Average Medicaid Physical Therapy Payments in Lake Forest, CA: $20.69
Avg. Paid
$20.69
Range
$0.00 – $69.68
Total Claims
27,941
Providers
12
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 Lake Forest, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Darren Terry
24432 Muirlands Blvd |
$12.81 | 11,613 | 5,939 |
|
Sara Ellen Oneill
22691 Lambert St Ste 502 |
$69.68 | 5,394 | 1,482 |
|
Isabel Rocio Hui
22722 Lambert St Ste 1709 |
$7.67 | 3,253 | 1,423 |
|
Ella Ashabi Acupuncture Inc.
23722 Birtcher Dr |
$1.76 | 2,890 | 1,043 |
|
Mobility Physical Therapy, Inc.
24551 Raymond Way Ste 125 |
$5.56 | 1,214 | 826 |
|
Whitney Plaster
22821 Lake Forest Dr Ste 115 |
$12.79 | 1,068 | 562 |
|
Stephanie Coe
20902 Bake Pkwy |
$0.00 | 907 | 275 |
|
Lori Lynn Roelofs
20902 Bake Pkwy |
$0.00 | 792 | 235 |
|
Coury & Buehler Physical Therapy - Lake Forest, Inc.
24301 Muirlands Blvd |
$2.00 | 333 | 100 |
|
Laura Ward
20412 Barents Sea Cir |
$0.00 | 232 | 102 |
|
El Toro Medical Investors Limited Partnership
25652 Old Trabuco Rd |
$12.63 | 188 | 25 |
|
Beverly Ann Weithman-Posey
23161 Lake Center Dr Ste 120 |
$0.00 | 57 | 50 |
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 Lake Forest, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Lake Forest, CA is $20.69 per claim, based on 27,941 claims from 12 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 Lake Forest, CA?
There are 12 Medicaid providers offering Physical Therapy related services in Lake Forest, CA according to public payment data.
What is the price range for Physical Therapy in Lake Forest, CA?
Medicaid reimbursement for Physical Therapy in Lake Forest, CA ranges from $0.00 to $69.68 per claim, with an average of $20.69. 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 Lake Forest, CA
Dental Cleaning & Exam
Avg $52.23
126,347 claims
Home Health Visit
Avg $201.47
75,765 claims
Office Visit
Avg $34.19
57,597 claims
Dental Filling
Avg $63.13
38,658 claims
Psychiatric Evaluation
Avg $110.80
29,555 claims
Vaccines & Immunizations
Avg $7.48
21,506 claims
Case Management Services
Avg $219.46
19,515 claims
Hearing Test (Audiometry)
Avg $12.08
12,534 claims