Average Medicaid Physical Therapy Payments in Berea, KY: $35.91
Avg. Paid
$35.91
Range
$1.61 – $74.63
Total Claims
79,533
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 Berea, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ernestine C Brashear
193 Glades Rd |
$15.57 | 20,003 | 5,368 |
|
Saint Joseph Health System, Inc
305 Estill St |
$44.73 | 17,780 | 5,619 |
|
Brenda J Huser
1048 Ace Dr |
$10.31 | 11,302 | 2,451 |
|
Amanda Dyer
752 Richmond Rd N |
$59.90 | 5,525 | 2,077 |
|
Rhonda Shockley
102 Hampton Hall Dr |
$60.37 | 4,960 | 1,526 |
|
Brittany E Hogg
752 Richmond Rd N |
$48.75 | 3,304 | 1,182 |
|
Wendy Price
752 Richmond Rd N |
$63.74 | 3,044 | 1,061 |
|
William I Buck
127 Clay Dr |
$17.27 | 2,953 | 1,342 |
|
Jennifer Fowler
210 N Broadway St |
$66.30 | 2,593 | 1,145 |
|
Ariel Boyd
752 Richmond Rd N |
$61.44 | 2,584 | 830 |
|
Jacob Snow Roberts
752 Richmond Rd N |
$61.28 | 2,390 | 907 |
|
Berea Independent School
3 Pirate Pkwy |
$18.42 | 1,603 | 753 |
|
Tonya Danielle Booth
625 Chestnut St |
$74.63 | 632 | 240 |
|
Haley Buerkley
752 Richmond Rd N |
$65.10 | 609 | 242 |
|
H2 Rehabilitation Services Of Kentucky, Llc
193 Glades Rd |
$1.61 | 153 | 26 |
|
Frances Alexis Tillery
193 Glades Rd |
$31.34 | 74 | 40 |
|
Ashley Brashear
193 Glades Rd |
$21.96 | 24 | 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 Berea, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Berea, KY is $35.91 per claim, based on 79,533 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 Berea, KY?
There are 17 Medicaid providers offering Physical Therapy related services in Berea, KY according to public payment data.
What is the price range for Physical Therapy in Berea, KY?
Medicaid reimbursement for Physical Therapy in Berea, KY ranges from $1.61 to $74.63 per claim, with an average of $35.91. 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 Berea, KY
Office Visit
Avg $39.09
230,186 claims
Blood Work & Lab Tests
Avg $16.71
194,821 claims
Emergency Room Visit
Avg $151.56
79,434 claims
Substance Abuse Treatment
Avg $102.32
66,231 claims
Psychiatric Evaluation
Avg $61.35
56,669 claims
Speech Therapy
Avg $36.23
51,748 claims
Urinalysis & Urine Tests
Avg $12.64
44,508 claims
X-Ray
Avg $58.94
38,803 claims