Average Medicaid Physical Therapy Payments in Apex, NC: $45.94
Avg. Paid
$45.94
Range
$0.00 – $145.97
Total Claims
61,672
Providers
42
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 Apex, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laura Santurri Holmes
1039 Torrence Dr |
$31.19 | 11,979 | 3,138 |
|
Pamela Lynn Skinner
2311 Energy Dr Bldg 9 |
$52.17 | 11,635 | 3,157 |
|
Prajakta Joshi
1600 Olive Chapel Rd Ste 108 |
$2.77 | 3,581 | 484 |
|
Yash Yogeshbhai Ukani
1801 Olive Chapel Rd Ste 103 |
$38.28 | 3,436 | 959 |
|
Hannah Brown Black
1031 Pemberton Hill Rd Ste 101 |
$60.69 | 3,405 | 850 |
|
Erin Dulany Kovarik
1460 Chapel Ridge Rd Ste 150 |
$23.82 | 3,188 | 1,367 |
|
Kendall Lynn Earley
852 Perry Rd |
$81.14 | 2,403 | 544 |
|
Mary Diehl
8733 Holly Springs Rd |
$3.61 | 2,380 | 248 |
|
Dolores De La Concepcion Nezhadi
1801 Olive Chapel Rd |
$26.90 | 1,836 | 995 |
|
Kimberly Diane Calixte
501 W Williams St Unit 346 |
$50.52 | 1,705 | 621 |
|
Kelly Marie Griffing
501 W Williams St Unit 346 |
$82.60 | 1,599 | 335 |
|
Kids In Motion
102 Walnut Hill Ct |
$145.97 | 1,398 | 783 |
|
Colin David Johnson
1801 Olive Chapel Rd Ste 103 |
$22.34 | 1,155 | 456 |
|
Katerina Dilday
501 W Williams St Unit 346 |
$83.55 | 1,087 | 311 |
|
Jonathan Kimin Kim
910 W Williams St |
$16.18 | 1,000 | 402 |
|
Desirae Michaelson
501 W Williams St Unit 346 |
$57.90 | 902 | 283 |
|
Taesun Kang
1701 Center St |
$93.17 | 867 | 317 |
|
Andrew Place
1801 Olive Chapel Rd |
$19.67 | 629 | 262 |
|
Chelsea Carre
501 W Williams St Unit 346 |
$80.55 | 618 | 216 |
|
Lauren Seawell Forrest
2610 Tosca Trl |
$90.64 | 594 | 138 |
|
Connor Patrick Cleveland
910 W Williams St |
$21.94 | 543 | 329 |
|
Nicole Lorey Casa
501 W Williams St Unit 346 |
$79.90 | 542 | 120 |
|
Brandon Zane Klassett
852 Perry Rd |
$76.91 | 495 | 125 |
|
Taylor Meyer
501 W Williams St Unit 346 |
$82.33 | 495 | 132 |
|
William Robert Theodore Zabel
910 W Williams St |
$36.17 | 488 | 195 |
|
Teague Edythe Murphy
1031 Pemberton Hill Rd Ste 102 |
$52.49 | 485 | 134 |
|
Anna Lucas
852 Perry Rd |
$78.35 | 418 | 76 |
|
Varsha Vinit Jalandhara
1701 Center St |
$73.94 | 350 | 139 |
|
Megan Gold Courtney
852 Perry Rd |
$84.56 | 349 | 143 |
|
Nency Sudhirkumar Shah
1460 Chapel Ridge Rd Ste 150 |
$19.46 | 348 | 164 |
|
Annie Kaye Goldblatt
2610 Tosca Trail |
$44.64 | 297 | 132 |
|
Jennifer Lynn Harloff
7984 Humie Olive Rd |
$91.34 | 243 | 73 |
|
Carlie Victoria Salahuddin
501 W Williams St Unit 346 |
$87.67 | 196 | 67 |
|
Susan Iris Stone
7337 Capulin Crest Dr |
$0.00 | 185 | 51 |
|
Andrea Paroly
1456 Padstone Drive |
$3.68 | 163 | 40 |
|
Becky Dougall
501 W Williams St Unit 346 |
$88.70 | 159 | 50 |
|
Ashley E Hyde-Smith
501 W Williams St Unit 346 |
$52.07 | 156 | 51 |
|
Kailee Brace
1031 Pemberton Hill Rd Ste 101 |
$78.81 | 117 | 37 |
|
Lauren Winokur
501 W Williams St Unit 346 |
$80.13 | 90 | 29 |
|
Kristi Dobbins Brown
1031 W Williams St |
$47.14 | 65 | 35 |
|
Tammy K. Elliott
910 W Williams St |
$23.24 | 55 | 37 |
|
Madeline Brothers
501 W Williams St Unit 346 |
$96.40 | 36 | 13 |
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 Apex, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Apex, NC is $45.94 per claim, based on 61,672 claims from 42 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 Apex, NC?
There are 42 Medicaid providers offering Physical Therapy related services in Apex, NC according to public payment data.
What is the price range for Physical Therapy in Apex, NC?
Medicaid reimbursement for Physical Therapy in Apex, NC ranges from $0.00 to $145.97 per claim, with an average of $45.94. 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 Apex, NC
Speech Therapy
Avg $62.26
60,236 claims
Office Visit
Avg $56.37
52,380 claims
Vaccines & Immunizations
Avg $16.10
35,910 claims
Dental Cleaning & Exam
Avg $32.43
34,067 claims
Blood Work & Lab Tests
Avg $27.77
33,580 claims
Psychiatric Evaluation
Avg $75.58
21,392 claims
Case Management Services
Avg $208.51
13,452 claims
Podiatry (Foot Care)
Avg $1.69
8,806 claims