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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in San Marcos, CA: $21.59

Avg. Paid

$21.59

Range

$0.00 – $154.72

Total Claims

444,600

Providers

30

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 Marcos, CA

Provider Avg. Paid Claims Patients
Normini Marbil Briones

637 Helmsdale Rd

 $0.00 20 12
Corrine Anne Clark

400 Craven Rd

 $18.06 32 25
Laurie June Steinecke

400 Craven Rd

 $20.41 34 25
Jennifer Tang

804 Almond Rd

 $16.49 41 27
Kurt Charles Sumpter Hartman

400 Craven Rd

 $20.31 50 25
Brandy Lynne Alexander

834 S Rancho Santa Fe Rd Apt B

 $22.09 53 24
Kaiser Foundation Hospitals

360 Rush Dr

 $2.38 56 55
Sandra Kay Hartman

400 Craven Rd

 $12.03 56 43
Weston Ryan

400 Craven Rd

 $8.39 66 51
Colin Andrew Moulton

2601 Rawhide Ln

 $12.49 113 80
Clare Elizabeth Sullivan

400 Craven Rd

 $32.93 170 112
Phylicia Talley

1582 W San Marcos Blvd

 $154.72 279 83
Kha D Nguyen

277 Rancheros Dr Ste 150

 $34.82 315 143
Lechi Nkwocha

277 Rancheros Dr Ste 150

 $47.20 382 191
Sarah Meister

935 W San Marcos Blvd

 $14.68 462 205
Christopher S Ambrose

935 W San Marcos Blvd

 $12.07 783 279
Jenna Marie Bergmark

137 S Las Posas Rd Ste 254

 $20.09 1,564 476
Carolyn Jessica Chan

2115 Montiel Rd Ste 103

 $26.10 1,792 1,066
Kaleb Blair Cullison

277 Rancheros Dr Ste 150

 $50.67 1,798 705
Nigel Lazaro

2115 Montiel Rd Ste 103

 $25.48 1,916 581
Barbara Carra

1595 Grand Ave Ste 100

 $0.04 2,029 1,006
Matthew Nguy

2115 Montiel Rd

 $43.10 2,465 1,230
Gavin Palma

137 S Las Posas Rd Ste 254

 $36.90 2,518 1,213
San Marcos Operating Company Lp

1586 W San Marcos Blvd

 $17.94 3,537 362
Samuel David Heaney

2115 Montiel Rd Ste 103

 $19.08 5,466 2,793
Monica C Jimenez

2115 Montiel Rd Ste 103

 $28.08 15,378 8,150
Proresults Physical Therapy Inc.

137 S Las Posas Rd Ste 254

 $17.34 28,445 8,810
Andrew Duong

2115 Montiel Rd Ste 103

 $25.69 29,126 16,290
Kayleigh Ann Desrosiers

137 S Las Posas Rd Ste 254

 $20.56 51,970 17,519
Garrett Robert Desrosiers

137 S Las Posas Rd Ste 254

 $21.01 293,684 86,333

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 Marcos, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in San Marcos, CA is $21.59 per claim, based on 444,600 claims from 30 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 Marcos, CA?

There are 30 Medicaid providers offering Physical Therapy related services in San Marcos, CA according to public payment data.

What is the price range for Physical Therapy in San Marcos, CA?

Medicaid reimbursement for Physical Therapy in San Marcos, CA ranges from $0.00 to $154.72 per claim, with an average of $21.59. 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 Marcos, CA

Office Visit

Avg $9.71

866,422 claims

Dental Cleaning & Exam

Avg $50.15

250,683 claims

Substance Abuse Treatment

Avg $56.90

179,672 claims

Vaccines & Immunizations

Avg $1.15

173,703 claims

Psychiatric Evaluation

Avg $19.67

117,189 claims

Blood Work & Lab Tests

Avg $1.58

98,948 claims

Chiropractic Care

Avg $8.56

89,369 claims

Dental Filling

Avg $65.33

89,060 claims