Average Medicaid Physical Therapy Payments in Modesto, CA: $26.45
Avg. Paid
$26.45
Range
$6.30 – $48.26
Total Claims
700,100
Providers
44
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 Modesto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Golden Bear Physical Therapy Sports Injury Center, Inc
4318 Spyres Way |
$23.82 | 201,827 | 88,410 |
|
Adam Pike
4318 Spyres Way |
$24.64 | 85,374 | 39,499 |
|
Hailey K. Himes
609 E Orangeburg Ave |
$34.01 | 73,531 | 24,727 |
|
John Wesley Heller
4318 Spyres Way |
$24.29 | 38,476 | 18,266 |
|
Tim Fernandes
4318 Spyres Way |
$26.02 | 34,197 | 13,726 |
|
Mark A Zamora
1429 College Ave |
$26.64 | 32,972 | 10,009 |
|
Sarah Colleen Dirksen
4318 Spyres Way |
$23.82 | 28,627 | 11,222 |
|
Anne Marie Fultz
830 Scenic Dr |
$38.23 | 27,737 | 10,000 |
|
Jon Ryan Aycock
3500 Coffee Rd Ste 3 |
$24.89 | 27,103 | 11,067 |
|
Rebecca Joy Van Klaveren
4318 Spyres Way |
$25.13 | 23,181 | 9,985 |
|
Michael E Holmes
1533 Oakdale Rd |
$27.32 | 22,407 | 9,406 |
|
Kristina Leddon
4318 Spyres Way |
$30.51 | 19,719 | 10,498 |
|
Melody Stephens
4318 Spyres Way |
$27.10 | 16,229 | 5,346 |
|
Steve Toy
1335 Coffee Rd Ste 200 |
$20.05 | 15,154 | 6,208 |
|
Brandon Nan
4318 Spyres Way |
$26.93 | 10,218 | 7,670 |
|
Biosport Physical Therapy Inc
4341 Spyres Way |
$22.56 | 9,154 | 3,459 |
|
Bobby Ismail
4318 Spyres Way |
$26.38 | 5,433 | 3,260 |
|
County Of Stanislaus
830 Scenic Dr |
$26.72 | 4,616 | 1,356 |
|
Wesley Matthew Tresenriter
1524 Mchenry Ave Ste 330 |
$29.12 | 4,288 | 1,514 |
|
Carolyn Levesey Pease
609 E Orangeburg Ave |
$31.98 | 3,977 | 1,894 |
|
George Bruce Homan
950 Oakdale Rd Ste F |
$23.25 | 2,953 | 1,291 |
|
Sarah Lund
2119 E Hatch Rd |
$25.44 | 2,946 | 1,436 |
|
Stanislaus Orthopaedic And Sports Medicine Clinic
609 E Orangeburg Ave |
$48.26 | 2,272 | 660 |
|
Abha A Pohwani
4660 Spyres Way |
$26.32 | 1,929 | 1,135 |
|
Richard Russell Cox
700 17Th St |
$36.48 | 1,260 | 1,245 |
|
Erin Morley
4318 Spyres Way |
$27.63 | 886 | 525 |
|
Nicholas Alexander Clay
1917 Coffee Rd |
$17.54 | 821 | 373 |
|
Prisco Sawal Sinfuego
2119 E Hatch Rd Ste A |
$17.10 | 754 | 511 |
|
Spencer Morley
4318 Spyres Way |
$20.40 | 556 | 410 |
|
California Physical, Occupational, Speech And Hand Therapy, Inc.
1539 Mchenry Ave |
$20.95 | 316 | 82 |
|
Jonathan Lyle Andersen
3500 Coffee Rd |
$6.30 | 272 | 74 |
|
Yoon Kim
1303 Mable Ave |
$19.83 | 249 | 114 |
|
Kathleen M Clarke
830 Scenic Dr |
$29.36 | 109 | 80 |
|
County Of Stanislaus
1524 Mchenry Ave Ste 300 |
$40.78 | 84 | 44 |
|
Jeffery John Steckler
4660 Spyres Way |
$17.81 | 83 | 38 |
|
Jonathan Canton
609 E Orangeburg Ave Ste 201 |
$24.31 | 82 | 39 |
|
John Joseph Casey
609 E Orangeburg Ave |
$26.88 | 69 | 16 |
|
Michael B Purnell
1335 Coffee Rd |
$16.10 | 49 | 12 |
|
Doctors Medical Center Of Modesto, Inc.
1441 Florida Ave |
$19.22 | 44 | 43 |
|
William J Holmes
1335 Coffee Rd |
$28.13 | 36 | 12 |
|
Belisena Hall
4601 Dale Rd |
$17.03 | 33 | 27 |
|
Tyler Finfrock
4028 Dale Rd |
$46.23 | 32 | 24 |
|
Pamela Carter
730 17Th St |
$34.84 | 29 | 27 |
|
Manuel Cotta
4601 Dale Rd |
$40.62 | 16 | 14 |
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 Modesto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Modesto, CA is $26.45 per claim, based on 700,100 claims from 44 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 Modesto, CA?
There are 44 Medicaid providers offering Physical Therapy related services in Modesto, CA according to public payment data.
What is the price range for Physical Therapy in Modesto, CA?
Medicaid reimbursement for Physical Therapy in Modesto, CA ranges from $6.30 to $48.26 per claim, with an average of $26.45. 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 Modesto, CA
Office Visit
Avg $28.79
2,335,494 claims
Blood Work & Lab Tests
Avg $7.39
1,231,704 claims
Substance Abuse Treatment
Avg $58.76
737,923 claims
Emergency Room Visit
Avg $82.65
624,564 claims
Dental Cleaning & Exam
Avg $51.91
543,449 claims
Urinalysis & Urine Tests
Avg $2.49
526,756 claims
Vaccines & Immunizations
Avg $8.27
517,898 claims
X-Ray
Avg $25.33
516,185 claims