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Based on public Medicaid payment data.

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.

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