54.21 | 144 | 87 |
|
Myra Addenbrooke Marfori
407 Uluniu St Ste 301 |
$25.00 | 254 | 98 |
|
Lauren Lacerdo
2 Aarona Pl Ste 202 |
$0.00 | 292 | 130 |
|
Shaw Okawara
407 Uluniu St |
$26.55 | 450 | 196 |
|
Rachel Hyland
407 Uluniu St Ste 301 |
$50.19 | 535 | 233 |
|
Jo Eddins
354 Uluniu St Ste 100 |
$61.24 | 2,025 | 890 |
|
Janet Sue Barretta
155 Hamakua Dr Ste B |
$25.23 | 5,776 | 1,983 |
|
Castle Medical Center
640 Ulukahiki St |
$27.43 | 9,955 | 3,788 |
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 Kailua, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Kailua, HI is $30.58 per claim, based on 19,733 claims from 14 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 Kailua, HI?
There are 14 Medicaid providers offering Physical Therapy related services in Kailua, HI according to public payment data.
What is the price range for Physical Therapy in Kailua, HI?
Medicaid reimbursement for Physical Therapy in Kailua, HI ranges from $0.00 to $61.24 per claim, with an average of $30.58. 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 Kailua, HI
Emergency Room Visit
Avg $184.58
224,516 claims
Blood Work & Lab Tests
Avg $5.16
182,902 claims
Office Visit
Avg $49.94
150,243 claims
Dental Cleaning & Exam
Avg $39.32
51,636 claims
EKG / ECG (Electrocardiogram)
Avg $5.85
45,461 claims
X-Ray
Avg $8.80
36,089 claims
Urinalysis & Urine Tests
Avg $1.93
30,750 claims
Non-Emergency Medical Transportation
Avg $14.55
29,016 claims