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California Medicaid Sample PT/OT Rates

This is a sample of California Medicaid's rates for physical and occupational therapy services.  These are the fee-for-service rates and may be different from Medicaid managed care rates and rates may change based on the setting or patient category.  Members can ask questions or request information on any Medicaid issue at any time.  Please consider joining today if you need assistance.  

Posted on April 8, 2024

Description - Code

Fee

PT Evaluation - 97161

$135.56

PT Reevaluation - 97164

$94.14

OT Evaluation - 97165

$125.74

OT Reevaluation - 97168

$87.32

Therapeutic Exercise - 97110

$13.37

Neuromuscular Reeducation - 97112

$14.90

Manual Therapy - 97140

$27.09

Therapeutic Activities - 97530

$13.59

Mechanical Traction - 97012

$13.18

Electrical Stimulation - 97014

$13.59

Ultrasound - 97035

$9.06

Orthotic Training - 97760

N/A

Prosthetic Training - 97761

N/A

Orthotic/Prosthetic Management - 97763

N/A



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Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

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