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 |
|---|---|---|---|
|
Nicholas Martinez
1721 Technology Dr |
$0.00 | 13 | 12 |
|
Anastasiya Zheludkova
1721 Technology Dr |
$22.86 | 14 | 12 |
|
Bashir Sweilem
250 Hospital Pkwy |
$20.59 | 17 | 12 |
|
Aaron Allan Bosel
270 International Cir |
$32.12 | 17 | 16 |
|
Deepshikha Kansara
1901 Monterey Hwy Ste 10 |
$0.00 | 28 | 24 |
|
Raquel Robles
1721 Technology Dr |
$18.57 | 28 | 26 |
|
Golden Hills Orthopedic And Sports Physical Therapy Inc.
2680 S White Rd Ste 200 |
$0.00 | 33 | 27 |
|
Shilpy Garg
2324 Montpelier Dr Ste 1 |
$40.81 | 36 | 12 |
|
Derek James Colvin
499 Blossom Hill Rd |
$5.00 | 37 | 26 |
|
France Fidelis Soller Solanzo
2109 Otoole Ave Ste M |
$0.00 | 38 | 17 |
|
Sonia Singh
270 International Cir |
$0.00 | 46 | 36 |
|
Sharnjeet Kaur Sandhu
1590 Oakland Rd |
$0.00 | 48 | 39 |
|
Prabhjot Kaur
2242 Camden Ave Ste 203 |
$8.51 | 51 | 36 |
|
Lisa Yee
1479 Saratoga Ave |
$1.20 | 65 | 27 |
|
Santa Clara County Office Of Education
1290 Ridder Park Dr |
$108.19 | 65 | 65 |
|
Nicole Sialaris
1487 Redmond Ave |
$0.00 | 69 | 31 |
|
Shannon Dockham
554 Blossom Hill Rd |
$0.00 | 70 | 39 |
|
Roselle Dizon Kelley
2680 S White Rd Ste 200 |
$0.00 | 72 | 34 |
|
James Angelo Fabe
2680 S White Rd |
$0.00 | 82 | 27 |
|
Morgan Shuster
911 Bern Ct Ste 140 |
$0.00 | 83 | 26 |
|
Barkha Ajmani
4500 The Woods Dr |
$0.56 | 89 | 38 |
|
Santa Clara Valley Medical Center
751 S Bascom Ave |
$5.40 | 91 | 52 |
|
Nicholas Hoang
1401 Parkmoor Ave Ste 208 |
$18.34 | 93 | 79 |
|
Amelia Foster
1720 Ringwood Ave |
$23.70 | 102 | 59 |
|
Samson Hokchi Cheung
1885 Lundy Ave Ste 108 |
$0.00 | 105 | 40 |
|
Kristine Amii
250 Hospital Pkwy |
$14.14 | 111 | 75 |
|
Stacy Chun
499 Blossom Hill Rd |
$26.71 | 130 | 116 |
|
Anne Galiani
760 N 7Th St Apt 5207 |
$34.40 | 134 | 62 |
|
Gabrielle Jade Estioko
911 Bern Ct Ste 130 |
$0.00 | 155 | 36 |
|
Michael Scott Underwood
826 N Winchester Blvd |
$33.26 | 161 | 64 |
|
Priscilla Joy Sabangan Luna
2680 S White Rd Ste 200 |
$1.44 | 162 | 75 |
|
Kazumi Patel
2680 S White Rd Ste 200 |
$0.00 | 185 | 106 |
|
Ssc San Jose Operating Company Lp
340 Northlake Dr |
$15.76 | 189 | 26 |
|
Karisa Joe
2262 N 1St St |
$0.89 | 194 | 75 |
|
Anne Elizabeth Elliott
826 N Winchester Blvd Ste 2G |
$32.91 | 201 | 57 |
|
Marilu Escobar Rodriguez
1530 Meridian Ave |
$7.02 | 203 | 164 |
|
Better Care Inc
1267 Meridian Ave |
$10.29 | 224 | 39 |
|
Nadia Marie Temple
2039 Forest Ave |
$5.56 | 281 | 132 |
|
Kimberly Reiko Moore
5755 Cottle Rd |
$11.47 | 330 | 276 |
|
County Of Santa Clara
2400 Moorpark Ave |
$4.73 | 342 | 175 |
|
Rachael Lewin
270 International Cir Bldg 3 |
$6.74 | 348 | 227 |
|
Glacier Bay Holdings Llc
1601 Petersen Ave |
$22.82 | 374 | 42 |
|
Madison Marie Rozycki
2109 Otoole Ave Ste M |
$0.00 | 412 | 107 |
|
Thomas Gallardo
135 N Jackson Ave Ste 201 |
$0.00 | 420 | 132 |
|
Tung Thanh Nguyen
621 Tully Rd |
$0.68 | 501 | 252 |
|
Almaden Operating Company, Lp
2065 Los Gatos Almaden Rd |
$14.69 | 525 | 70 |
|
Wen-Chi Yang
1479 Saratoga Ave |
$43.17 | 578 | 279 |
|
Alipit Habawel
2680 S White Rd Ste 200 |
$0.14 | 605 | 354 |
|
Kim Alexis Mercado Edralin
2680 S White Rd Ste 200 |
$0.24 | 636 | 414 |
|
Jeana Marie Edwards
300 S 11Th St |
$0.00 | 639 | 440 |
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