Average Medicaid Physical Therapy Payments in Buckhannon, WV: $21.15
Avg. Paid
$21.15
Range
$13.86 – $45.61
Total Claims
16,956
Providers
6
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 Buckhannon, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen Armitage
64 Crystal Dr |
$14.87 | 12,051 | 4,068 |
|
Jeffrey Sandy
103 Professional Arts Plaza Dr |
$39.27 | 2,840 | 644 |
|
Amy L Queen
60 Clarksburg Rd |
$45.61 | 1,232 | 308 |
|
Brittney Thomas
120 Buckhannon Xrds # 12 |
$13.86 | 808 | 465 |
|
Karl C Boone Dc Inc
121 S Kanawha St |
$18.60 | 13 | 12 |
|
Karl Clayton Boone
121 S Kanawha St |
$20.45 | 12 | 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 Buckhannon, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Buckhannon, WV is $21.15 per claim, based on 16,956 claims from 6 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 Buckhannon, WV?
There are 6 Medicaid providers offering Physical Therapy related services in Buckhannon, WV according to public payment data.
What is the price range for Physical Therapy in Buckhannon, WV?
Medicaid reimbursement for Physical Therapy in Buckhannon, WV ranges from $13.86 to $45.61 per claim, with an average of $21.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Physical Therapy in Other Cities
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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
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Louisville, KY
Avg $91.42
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Miami, FL
Avg $41.78
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Bronx, NY
Avg $33.00
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Indianapolis, IN
Avg $33.23
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Las Vegas, NV
Avg $41.92
2,229,957 claims · 556 providers
Other Procedures in Buckhannon, WV
Blood Work & Lab Tests
Avg $27.04
244,191 claims
Office Visit
Avg $24.96
194,372 claims
Personal Care Services
Avg $361.47
162,484 claims
Case Management Services
Avg $102.73
89,900 claims
Emergency Room Visit
Avg $121.37
88,504 claims
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Avg $22.22
65,158 claims
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Avg $32.37
39,051 claims
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Avg $11.71
32,124 claims