Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Santa Rosa, CA: $32.06

Avg. Paid

$32.06

Range

$0.00 – $76.92

Total Claims

40,959

Providers

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 Rosa, CA

Provider	Avg. Paid	Claims	Patients
St. Joseph Health Northern California, Llc 1165 Montgomery Dr	$47.75	21,180	5,843
Margarita Hernandez 1221 Farmers Ln Ste B	$21.39	7,569	3,639
Sonoma County Indian Health Project, Inc 144 Stony Point Rd	$0.00	5,338	3,739
David Simmons 3975 Old Redwood Hwy Ste 152	$17.05	1,957	729
Lucas Raymond King 525 Doyle Park Dr Ste 101	$17.65	1,122	278
Robert John Silva 3883 Airway Dr Ste 135A	$55.85	941	489
Santa Rosa Orthopaedic Medical Group, Inc. 1405 Montgomery Dr	$4.73	589	191
William Binns 2255 Challenger Way Ste 104	$0.11	529	272
Maxwell Edison Smith 140 Wikiup Dr	$13.57	401	367
Anal A Shah 220 Concourse Blvd	$27.53	380	117
Redwood Pediatric Therapy Associates Inc 340 Tesconi Cir	$9.64	233	95
Hillary Plubell 3975 Old Redwood Hwy	$7.25	88	68
Paul T Johnson 3033 Cleveland Ave	$17.22	76	26
Alison Lindsay Kobayashi 3883 Airway Dr Ste 135	$26.61	64	24
Erica Jennison 3975 Old Redwood Hwy	$2.34	64	49
Ruben Torres 3975 Old Redwood Hwy	$7.96	54	36
Michael J Star 1405 Montgomery Dr	$76.92	45	24
Samuel Falkenberg 2255 Challenger Way Ste 104	$13.69	42	24
Lacey Hexter 401 Bicentennial Way	$45.03	40	24
Joshua Todor Marian 1400 N Dutton Ave	$1.35	37	25
Andrew Garrett Hughey 795 Farmers Ln	$0.00	35	25
Annamaria Tedeschi 3883 Airway Dr	$28.32	32	12
Keith Lauren Pullin 101 Wikiup Dr Ste B	$15.63	30	25
Sutter Bay Hospitals 30 Mark West Springs Road	$55.62	28	12
Bruce Avrom Kolman 131B Stony Cir	$0.00	23	13
Mark E. Schakel 1405 Montgomery Dr	$1.96	19	12
Elizabeth Ornell 3925 Old Redwood Hwy	$4.67	15	12
Michael James Mcdermott 1405 Montgomery Dr	$0.00	14	12
Allison Linn Low 3975 Old Redwood Hwy	$7.14	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 Rosa, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Santa Rosa, CA is $32.06 per claim, based on 40,959 claims from 29 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 Rosa, CA?

There are 29 Medicaid providers offering Physical Therapy related services in Santa Rosa, CA according to public payment data.

What is the price range for Physical Therapy in Santa Rosa, CA?

Medicaid reimbursement for Physical Therapy in Santa Rosa, CA ranges from $0.00 to $76.92 per claim, with an average of $32.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Physical Therapy Payments in Santa Rosa, CA: $32.06

Providers Offering Physical Therapy in Santa Rosa, CA

What to Expect: Physical Therapy

Cost Components

Frequently Asked Questions

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