Average Medicaid Physical Therapy Payments in Pleasanton, CA: $34.23
Avg. Paid
$34.23
Range
$5.10 – $170.00
Total Claims
73,530
Providers
19
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 Pleasanton, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carlo Alviar De Leon
5720 Stoneridge Mall Rd |
$14.36 | 14 | 13 |
|
Naomi Patel
4626 Willow Rd |
$15.31 | 16 | 13 |
|
Ambarene Khader
4133 Mohr Ave Ste F |
$22.81 | 32 | 29 |
|
Christopher Cousens
4456 Black Ave Ste 150 |
$5.10 | 49 | 38 |
|
Zaira Penaloza
6701 Koll Center Pkwy Ste 250 |
$139.11 | 58 | 26 |
|
Fnu Shilpa
5976 W Las Positas Blvd Ste 110 |
$57.24 | 83 | 51 |
|
Elyse Marissa Schenker
300 Neal St |
$167.16 | 364 | 150 |
|
Guardian Home Health Care & Hospice, Inc
6601 Owens Drive |
$170.00 | 587 | 137 |
|
Neethu Moosariparambil Joseph
4456 Black Ave Ste 150 |
$32.46 | 760 | 333 |
|
Rita Reid
4456 Black Ave |
$37.28 | 772 | 371 |
|
Pleasanton Unified School Dist
4661 Bernal Ave |
$47.82 | 787 | 237 |
|
Apurva Ambekar
4626 Willow Rd |
$87.22 | 813 | 317 |
|
Chandni Ayushyaman Suba
4626 Willow Rd Ste 200 |
$39.09 | 1,017 | 409 |
|
Apoorva Phadke
5976 W Las Positas Blvd Ste 110 |
$54.03 | 1,355 | 571 |
|
Matthew Thomas Wollaston
3128 Santa Rita Rd |
$20.26 | 1,673 | 866 |
|
Stanford Health Care Tri-Valley
5555 W Las Positas Blvd |
$14.60 | 4,905 | 2,050 |
|
Jared Descoteaux
5980 Stoneridge Dr |
$27.05 | 8,999 | 3,484 |
|
Michael Dayton
5976 W Las Positas Blvd Ste 110 |
$34.42 | 14,919 | 6,290 |
|
Hiten Y Dave
3120 Santa Rita Rd |
$33.16 | 36,327 | 16,767 |
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 Pleasanton, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Pleasanton, CA is $34.23 per claim, based on 73,530 claims from 19 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 Pleasanton, CA?
There are 19 Medicaid providers offering Physical Therapy related services in Pleasanton, CA according to public payment data.
What is the price range for Physical Therapy in Pleasanton, CA?
Medicaid reimbursement for Physical Therapy in Pleasanton, CA ranges from $5.10 to $170.00 per claim, with an average of $34.23. 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 Pleasanton, CA
Office Visit
Avg $33.17
388,049 claims
Emergency Room Visit
Avg $59.54
111,107 claims
Blood Work & Lab Tests
Avg $11.30
88,625 claims
Dental Cleaning & Exam
Avg $55.53
70,875 claims
Behavioral & Mental Health Therapy
Avg $163.21
59,315 claims
Home Health Visit
Avg $170.03
56,001 claims
EKG / ECG (Electrocardiogram)
Avg $12.58
47,696 claims
Vaccines & Immunizations
Avg $7.71
42,202 claims