Average Medicaid Physical Therapy Payments in Laguna Hills, CA: $9.05
Avg. Paid
$9.05
Range
$0.00 – $75.00
Total Claims
76,165
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 Laguna Hills, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gate Three Healthcare Llc
24962 Calle Aragon |
$8.60 | 34,969 | 2,664 |
|
Sarah Mathew
24953 Paseo De Valencia Ste 8C |
$19.72 | 13,025 | 2,267 |
|
Susie Elaine Rudzik
24012 Calle De La Plata |
$0.00 | 10,339 | 3,143 |
|
Ag Laguna Hills, Llc
24452 Health Center Drive |
$13.77 | 5,321 | 566 |
|
Linda M Fitzgerald
23595 Moulton Pkwy Ste E |
$3.71 | 4,350 | 2,575 |
|
Angelina Marie Arturo
23595 Moulton Pkwy Ste E |
$0.01 | 3,501 | 2,176 |
|
Rommel Bantog Dijon
23232 Peralta Dr |
$9.96 | 1,902 | 547 |
|
Complete Balance Solution Institute Of Physiotherapy Inc
23141 Moulton Pkwy Ste 111 |
$2.62 | 788 | 246 |
|
Pure Pediatric Therapy Inc
24422 Avenida De La Carlota |
$0.00 | 519 | 178 |
|
Elizabeth Ann Benowitz Koren
24422 Avenida De La Carlota |
$0.00 | 454 | 116 |
|
Steven Jon Costales
24741 Alicia Pkwy Ste D |
$0.00 | 204 | 140 |
|
Airee Kim
23521 Paseo De Valencia Ste 110 |
$35.12 | 138 | 106 |
|
Saddleback Memorial Medical Center
24451 Health Center Dr |
$8.34 | 115 | 62 |
|
Michael Gavino
25201 Paseo De Alicia Ste 110 |
$46.01 | 106 | 69 |
|
Carmen Soto
25201 Paseo De Alicia Ste 110 |
$38.10 | 97 | 53 |
|
Jennifer Denise Carman
23521 Paseo De Valencia |
$0.00 | 88 | 24 |
|
Steve J Costales Chiropractic Inc
24741 Alicia Pkwy |
$1.61 | 84 | 49 |
|
Tessa Burton
25201 Paseo De Alicia |
$41.48 | 80 | 56 |
|
Hussien Saab
23141 Verdugo Dr Ste 201 |
$75.00 | 48 | 12 |
|
Shaun S Torbati
23232 Peralta Dr Ste 113 |
$6.83 | 37 | 33 |
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 Laguna Hills, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Laguna Hills, CA is $9.05 per claim, based on 76,165 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 Laguna Hills, CA?
There are 20 Medicaid providers offering Physical Therapy related services in Laguna Hills, CA according to public payment data.
What is the price range for Physical Therapy in Laguna Hills, CA?
Medicaid reimbursement for Physical Therapy in Laguna Hills, CA ranges from $0.00 to $75.00 per claim, with an average of $9.05. 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 Laguna Hills, CA
Office Visit
Avg $46.97
261,023 claims
Behavioral & Mental Health Therapy
Avg $112.80
128,538 claims
Blood Work & Lab Tests
Avg $3.27
108,539 claims
X-Ray
Avg $4.85
63,422 claims
Psychiatric Evaluation
Avg $73.59
59,483 claims
Emergency Room Visit
Avg $51.53
58,477 claims
EKG / ECG (Electrocardiogram)
Avg $9.37
55,963 claims
Substance Abuse Treatment
Avg $90.88
37,423 claims