Average Medicaid Physical Therapy Payments in Cedar Falls, IA: $21.39
Avg. Paid
$21.39
Range
$15.80 – $37.23
Total Claims
50,342
Providers
31
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 Cedar Falls, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Area Education Agency 267
3712 Cedar Heights Dr |
$18.03 | 6,510 | 3,817 |
|
Kelli L Ohde
5100 Prairie Pkwy |
$21.88 | 6,153 | 2,627 |
|
Area Education Agency 267
3712 Cedar Heights Dr |
$23.51 | 3,506 | 2,674 |
|
Jennifer Sutton
5100 Prairie Pkwy |
$26.72 | 3,184 | 1,483 |
|
Amanda Reuter
1710 W 1St St |
$16.61 | 2,979 | 1,070 |
|
Shanna Lynne Elliott
912 Viking Rd Ste 101 |
$19.44 | 2,886 | 851 |
|
Karmen Renee Woelber
5100 Prairie Pkwy |
$18.64 | 2,601 | 1,101 |
|
Thea Kurtz
5100 Prairie Pkwy |
$25.39 | 2,383 | 1,037 |
|
Kristin Iehl
211 W 6Th St |
$18.95 | 2,269 | 1,020 |
|
Taylor Gutzman
5100 Prairie Pkwy # 300 |
$32.41 | 2,066 | 838 |
|
Marissa J Woomer
1710 W 1St St Ste D |
$17.80 | 1,877 | 599 |
|
Isaiah Vlasek
211 W 6Th St |
$20.30 | 1,739 | 736 |
|
Matthew D. Buttjer
1710 W 1St St Ste D |
$19.27 | 1,661 | 689 |
|
Leslie Ann Williams
211 W 6Th St |
$18.50 | 1,532 | 732 |
|
Katie J Funk
5100 Prairie Pkwy |
$27.19 | 1,297 | 509 |
|
Hanna Hill
1710 W 1St St Ste D |
$16.81 | 1,279 | 405 |
|
Allison Lee Brown
5100 Prairie Pkwy |
$35.06 | 1,007 | 421 |
|
Taylor Luck
5100 Prairie Pkwy Ste 104 |
$17.06 | 899 | 313 |
|
Rachel Ann Kinnetz
5100 Prairie Pkwy Ste 104 |
$19.95 | 679 | 261 |
|
Spencer James Elliott
1710 W 1St St Ste D |
$17.94 | 649 | 195 |
|
Matthew S Smith
211 W 6Th St |
$20.43 | 646 | 323 |
|
Lindy Therese Pins
211 W 6Th St |
$17.31 | 624 | 208 |
|
Marissa Sue Pech
211 W 6Th St |
$21.43 | 617 | 317 |
|
Taylor Joseph Kettman
4612 Prairie Pkwy |
$36.10 | 336 | 94 |
|
Bethany Kay Jacobsen
211 W 6Th St |
$17.16 | 223 | 112 |
|
Dawn Kay Seibold
5100 Prairie Pkwy |
$15.80 | 187 | 62 |
|
Cari Graham
4612 Prairie Pkwy |
$37.23 | 154 | 54 |
|
Allison Pedersen
211 W 6Th St |
$20.07 | 153 | 73 |
|
Autumn Fettkether
211 W 6Th St |
$21.22 | 133 | 69 |
|
Oz Wolfensperger
2351 Hudson Rd Ste 164 |
$33.62 | 87 | 24 |
|
Sarri Happel
211 W 6Th St |
$22.47 | 26 | 13 |
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 Cedar Falls, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Cedar Falls, IA is $21.39 per claim, based on 50,342 claims from 31 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 Cedar Falls, IA?
There are 31 Medicaid providers offering Physical Therapy related services in Cedar Falls, IA according to public payment data.
What is the price range for Physical Therapy in Cedar Falls, IA?
Medicaid reimbursement for Physical Therapy in Cedar Falls, IA ranges from $15.80 to $37.23 per claim, with an average of $21.39. 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
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Office Visit
Avg $32.68
134,644 claims
Blood Work & Lab Tests
Avg $6.04
86,597 claims
Non-Emergency Medical Transportation
Avg $78.67
71,983 claims
Psychiatric Evaluation
Avg $69.06
69,721 claims
Dental Cleaning & Exam
Avg $24.76
59,684 claims
Emergency Room Visit
Avg $133.64
35,946 claims
Chiropractic Care
Avg $22.83
30,199 claims
Vaccines & Immunizations
Avg $18.74
27,814 claims