Average Medicaid Physical Therapy Payments in Vallejo, CA: $19.65
Avg. Paid
$19.65
Range
$1.03 – $65.88
Total Claims
72,477
Providers
18
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 Vallejo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sara Neville Jan
975 Sereno Dr |
$19.23 | 13 | 12 |
|
Brianna Ng
127 Hospital Dr Ste 101 |
$55.94 | 22 | 12 |
|
Judith Miller-Yamada
975 Sereno Dr |
$11.62 | 26 | 25 |
|
Caitlin Marie Segelke
975 Sereno Dr |
$8.65 | 51 | 49 |
|
Ryan Michael Valdez
127 Hospital Dr Ste 101 |
$4.90 | 75 | 42 |
|
Heather Marie Allen
975 Sereno Dr |
$3.02 | 127 | 101 |
|
Lawrence Chang
975 Sereno Dr |
$19.69 | 144 | 132 |
|
Catherine Magat
6174 Wild Dune Ct |
$15.54 | 256 | 222 |
|
Kaiser Foundation Hospitals
975 Sereno Dr |
$65.88 | 269 | 164 |
|
Helena Robel
975 Sereno Dr |
$56.20 | 424 | 376 |
|
Grove, Andersen, Ghiringhelli Physical Therapy A Professional Co
127 Hospital Dr Ste 101 |
$1.07 | 822 | 363 |
|
Anthony J Lopresti
160 Glen Cove Marina Rd E Ste 102 |
$59.53 | 866 | 464 |
|
Kaiser Foundation Hospitals
975 Sereno Dr |
$2.58 | 1,407 | 913 |
|
Katherine L. Lau
975 Sereno Dr |
$40.49 | 1,925 | 699 |
|
Cheeryl Gene May B Mauricio
127 Hospital Dr Ste 101 |
$10.66 | 6,407 | 1,889 |
|
Peter B Tan
765 Sereno Dr |
$37.69 | 17,736 | 6,300 |
|
Permanente Medical Group Inc
975 Sereno Drive |
$1.03 | 18,300 | 13,004 |
|
Desmond Earl Carson
Sutter Solano Medical Center |
$20.49 | 23,607 | 7,718 |
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 Vallejo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Vallejo, CA is $19.65 per claim, based on 72,477 claims from 18 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 Vallejo, CA?
There are 18 Medicaid providers offering Physical Therapy related services in Vallejo, CA according to public payment data.
What is the price range for Physical Therapy in Vallejo, CA?
Medicaid reimbursement for Physical Therapy in Vallejo, CA ranges from $1.03 to $65.88 per claim, with an average of $19.65. 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 Vallejo, CA
Office Visit
Avg $19.51
706,741 claims
Blood Work & Lab Tests
Avg $3.60
523,456 claims
Emergency Room Visit
Avg $84.85
409,509 claims
Substance Abuse Treatment
Avg $51.65
291,073 claims
Ambulance Transport
Avg $115.15
258,509 claims
X-Ray
Avg $13.73
213,247 claims
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Avg $2.56
152,581 claims
Urinalysis & Urine Tests
Avg $1.47
148,172 claims