Average Medicaid Physical Therapy Payments in Los Lunas, NM: $45.15
Avg. Paid
$45.15
Range
$0.00 – $87.43
Total Claims
59,221
Providers
22
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 Los Lunas, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Donald J Sanchez
535 Us Highway 314, Sw |
$47.59 | 11,309 | 6,123 |
|
Jason Carlos Sedillo
535 Hwy 314 Sw |
$50.31 | 7,760 | 2,659 |
|
Steve P. Waghorn
535 Highway 314 Sw |
$51.43 | 6,578 | 2,946 |
|
Jacob Covell
535 Hwy 314 Sw |
$43.36 | 5,839 | 2,443 |
|
Danya Martinez
119 Luna St Se |
$21.98 | 5,514 | 2,421 |
|
Antonio Gabriel Valdez
535 Highway 314 Sw |
$45.80 | 4,874 | 2,196 |
|
Mercedes Van Meter
1400 Main St Nw Ste I |
$31.59 | 4,706 | 2,129 |
|
Ben Makanamaikalani Gonzalez
535 Hwy 314 Sw |
$48.30 | 3,068 | 1,169 |
|
Erin J Aragon
535 Hwy 314 Sw |
$59.05 | 2,457 | 832 |
|
David Adrian Garcia
535 Hwy 314 Sw |
$63.84 | 2,230 | 828 |
|
Claire B Shores
535 Highway 314 Sw |
$54.76 | 1,413 | 559 |
|
Jake Theis
535 Highway 314 Sw |
$47.23 | 1,101 | 421 |
|
Gretel Veach
1772 Valle Vista Rd Nw |
$87.43 | 660 | 255 |
|
Leanne Hands
1460 Los Lentes Rd Ne |
$0.00 | 453 | 206 |
|
Toni A. Martinez
336 Luna Ave |
$28.66 | 315 | 120 |
|
Nicole Aurand-Andes
24 Frances Rd |
$16.77 | 269 | 162 |
|
Jonathan Esquibel
119 Luna Ave Se |
$20.10 | 251 | 92 |
|
Sumita Shankar
2881 Clear Sky St Sw |
$27.18 | 142 | 49 |
|
Patrick E Vigil
535 Highway 314 Sw |
$63.78 | 113 | 51 |
|
James C. Lowder
Ll Schools |
$17.11 | 68 | 24 |
|
John O'Dell Tucker
535 Highway 314 Sw |
$73.89 | 60 | 19 |
|
Paradigm Physical Therapy And Wellness Inc
535 Us Highway 314, Sw |
$59.90 | 41 | 16 |
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 Los Lunas, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Los Lunas, NM is $45.15 per claim, based on 59,221 claims from 22 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 Los Lunas, NM?
There are 22 Medicaid providers offering Physical Therapy related services in Los Lunas, NM according to public payment data.
What is the price range for Physical Therapy in Los Lunas, NM?
Medicaid reimbursement for Physical Therapy in Los Lunas, NM ranges from $0.00 to $87.43 per claim, with an average of $45.15. 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
Other Procedures in Los Lunas, NM
Home Health Visit
Avg $70.07
131,524 claims
Office Visit
Avg $79.99
105,742 claims
Non-Emergency Medical Transportation
Avg $31.37
83,257 claims
Psychiatric Evaluation
Avg $99.48
70,587 claims
Personal Care Services
Avg $97.02
65,069 claims
Dental Cleaning & Exam
Avg $38.48
36,264 claims
Case Management Services
Avg $202.77
35,088 claims
Speech Therapy
Avg $32.63
30,557 claims