Average Medicaid Physical Therapy Payments in San Jose, CA: $20.17
Avg. Paid
$20.17
Range
$0.00 – $108.19
Total Claims
391,208
Providers
88
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 Jose, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ramachandra Raju Mantena
2324 Montpelier Dr |
$16.52 | 117,544 | 28,192 |
|
Beatriz Mares
751 S Bascom Ave |
$41.25 | 53,054 | 19,558 |
|
County Of Santa Clara
751 S. Bascom Avenue |
$16.96 | 49,226 | 28,506 |
|
Casavina Foundation Corp
2501 Alvin Ave |
$9.93 | 31,381 | 3,569 |
|
Skyline San Jose Operating Company, Lp
2065 Forest Ave |
$14.92 | 20,481 | 2,530 |
|
Timothy James Hornak
25 N 14Th St |
$8.36 | 12,923 | 5,014 |
|
Sashikant Brahmbhatt
2680 S White Rd Ste 200 |
$0.18 | 12,373 | 6,376 |
|
Gustavo Paradiz
125 N Jackson Ave |
$0.64 | 10,469 | 5,584 |
|
Jennifer Lynn Davis
2262 N 1St St |
$15.71 | 10,437 | 2,931 |
|
Chelsey Leigh Claassen
4205 San Felipe Rd Ste 100 |
$25.69 | 8,229 | 2,853 |
|
Jinjian Chen
55 N 13Th St |
$2.46 | 6,193 | 2,159 |
|
Lana Alagood
3700 Casa Verde St |
$57.10 | 5,799 | 2,093 |
|
Brian Robert Williamson
1505 Meridian Ave |
$15.03 | 5,649 | 2,043 |
|
Dominic Baiocco
4205 San Felipe Rd Ste 100 |
$34.48 | 3,692 | 1,454 |
|
Erin Nicole Carder-Mccoy
2001 The Alameda |
$88.61 | 3,168 | 885 |
|
Dragonfruit Holdings, Llc
180 N Jackson Ave |
$17.56 | 2,832 | 366 |
|
Priscilla Julian
826 N Winchester Blvd Ste 2G |
$27.19 | 2,609 | 627 |
|
Westgate Premier Healthcare Services, Inc.
1601 Petersen Ave |
$18.26 | 2,522 | 353 |
|
Ghc Of San Jose, Llc
120 Jose Figueres Ave |
$40.46 | 2,432 | 275 |
|
Kavita Patel
2262 N 1St St |
$18.71 | 1,739 | 469 |
|
Jenny Sweeney
3276 Pomerado Dr |
$98.80 | 1,622 | 613 |
|
Melissa Thompson
1420 Koll Cir |
$98.43 | 1,615 | 468 |
|
Nina Caudill
826 N Winchester Blvd Ste 2G |
$16.11 | 1,482 | 498 |
|
Stuart R Katzman
1624 E. Capitol Expressway |
$0.13 | 1,431 | 462 |
|
O'Connor Hospital
2105 Forest Ave |
$6.86 | 1,343 | 433 |
|
Tuyen Ngoc Ngo
1865 Alum Rock Ave |
$0.00 | 1,320 | 406 |
|
Alexis Sepulveda
685 Coleman Ave |
$26.75 | 1,269 | 682 |
|
Christopher Doi
2262 N 1St St |
$19.35 | 1,029 | 325 |
|
Meghana Makani
2680 S White Rd Ste 200 |
$0.20 | 993 | 648 |
|
Jennifer Lynn Hurley
112 S Morrison Ave |
$65.47 | 926 | 321 |
|
Sam Vincent Campanelli
2262 N 1St St |
$13.03 | 829 | 252 |
|
Empress Care Center, Llc
1299 S Bascom Ave |
$8.68 | 828 | 61 |
|
Vidhi Patel
2680 S White Rd Ste 200 |
$0.13 | 785 | 441 |
|
Good Samaritan Hospital, L.P.
2425 Samaritan Dr |
$78.63 | 777 | 321 |
|
Jamil Juan
2680 S White Rd Ste 200 |
$0.13 | 737 | 357 |
|
Neha Dinesh Chauhan
3473 N 1St St Apt 489 |
$35.55 | 688 | 153 |
|
Poonam Hajare Menezes
2262 N 1St St |
$18.65 | 683 | 220 |
|
Marie Angela Bayron Pagdanganan
2680 S White Rd Ste 200 |
$0.12 | 667 | 461 |
|
Jeana Marie Edwards
300 S 11Th St |
$0.00 | 639 | 440 |
|
Kim Alexis Mercado Edralin
2680 S White Rd Ste 200 |
$0.24 | 636 | 414 |
|
Alipit Habawel
2680 S White Rd Ste 200 |
$0.14 | 605 | 354 |
|
Wen-Chi Yang
1479 Saratoga Ave |
$43.17 | 578 | 279 |
|
Almaden Operating Company, Lp
2065 Los Gatos Almaden Rd |
$14.69 | 525 | 70 |
|
Tung Thanh Nguyen
621 Tully Rd |
$0.68 | 501 | 252 |
|
Thomas Gallardo
135 N Jackson Ave Ste 201 |
$0.00 | 420 | 132 |
|
Madison Marie Rozycki
2109 Otoole Ave Ste M |
$0.00 | 412 | 107 |
|
Glacier Bay Holdings Llc
1601 Petersen Ave |
$22.82 | 374 | 42 |
|
Rachael Lewin
270 International Cir Bldg 3 |
$6.74 | 348 | 227 |
|
County Of Santa Clara
2400 Moorpark Ave |
$4.73 | 342 | 175 |
|
Kimberly Reiko Moore
5755 Cottle Rd |
$11.47 | 330 | 276 |
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 Jose, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in San Jose, CA is $20.17 per claim, based on 391,208 claims from 88 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 Jose, CA?
There are 88 Medicaid providers offering Physical Therapy related services in San Jose, CA according to public payment data.
What is the price range for Physical Therapy in San Jose, CA?
Medicaid reimbursement for Physical Therapy in San Jose, CA ranges from $0.00 to $108.19 per claim, with an average of $20.17. 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 Jose, CA
Office Visit
Avg $17.76
4,087,517 claims
Blood Work & Lab Tests
Avg $2.57
2,345,819 claims
Dental Cleaning & Exam
Avg $52.74
1,100,494 claims
Case Management Services
Avg $220.56
998,173 claims
Behavioral & Mental Health Therapy
Avg $198.51
836,218 claims
Vaccines & Immunizations
Avg $3.93
755,787 claims
X-Ray
Avg $7.17
627,443 claims
Substance Abuse Treatment
Avg $69.65
603,596 claims