Average Medicaid Physical Therapy Payments in Sunnyvale, CA: $14.29
Avg. Paid
$14.29
Range
$0.00 – $67.18
Total Claims
15,513
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 Sunnyvale, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kirsten I. Wightman
582 S Sunnyvale Ave |
$26.67 | 12 | 12 |
|
Dawn Asano
582 S Sunnyvale Ave |
$15.57 | 17 | 12 |
|
Ghc Of Sunnyvale, Llc
797 E Fremont Ave |
$15.33 | 59 | 12 |
|
Jujube Holdings, Llc
1291 S Bernardo Ave |
$11.29 | 82 | 12 |
|
Josephine Cheah
500 E Remington Dr Ste 10 |
$0.17 | 120 | 55 |
|
Alexis Marie Reinbolt
1085 W El Camino Real |
$6.15 | 124 | 37 |
|
Mailah Floreza Rapada
246 Sobrante Way |
$5.59 | 134 | 105 |
|
Jen-Hao Chen
582 S. Sunnyvale Ave |
$13.59 | 149 | 90 |
|
Sureshan Sivananthan
500 E Remington Dr |
$0.00 | 160 | 42 |
|
Christine Guitarte Hernandez
947 Larkspur Ave |
$26.25 | 173 | 149 |
|
Kendra Terrazas
582 S Sunnyvale Ave |
$67.18 | 181 | 71 |
|
Scott Morley
246 Sobrante Way |
$4.64 | 272 | 183 |
|
Kevin Scott Brittain
263 N Mathilda Ave |
$51.46 | 395 | 335 |
|
Jordan Sonander-Dangerfield
1085 W El Camino Real |
$35.73 | 569 | 459 |
|
Helios Healthcare, Llc
1002 W Fremont Ave |
$8.04 | 581 | 49 |
|
Richard P Carr Physical Therapy Inc
246 Sobrante Way |
$0.00 | 3,281 | 1,102 |
|
Pooja Ajaykumar Joshi
1208 E Arques Ave Ste 115 |
$16.56 | 9,204 | 3,231 |
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 Sunnyvale, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Sunnyvale, CA is $14.29 per claim, based on 15,513 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 Sunnyvale, CA?
There are 17 Medicaid providers offering Physical Therapy related services in Sunnyvale, CA according to public payment data.
What is the price range for Physical Therapy in Sunnyvale, CA?
Medicaid reimbursement for Physical Therapy in Sunnyvale, CA ranges from $0.00 to $67.18 per claim, with an average of $14.29. 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 Sunnyvale, CA
Blood Work & Lab Tests
Avg $3.70
484,965 claims
Office Visit
Avg $6.52
189,596 claims
Dental Cleaning & Exam
Avg $43.49
69,399 claims
Vaccines & Immunizations
Avg $3.34
50,791 claims
Nursing Facility Care
Avg $8.96
29,848 claims
Dental Filling
Avg $64.59
26,421 claims
Eye Exam
Avg $9.15
25,175 claims
Hearing Test (Audiometry)
Avg $9.39
9,198 claims