Average Medicaid Physical Therapy Payments in San Pablo, CA: $43.28
Avg. Paid
$43.28
Range
$0.00 – $51.61
Total Claims
5,024
Providers
5
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 Pablo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Katherine Edna Allen
2711 Kenney Dr |
$51.61 | 3,614 | 1,003 |
|
Teresa Anne Schreeder
13601 San Pablo Ave |
$20.32 | 1,163 | 639 |
|
Creekside Operating Company Lp
1900 Church Ln |
$37.91 | 159 | 13 |
|
Contra Costa County
13601 San Pablo Ave |
$0.00 | 55 | 24 |
|
Mously Diakhate
2023 Vale Rd |
$39.24 | 33 | 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 Pablo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in San Pablo, CA is $43.28 per claim, based on 5,024 claims from 5 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 Pablo, CA?
There are 5 Medicaid providers offering Physical Therapy related services in San Pablo, CA according to public payment data.
What is the price range for Physical Therapy in San Pablo, CA?
Medicaid reimbursement for Physical Therapy in San Pablo, CA ranges from $0.00 to $51.61 per claim, with an average of $43.28. 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 Pablo, CA
Office Visit
Avg $39.02
208,003 claims
Emergency Room Visit
Avg $98.38
67,003 claims
Psychiatric Evaluation
Avg $145.77
45,059 claims
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Avg $4.18
41,507 claims
Dental Cleaning & Exam
Avg $48.09
39,554 claims
Behavioral & Mental Health Therapy
Avg $366.01
33,499 claims
Case Management Services
Avg $199.82
31,800 claims
Tooth Extraction
Avg $86.41
28,917 claims