Average Medicaid Physical Therapy Payments in Newport Beach, CA: $11.27
Avg. Paid
$11.27
Range
$0.00 – $30.30
Total Claims
64,592
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 Newport Beach, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alisha Soham Joshi
3300 Irvine Ave. |
$2.55 | 13,828 | 6,939 |
|
Hands On Rehab & Aquatics
1601 Dove St. Suite 242 |
$19.75 | 12,890 | 3,026 |
|
Hoag Memorial Hospital Presbyterian
One Hoag Drive |
$11.47 | 11,359 | 4,400 |
|
Ssc Newport Beach Operating Company Lp
466 Flagship Rd |
$11.82 | 9,624 | 1,006 |
|
Chung Oh
441 Old Newport Blvd |
$19.88 | 5,829 | 2,855 |
|
Kendall Marie Pokorski
351 Hospital Rd |
$0.00 | 2,103 | 1,257 |
|
Newport Mesa Audiology Inc
500 Old Newport Boulevard |
$6.62 | 1,486 | 569 |
|
Norway Maple Holdings, Llc
1445 Superior Ave |
$10.99 | 1,457 | 160 |
|
Howard T Mango
500 Old Newport Blvd |
$4.07 | 1,009 | 323 |
|
Abagail Nicole Simpson
3300 Irvine Ave Ste 130 |
$19.74 | 918 | 401 |
|
Diana Le Diec
3723 Birch St Ste 7 |
$0.00 | 830 | 456 |
|
Kristen Alyssa Nelson
351 Hospital Rd, Suite 007 |
$0.00 | 750 | 338 |
|
Md Health Clinics
1000 Quail St Ste 160 |
$18.11 | 741 | 254 |
|
Timothy Bryant Hornak
200 Newport Center Dr Ste 213 |
$0.00 | 409 | 130 |
|
Danielle Gordon
351 Hospital Rd Ste 7 |
$0.00 | 380 | 207 |
|
Abigail D Johnson
1601 Dove St Ste 242 |
$24.63 | 269 | 158 |
|
Edward Cornejo
1600 Dove St Ste 320 |
$12.85 | 205 | 174 |
|
Flagship Post Acute Llc
466 Flagship Rd |
$0.23 | 172 | 12 |
|
Kelly Knowles
22 Corporate Plaza Dr Ste 113 |
$30.08 | 99 | 85 |
|
Laguna Beach Rehab, Inc.
1441 Avocado Ave Ste 307 |
$0.00 | 86 | 36 |
|
Shawn Jeffrey Mead
1600 Dove St Ste 100 |
$25.01 | 75 | 24 |
|
Paul Santos
3300 Irvine Ave Ste 130 |
$30.30 | 73 | 62 |
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 Newport Beach, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Newport Beach, CA is $11.27 per claim, based on 64,592 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 Newport Beach, CA?
There are 22 Medicaid providers offering Physical Therapy related services in Newport Beach, CA according to public payment data.
What is the price range for Physical Therapy in Newport Beach, CA?
Medicaid reimbursement for Physical Therapy in Newport Beach, CA ranges from $0.00 to $30.30 per claim, with an average of $11.27. 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 Newport Beach, CA
Blood Work & Lab Tests
Avg $5.13
597,957 claims
Office Visit
Avg $40.13
588,212 claims
Psychiatric Evaluation
Avg $66.36
203,664 claims
X-Ray
Avg $7.34
200,548 claims
Urinalysis & Urine Tests
Avg $1.42
156,495 claims
Emergency Room Visit
Avg $59.27
135,511 claims
EKG / ECG (Electrocardiogram)
Avg $12.53
84,997 claims
CT Scan (Computed Tomography)
Avg $58.52
75,781 claims