Average Medicaid Physical Therapy Payments in Kailua Kona, HI: $29.06
Avg. Paid
$29.06
Range
$0.00 – $101.56
Total Claims
47,343
Providers
33
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 Kona, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gordon T. Dong
73-5590 Kauhola St Ste A |
$36.96 | 6,891 | 2,539 |
|
Brett Andrew Carey
75-5597 Palani Rd Ste A1 |
$0.00 | 6,193 | 2,047 |
|
Kelsey Gann
75-5699 Kopiko St |
$69.78 | 4,795 | 2,546 |
|
Tyler J Patrick
78-6831 Alii Dr |
$26.66 | 4,481 | 1,509 |
|
Katie J. Vitousek
75-5699 Kopiko St |
$3.79 | 3,486 | 1,246 |
|
Sarah Martens
75-5699 Kopiko St |
$14.60 | 2,460 | 635 |
|
Kathryn Click
75-165 Hualalai Rd |
$35.28 | 2,419 | 989 |
|
Rebecca Roberts
78-6831 Alii Dr Ste 420 |
$33.90 | 2,395 | 1,155 |
|
Daniel Edward Rick
75-5699 Kopiko St |
$30.63 | 2,237 | 886 |
|
Quinn Williams
73-5590 Kauhola St Ste A |
$28.80 | 1,876 | 787 |
|
Alexandra Grace Boger
75-233 Nani Kailua Dr Apt 120 |
$17.74 | 1,721 | 578 |
|
Jennifer Taylor
74-517 Honokohau St |
$25.81 | 1,313 | 523 |
|
Kristina M Smeragulio
76-147 Royal Poinciana Dr |
$71.53 | 1,220 | 605 |
|
Aaron James Dodson
74-5565 Luhia St |
$38.93 | 797 | 372 |
|
Jean Ruth Thompson
75-165 Hualalai Rd |
$0.00 | 707 | 263 |
|
Tara Lyn Riley
75-127 Lunapule Road |
$45.62 | 706 | 282 |
|
Bernadette Eva Schrempf
75-165 Hualalai Rd |
$0.00 | 430 | 148 |
|
Christopher Ryan Carlson
75-5699 Kopiko St |
$48.19 | 405 | 171 |
|
Genelle Botje
75-165 Hualalai Rd Ste 100 |
$27.74 | 387 | 173 |
|
William Harold Adkins
75-165 Hualalai Rd |
$22.58 | 375 | 150 |
|
Stephanie Colasanti
78-6831 Alii Dr Ste 420 |
$20.99 | 347 | 129 |
|
Kevin David Heinrich
75-5699 Kopiko St |
$30.42 | 328 | 77 |
|
Jordan Amanda Peoples
78-6831 Alii Dr Ste 420 |
$47.91 | 203 | 91 |
|
Amy Roseanne Hoogs
75-1029 Henry St |
$18.67 | 184 | 69 |
|
Anne L. Noble
75-5699 Kopiko St |
$30.83 | 184 | 84 |
|
Lora Lee Garrison
75-165 Hualalai Rd |
$53.07 | 170 | 59 |
|
Spencer Todd
73-5590 Kauhola St Ste A |
$48.03 | 169 | 145 |
|
Nandini Rampersaud
75-165 Hualalai Rd |
$42.47 | 148 | 109 |
|
Dana K Craig
75-5699 Kopiko St |
$33.10 | 125 | 49 |
|
Jo Ann Hiroshige
78-6957 Kamehameha Iii Rd |
$101.56 | 87 | 36 |
|
Carlen Koons
75-1029 Henry St Ste 101 |
$24.29 | 56 | 25 |
|
Wendy Young
75-165 Hualalai Rd. |
$33.40 | 34 | 12 |
|
Garrett Smith
75-184 Hualalai Rd # 302 |
$15.36 | 14 | 13 |
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 Kona, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Kailua Kona, HI is $29.06 per claim, based on 47,343 claims from 33 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 Kona, HI?
There are 33 Medicaid providers offering Physical Therapy related services in Kailua Kona, HI according to public payment data.
What is the price range for Physical Therapy in Kailua Kona, HI?
Medicaid reimbursement for Physical Therapy in Kailua Kona, HI ranges from $0.00 to $101.56 per claim, with an average of $29.06. 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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Office Visit
Avg $107.14
119,695 claims
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Avg $33.65
118,619 claims
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Avg $87.08
62,221 claims
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Avg $17.47
34,219 claims
Urinalysis & Urine Tests
Avg $0.79
26,345 claims
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Avg $51.00
26,097 claims
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Avg $4.15
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Avg $23.10
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