Average Medicaid Physical Therapy Payments in Santa Monica, CA: $24.66
Avg. Paid
$24.66
Range
$0.00 – $154.76
Total Claims
64,140
Providers
22
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 Monica, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Regents Of The Univ Of California
1250 16Th St |
$12.15 | 15,818 | 7,994 |
|
Cantaloupe Holdings, Llc
1340 15Th St |
$29.70 | 15,515 | 1,638 |
|
Asms, Llc
1330 17Th St |
$32.59 | 12,783 | 1,046 |
|
Providence Saint John'S Health Center
2121 Santa Monica Blvd |
$7.70 | 4,649 | 1,503 |
|
Alexandra Gryder
2701 Ocean Park Blvd Ste 110 |
$13.88 | 3,820 | 1,348 |
|
Matthew Wong
3435 Ocean Park Blvd |
$1.79 | 2,713 | 818 |
|
Charissa Endow
2001 Wilshire Blvd Ste 310 |
$17.43 | 2,174 | 676 |
|
Jennifer Jo Welch
1419 Stanford St |
$110.59 | 1,686 | 1,172 |
|
Benita Na
1932 14Th St |
$48.97 | 1,372 | 491 |
|
John Paul Chan
2425 Colorado Ave Ste 100 |
$37.20 | 1,101 | 977 |
|
Rebecca Lynn Rodriguez
1711 Ocean Park Blvd |
$20.44 | 1,033 | 346 |
|
Rehabilitation Center Of Santa Monica Operating Company, Lp
1338 20Th St |
$73.98 | 555 | 62 |
|
Nhi Hong Dang
2212 Pico Blvd |
$1.57 | 298 | 215 |
|
Yvette Flores
2222 Pico Blvd #102 |
$51.55 | 234 | 79 |
|
Sanket Worlikar
2701 Ocean Park Blvd Ste 110 |
$36.24 | 131 | 110 |
|
Melissa L. Gee
1920 Colorado Ave |
$0.00 | 68 | 37 |
|
James Jamshid Baharvar
2428 Santa Monica Blvd |
$0.68 | 62 | 24 |
|
Gerardo Moreno
1920 Colorado Ave |
$0.00 | 45 | 26 |
|
Stephanie R Vint
1932 14Th St |
$154.76 | 28 | 12 |
|
Anita Wong
1920 Colorado Ave |
$0.00 | 23 | 12 |
|
Arpita Anil Vaidya
1250 16Th St |
$51.20 | 20 | 13 |
|
Samantha Mutsuko Kataoka Lau
1119 25Th St |
$81.94 | 12 | 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 Monica, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Santa Monica, CA is $24.66 per claim, based on 64,140 claims from 22 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 Monica, CA?
There are 22 Medicaid providers offering Physical Therapy related services in Santa Monica, CA according to public payment data.
What is the price range for Physical Therapy in Santa Monica, CA?
Medicaid reimbursement for Physical Therapy in Santa Monica, CA ranges from $0.00 to $154.76 per claim, with an average of $24.66. 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 Monica, CA
Office Visit
Avg $22.57
373,557 claims
Blood Work & Lab Tests
Avg $4.49
329,206 claims
X-Ray
Avg $8.96
258,632 claims
Emergency Room Visit
Avg $63.11
219,456 claims
Dental Cleaning & Exam
Avg $54.55
178,189 claims
Ultrasound
Avg $30.17
163,467 claims
Nursing Facility Care
Avg $51.77
135,686 claims
CT Scan (Computed Tomography)
Avg $61.05
127,182 claims