Average Medicaid Physical Therapy Payments in Merced, CA: $31.09
Avg. Paid
$31.09
Range
$1.90 – $62.37
Total Claims
426,908
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 Merced, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mario Kekona Sablan
330 E Yosemite Ave Ste 101 |
$12.52 | 17 | 12 |
|
Jereme Anderson
840 W Olive Ave Ste A |
$10.26 | 29 | 26 |
|
Charlie Loc Kano
127 W El Portal Dr |
$50.91 | 46 | 12 |
|
Maria Farrar
3349 G St Ste F |
$47.60 | 71 | 28 |
|
Hannah Lee
3184 Collins Dr |
$2.38 | 102 | 60 |
|
Abhilasha Sharma
847 W Childs Ave |
$62.37 | 208 | 56 |
|
Abner Michael Ward
3365 G St Ste 60 |
$47.43 | 268 | 74 |
|
Naseem Neon Beauchman
3329 G St Ste A |
$44.73 | 388 | 109 |
|
Antonio Hernandez
3327 M St |
$1.90 | 403 | 96 |
|
Katie Marie Meyer
315 Mercy Avenue Suite 400 |
$40.64 | 591 | 222 |
|
Megan Clare Kravec
424 E Yosemite Ave Ste C |
$26.98 | 834 | 460 |
|
Madeleine Hanneman
424 W Yosemite Ave Ste C |
$17.99 | 1,382 | 546 |
|
William Edson Mooneyham
570 Collins Dr |
$10.02 | 5,727 | 1,704 |
|
Robert T Walsh
570 Collins Dr |
$37.10 | 8,636 | 2,127 |
|
Dignity Health
333 Mercy Ave |
$38.15 | 25,212 | 9,386 |
|
Joseph Allen Klein
1180 W Olive Ave Ste I |
$26.72 | 31,315 | 9,507 |
|
Christopher Nicolas Di Redo
2808 Park Ave Ste B |
$23.33 | 38,642 | 11,323 |
|
Michelle Preston-Smith
3184 Collins Dr |
$34.82 | 47,944 | 15,703 |
|
Pinky M Parikh
2908 G St |
$25.18 | 127,608 | 27,279 |
|
Christie Bryant
1027 N Bryant Ct |
$37.75 | 137,485 | 34,058 |
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 Merced, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Merced, CA is $31.09 per claim, based on 426,908 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 Merced, CA?
There are 20 Medicaid providers offering Physical Therapy related services in Merced, CA according to public payment data.
What is the price range for Physical Therapy in Merced, CA?
Medicaid reimbursement for Physical Therapy in Merced, CA ranges from $1.90 to $62.37 per claim, with an average of $31.09. 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 Merced, CA
Office Visit
Avg $28.40
2,195,639 claims
Blood Work & Lab Tests
Avg $11.11
448,682 claims
Urinalysis & Urine Tests
Avg $3.09
310,116 claims
Vaccines & Immunizations
Avg $15.31
300,011 claims
Emergency Room Visit
Avg $84.49
249,697 claims
Dental Cleaning & Exam
Avg $51.73
249,023 claims
Substance Abuse Treatment
Avg $85.66
223,627 claims
Ambulance Transport
Avg $70.90
206,700 claims