Average Medicaid Physical Therapy Payments in Santa Cruz, CA: $39.99
Avg. Paid
$39.99
Range
$0.00 – $121.36
Total Claims
94,386
Providers
17
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 Cruz, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dignity Health
1555 Soquel Dr |
$48.35 | 42,397 | 21,150 |
|
Vika Preddy
111 Madrone St |
$35.33 | 23,541 | 11,551 |
|
Matthew B Rohan
1529 Seabright Ave |
$32.15 | 12,599 | 4,655 |
|
Carly Joy Bagnall
8030 Soquel Ave Ste 200 |
$26.58 | 7,814 | 3,501 |
|
Christopher Vafiades
715 30Th Ave |
$38.81 | 4,547 | 1,743 |
|
Vanessa Volmar-Virobyan
8030 Soquel Ave Ste 200 |
$25.54 | 1,273 | 513 |
|
Matthew Murray
8030 Soquel Ave Ste 200 |
$29.31 | 981 | 373 |
|
Stacey Marie Cederlof
1529 Seabright Ave |
$21.04 | 484 | 257 |
|
Scott M Sawyer
700 River St |
$10.85 | 293 | 137 |
|
Felicia Hartman
2250 Soquel Ave |
$121.36 | 221 | 74 |
|
Melaku Akele
548 Ocean St |
$12.84 | 56 | 41 |
|
Scott G Shaffer
9000 Soquel Ave |
$9.75 | 54 | 14 |
|
Kelsey Catherine Mcclurg
8030 Soquel Ave |
$0.33 | 33 | 13 |
|
James Vegher
9000 Soquel Ave |
$0.00 | 28 | 12 |
|
Lisa Thompson
1003 River St Ste C |
$18.13 | 24 | 24 |
|
Kenneth Kuras
511 Hampstead Way |
$7.55 | 23 | 12 |
|
Arielle Kozin
1555 Soquel Dr |
$17.67 | 18 | 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 Cruz, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Santa Cruz, CA is $39.99 per claim, based on 94,386 claims from 17 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 Cruz, CA?
There are 17 Medicaid providers offering Physical Therapy related services in Santa Cruz, CA according to public payment data.
What is the price range for Physical Therapy in Santa Cruz, CA?
Medicaid reimbursement for Physical Therapy in Santa Cruz, CA ranges from $0.00 to $121.36 per claim, with an average of $39.99. 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 Cruz, CA
Office Visit
Avg $33.23
980,453 claims
Substance Abuse Treatment
Avg $32.01
703,736 claims
Psychiatric Evaluation
Avg $65.40
298,214 claims
Emergency Room Visit
Avg $85.44
235,236 claims
Behavioral & Mental Health Therapy
Avg $272.72
195,735 claims
Blood Work & Lab Tests
Avg $11.46
185,254 claims
Non-Emergency Medical Transportation
Avg $31.30
175,051 claims
X-Ray
Avg $12.48
166,316 claims