Average Medicaid Physical Therapy Payments in Santa Clara, CA: $5.60
Avg. Paid
$5.60
Range
$0.00 – $173.25
Total Claims
17,621
Providers
21
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 Santa Clara, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anna Marie Casem
2488 De La Cruz Blvd |
$3.94 | 5,094 | 2,184 |
|
Chester M. Castrence
1735 Lawrence Rd Apt 208 |
$0.29 | 3,155 | 1,692 |
|
Scott Monroe Anderson
991 Clyde Ave |
$0.00 | 2,580 | 1,504 |
|
Elaine Esinam Thompson
2488 De La Cruz Blvd |
$5.03 | 1,535 | 825 |
|
Thomas H Peck
2488 De La Cruz Blvd |
$3.55 | 1,210 | 453 |
|
Nicholas Joseph Pastier
900 Lafayette St Ste 105 |
$0.62 | 1,165 | 625 |
|
David Lin
700 Lawrence Expy |
$43.30 | 623 | 564 |
|
Sapna Awale
2488 De La Cruz Blvd |
$19.18 | 526 | 347 |
|
Craig Shiraishi
1026 Monroe St |
$0.70 | 498 | 177 |
|
Jonathan Randall Wong
710 Lawrence Expy Dept 174 |
$31.34 | 486 | 154 |
|
Aparajitha Gottapu
2488 De La Cruz Blvd |
$0.14 | 205 | 136 |
|
Angela Acosta
275 Saratoga Ave Ste 160 |
$0.00 | 107 | 48 |
|
Eric Applegate
2488 De La Cruz Blvd |
$2.70 | 93 | 63 |
|
Mary Douglas Fortin
710 Lawerence Expressway, Dept.174 |
$0.00 | 92 | 78 |
|
Tracey-Lynne Murray Musick
710 Lawrence Expy |
$6.00 | 65 | 64 |
|
Theodore Alden Kwong
710 Lawrence Expy Dept 174 |
$25.08 | 59 | 49 |
|
Elena Aguilar Javier
1171 Homestead Rd Ste 250 |
$173.25 | 53 | 24 |
|
Kaiser Foundation Hospitals
700 Lawrence Expy |
$0.93 | 27 | 27 |
|
Riddhi Rameshbhai Vora
2488 De La Cruz Blvd |
$13.16 | 19 | 15 |
|
Sheng Yang Lin
710 Lawrence Expy Dept 174 |
$42.33 | 15 | 12 |
|
Stephen R Cabebe
710 Lawrence Expy Dept 174 |
$0.00 | 14 | 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 Santa Clara, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Santa Clara, CA is $5.60 per claim, based on 17,621 claims from 21 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 Santa Clara, CA?
There are 21 Medicaid providers offering Physical Therapy related services in Santa Clara, CA according to public payment data.
What is the price range for Physical Therapy in Santa Clara, CA?
Medicaid reimbursement for Physical Therapy in Santa Clara, CA ranges from $0.00 to $173.25 per claim, with an average of $5.60. 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 Santa Clara, CA
Office Visit
Avg $17.48
205,653 claims
Blood Work & Lab Tests
Avg $1.57
156,552 claims
Dental Cleaning & Exam
Avg $54.19
94,692 claims
Emergency Room Visit
Avg $90.22
75,545 claims
Vaccines & Immunizations
Avg $2.56
65,185 claims
X-Ray
Avg $15.11
51,420 claims
EKG / ECG (Electrocardiogram)
Avg $5.33
51,111 claims
Urinalysis & Urine Tests
Avg $0.62
40,664 claims