Average Medicaid Physical Therapy Payments in Boulder, CO: $32.09
Avg. Paid
$32.09
Range
$0.00 – $241.54
Total Claims
155,683
Providers
75
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 Boulder, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Khemarin R Seng
4740 Pearl Pkwy Ste 200 |
$23.64 | 13 | 12 |
|
Alex G Reish
5377 Manhattan Cir Ste 200 |
$32.47 | 16 | 12 |
|
Ann Christine Mcnamara
2150 Stadium Dr |
$39.35 | 25 | 13 |
|
Emily Kah
3080 Valmont Rd Ste 201 |
$39.77 | 41 | 12 |
|
Keith Demmon
2150 Stadium Drive |
$44.35 | 61 | 24 |
|
Daniel Fettig
5387 Manhattan Cir Ste 201 |
$44.84 | 69 | 38 |
|
Megan J Doyle
3000 Center Green Dr Ste 110 |
$53.74 | 75 | 34 |
|
Timothy R Worley
3000 Center Green Dr Ste 110 |
$55.88 | 101 | 28 |
|
Sara Leilani Pfeifer
5412 Idylwild Trl |
$66.69 | 103 | 24 |
|
Bart A Abriol
580 Mohawk Dr |
$23.51 | 104 | 80 |
|
Deanna Marie Bourgeois
2305 Canyon Blvd Ste 103 |
$69.61 | 105 | 37 |
|
Joshua Linsell
2150 Stadium Drive |
$33.49 | 106 | 38 |
|
Terri L Handy
3000 Center Green Dr Ste 110 |
$21.28 | 119 | 26 |
|
Mary Rob Swayze
2150 Stadium Drive |
$23.13 | 128 | 24 |
|
Jason D Harpp
1900 Wardenburg Drive |
$22.61 | 136 | 38 |
|
Carol Passarelli
695 S Broadway St |
$32.49 | 160 | 56 |
|
Haley Kershaw
5387 Manhattan Cir Ste 201 |
$20.14 | 162 | 71 |
|
Douglas William Perkins
3000 Center Green Dr Ste 110 |
$21.49 | 181 | 80 |
|
Linda Harbes Kinzeler
3000 Center Green Dr Ste 110 |
$35.88 | 187 | 108 |
|
Emma Nicole Sullivan
3434 47Th St |
$36.29 | 195 | 70 |
|
Dan Patrick Mclellan
5520 N Fork Ct |
$56.15 | 202 | 51 |
|
Adrianna C Simmons
3000 Center Green Dr Ste 110 |
$44.01 | 214 | 69 |
|
Evan Ransdell Hunter
2716 Winding Trail Pl |
$97.01 | 230 | 99 |
|
Mitzi L Harrison
1800 30Th St Ste 206 |
$22.24 | 246 | 94 |
|
Larkin P Lynch
3000 Center Green Dr Ste 110 |
$37.27 | 256 | 53 |
|
Anna Rose Culbert
4770 Baseline Rd Ste 360 |
$77.28 | 271 | 87 |
|
Julie T Stratmeyer
311 Mapleton Ave |
$34.52 | 284 | 267 |
|
John D Reed
3000 Center Green Dr Ste 110 |
$42.49 | 293 | 104 |
|
Rose Burgett
4035 Moorhead Ave |
$33.84 | 293 | 76 |
|
Christina Elizabeth Cesarz
2150 Stadium Drive 2Nd Floor |
$80.03 | 297 | 126 |
|
Erin Frankel Trendler
6500 Arapahoe Rd |
$38.30 | 332 | 133 |
|
Michael Rogers
4740 Pearl Pkwy Ste 300 |
$29.08 | 341 | 145 |
|
Christine Elizabeth Shaw
3000 Center Green Dr Ste 110 |
$31.13 | 348 | 95 |
|
Emily Finanger
1155 Alpine Ave |
$241.54 | 354 | 141 |
|
Lisa Michelle Corken
1000 Alpine Ave |
$27.95 | 402 | 131 |
|
Kelcii Fisher
2150 Stadium Drive |
$37.64 | 414 | 173 |
|
Laura B Shove
3020 Carbon Pl Ste 330 |
$25.36 | 438 | 175 |
|
Timothy P Burrell
3000 Center Green Dr Ste 110 |
$38.47 | 502 | 185 |
|
Anna Stoecklin
2800 Kalmia Ave Apt B305 |
$65.28 | 554 | 188 |
|
Mark Holaday
1895 Bluff St Apt A |
$35.48 | 567 | 106 |
|
Deanna Kristen Koncar
1690 30Th St |
$26.92 | 582 | 242 |
|
Marcus Kurek
1800 30Th St |
$32.98 | 604 | 233 |
|
Michael Craig Mahan
3000 Center Green Dr Ste 300 |
$31.61 | 605 | 239 |
|
Megan Roney
3656 Chase Ct |
$67.13 | 626 | 141 |
|
Seneca Webb Tantum
295 Broken Fence Rd |
$31.19 | 696 | 186 |
|
James V Covello
3000 Center Green Dr Ste 110 |
$44.16 | 740 | 279 |
|
Aaron M Shaver
4740 Pearl Pkwy Ste 200 |
$37.80 | 752 | 251 |
|
Matthew Wagner
2150 Stadium Drive |
$27.43 | 830 | 254 |
|
Olaf Deroos
4150 Darley Ave Ste 8 |
$26.35 | 896 | 351 |
|
Michelle S Harris
5603 Arapahoe Ave Ste 5 |
$30.90 | 960 | 459 |
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 Boulder, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Boulder, CO is $32.09 per claim, based on 155,683 claims from 75 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 Boulder, CO?
There are 75 Medicaid providers offering Physical Therapy related services in Boulder, CO according to public payment data.
What is the price range for Physical Therapy in Boulder, CO?
Medicaid reimbursement for Physical Therapy in Boulder, CO ranges from $0.00 to $241.54 per claim, with an average of $32.09. 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 Boulder, CO
Office Visit
Avg $96.83
244,107 claims
Psychiatric Evaluation
Avg $80.57
165,246 claims
Emergency Room Visit
Avg $96.18
132,331 claims
Speech Therapy
Avg $11.05
120,510 claims
Blood Work & Lab Tests
Avg $6.12
116,278 claims
Ambulance Transport
Avg $85.20
98,483 claims
Home Health Visit
Avg $31.98
81,049 claims
Dental Cleaning & Exam
Avg $34.80
61,130 claims