Average Medicaid Physical Therapy Payments in Carbondale, PA: $15.49
Avg. Paid
$15.49
Range
$12.73 – $36.90
Total Claims
15,689
Providers
10
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 Carbondale, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kyle Passeri
82 N Main St Ste 1 |
$14.78 | 6,573 | 1,981 |
|
Mary Shea
82 N Main St Ste 1 |
$12.73 | 3,184 | 996 |
|
Jessie Walter
82 N Main St Ste 1 |
$13.61 | 3,002 | 1,010 |
|
Callie Ariane Mousley
82 N Main St |
$17.31 | 715 | 235 |
|
Niko Manetti
82 N Main St |
$23.03 | 591 | 295 |
|
Lydia Lawson
38 N Scott St |
$36.90 | 479 | 145 |
|
Jason Christopher Dwyer
82 N Main St |
$14.17 | 383 | 126 |
|
Martina Mchale
63 S Main St |
$18.74 | 278 | 167 |
|
Anthony Joseph Carachilo
63 South Main Street |
$21.29 | 267 | 113 |
|
Carbondale Area School District
101 Brooklyn St |
$20.75 | 217 | 94 |
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 Carbondale, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Carbondale, PA is $15.49 per claim, based on 15,689 claims from 10 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 Carbondale, PA?
There are 10 Medicaid providers offering Physical Therapy related services in Carbondale, PA according to public payment data.
What is the price range for Physical Therapy in Carbondale, PA?
Medicaid reimbursement for Physical Therapy in Carbondale, PA ranges from $12.73 to $36.90 per claim, with an average of $15.49. 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 Carbondale, PA
Office Visit
Avg $13.94
31,968 claims
Eye Exam
Avg $24.13
7,799 claims
Blood Work & Lab Tests
Avg $9.70
6,445 claims
Ambulance Transport
Avg $181.38
4,748 claims
Nursing Facility Care
Avg $7.31
2,962 claims
Podiatry (Foot Care)
Avg $9.67
1,420 claims
Speech Therapy
Avg $10.35
1,388 claims
Vaccines & Immunizations
Avg $5.82
747 claims