Average Medicaid Physical Therapy Payments in San Clemente, CA: $13.65
Avg. Paid
$13.65
Range
$0.00 – $55.35
Total Claims
33,188
Providers
15
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 San Clemente, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelly Yang
653 Camino De Los Mares Ste 110 |
$10.26 | 15,574 | 5,088 |
|
Tim David Cowell
901 Calle Amanecer Ste 320 |
$0.00 | 7,153 | 2,958 |
|
Ansley Colebank
1031 Avenida Pico Ste 201 |
$55.35 | 2,824 | 974 |
|
Macy Fraser Clark
1000 Calle Amanecer |
$31.18 | 2,574 | 1,031 |
|
Dawn Lynn Marthis
653 Camino De Los Mares |
$31.17 | 1,264 | 1,209 |
|
Beach Kids Therapy Center, Inc.
1000 Calle Amanecer |
$0.00 | 987 | 223 |
|
Julie V Crutchfield
1120 Via Callejon |
$0.00 | 768 | 270 |
|
Wee Thrive Pediatric Therapy Group
1031 Avenida Pico |
$0.00 | 650 | 159 |
|
Rima Arsenault
1031 Avenida Pico Ste 201 |
$0.00 | 510 | 182 |
|
Kimberly Faith Adler
1120 Via Callejon |
$21.81 | 336 | 165 |
|
Alexander Edward Christian
653 Camino De Los Mares Ste 110 |
$23.07 | 233 | 147 |
|
Drew Matthew Lemay
2501 S El Camino Real |
$17.04 | 172 | 74 |
|
Frances Brillante
653 Camino De Los Mares Ste 110 |
$18.96 | 65 | 30 |
|
Sarah Kristine Little
970 Calle Amanecer Ste 100 |
$0.00 | 59 | 31 |
|
Cynthia Lay
901 Calle Amanecer Ste 320 |
$25.11 | 19 | 12 |
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 San Clemente, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in San Clemente, CA is $13.65 per claim, based on 33,188 claims from 15 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 San Clemente, CA?
There are 15 Medicaid providers offering Physical Therapy related services in San Clemente, CA according to public payment data.
What is the price range for Physical Therapy in San Clemente, CA?
Medicaid reimbursement for Physical Therapy in San Clemente, CA ranges from $0.00 to $55.35 per claim, with an average of $13.65. 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 San Clemente, CA
Office Visit
Avg $29.87
104,118 claims
Dental Cleaning & Exam
Avg $55.07
51,222 claims
Eye Exam
Avg $16.36
13,818 claims
Psychiatric Evaluation
Avg $116.08
11,937 claims
Emergency Room Visit
Avg $81.28
11,090 claims
Dental Filling
Avg $64.97
10,671 claims
Vaccines & Immunizations
Avg $7.68
7,687 claims
Chiropractic Care
Avg $7.55
7,549 claims