Average Medicaid Physical Therapy Payments in Mission Viejo, CA: $10.15
Avg. Paid
$10.15
Range
$0.00 – $76.49
Total Claims
43,517
Providers
21
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 Mission Viejo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
D. Beth Philipp
23361 Madero |
$34.76 | 28 | 13 |
|
Richards Physical Therapy Inc
26471 Crown Valley Pkwy |
$0.89 | 46 | 12 |
|
Jasmine Duyen Anh Nguyen
22965 Oakstone |
$0.36 | 124 | 69 |
|
Andrew Lin
26932 Oso Pkwy Ste 260 |
$0.00 | 145 | 119 |
|
Alexandra Maria Reuland
26932 Oso Pkwy Ste 260 |
$0.00 | 172 | 126 |
|
Kathleen Wachter
23361 Madero |
$1.76 | 202 | 81 |
|
Eleonora S. Spokoyny M.D., Inc.
25982 Pala |
$0.22 | 224 | 52 |
|
George C Stablein
23781 Maquina |
$15.96 | 260 | 123 |
|
Lisa Ann Cummings
26651 Avenida Deseo |
$21.33 | 355 | 134 |
|
Petra S Place
25982 Pala |
$76.49 | 378 | 144 |
|
Allison L Anady
26932 Oso Pkwy Ste 260 |
$0.00 | 399 | 267 |
|
Scott Moncrief
26932 Oso Pkwy |
$0.00 | 455 | 333 |
|
Helen Slama
27193 Via Aurora |
$0.00 | 1,523 | 729 |
|
Mission Hospital Regional Medical Center
27700 Medical Center Rd |
$0.00 | 1,778 | 493 |
|
California Rehabilitation & Sports Therapy A California Physical Ther
26302 La Paz Rd |
$4.75 | 1,804 | 633 |
|
Kai Sebastian Brown
26471 Crown Valley Pkwy Ste 102 |
$33.70 | 2,141 | 687 |
|
Mission Hospital Regional Medical Center
27700 Medical Center Rd |
$26.71 | 3,963 | 1,023 |
|
John William Santos
27725 Santa Margarita Pkwy |
$0.00 | 5,309 | 649 |
|
Carlos Alfredo Lavayen
26691 Plaza Drive Ste 205 |
$1.51 | 6,153 | 3,293 |
|
Mission Hospital Regional Medical Center
27700 Medical Center Rd |
$0.85 | 6,762 | 2,272 |
|
Waterfront Fitness & Nutrition
27725 Santa Margarita Pkwy Ste 210 |
$17.52 | 11,296 | 1,383 |
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 Mission Viejo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Mission Viejo, CA is $10.15 per claim, based on 43,517 claims from 21 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 Mission Viejo, CA?
There are 21 Medicaid providers offering Physical Therapy related services in Mission Viejo, CA according to public payment data.
What is the price range for Physical Therapy in Mission Viejo, CA?
Medicaid reimbursement for Physical Therapy in Mission Viejo, CA ranges from $0.00 to $76.49 per claim, with an average of $10.15. 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 Mission Viejo, CA
Office Visit
Avg $48.74
366,207 claims
Blood Work & Lab Tests
Avg $6.01
185,160 claims
X-Ray
Avg $7.43
112,984 claims
Urinalysis & Urine Tests
Avg $1.98
102,641 claims
Psychiatric Evaluation
Avg $59.33
80,891 claims
Eye Exam
Avg $28.87
68,595 claims
Emergency Room Visit
Avg $76.89
68,153 claims
CT Scan (Computed Tomography)
Avg $50.15
67,005 claims