Average Medicaid Physical Therapy Payments in Bristol, TN: $31.94
Avg. Paid
$31.94
Range
$8.66 – $84.23
Total Claims
47,289
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 Bristol, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wellmont Health System
1 Medical Park Blvd |
$42.54 | 21,261 | 8,033 |
|
Charles Peters
105 Meadow View Rd Ste 4 |
$11.55 | 12,699 | 3,775 |
|
Travis Coombs
225 Midway Medical Park |
$43.52 | 2,887 | 1,229 |
|
Emily O. Campbell
240 Medical Park Blvd |
$31.65 | 2,008 | 619 |
|
Tyler Hatfield
1159 Volunteer Pkwy |
$20.23 | 1,987 | 577 |
|
Ellen Elizabeth Ellis
1430 Volunteer Pkwy Ste 6 |
$15.64 | 1,273 | 461 |
|
Sandra Leanne Phillips
1 Medical Park Blvd |
$59.42 | 761 | 293 |
|
Sarah Ann Quesenberry
6045 Old Jonesboro Rd Ste 1 |
$26.32 | 754 | 343 |
|
Katlyn Gardner
1 Medical Park Blvd |
$84.23 | 669 | 170 |
|
Stephan Allen Ball
340 Steeles Rd |
$29.67 | 645 | 180 |
|
Taylor Helms Edwards
1241 Volunteer Pkwy Ste 400 |
$41.47 | 618 | 161 |
|
Destenee Kimi-Taylor Pham
501 Martindale Rd |
$49.22 | 410 | 137 |
|
Donald Robert Quinn
6 6Th St Ste 256 |
$19.17 | 309 | 26 |
|
Brett Stump
1159 Volunteer Pkwy |
$13.60 | 294 | 112 |
|
Brandon David Clay Sexton
2137 Volunteer Pkwy Ste 5 |
$8.66 | 289 | 72 |
|
Champion Physical Therapy Llc Halls
1159 Volunteer Pkwy Ste A |
$11.38 | 260 | 49 |
|
Shali Nicole Denison
1241 Volunteer Pkwy Ste 400 |
$49.06 | 165 | 46 |
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 Bristol, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Bristol, TN is $31.94 per claim, based on 47,289 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 Bristol, TN?
There are 17 Medicaid providers offering Physical Therapy related services in Bristol, TN according to public payment data.
What is the price range for Physical Therapy in Bristol, TN?
Medicaid reimbursement for Physical Therapy in Bristol, TN ranges from $8.66 to $84.23 per claim, with an average of $31.94. 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 Bristol, TN
Office Visit
Avg $43.50
445,419 claims
Blood Work & Lab Tests
Avg $3.93
177,679 claims
X-Ray
Avg $6.72
157,014 claims
Emergency Room Visit
Avg $115.41
155,283 claims
Dental Cleaning & Exam
Avg $26.30
129,685 claims
Psychiatric Evaluation
Avg $57.71
106,590 claims
Ambulance Transport
Avg $22.30
99,733 claims
CT Scan (Computed Tomography)
Avg $62.17
70,288 claims