Skip to content
Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Clayton, NC: $55.14

Avg. Paid

$55.14

Range

$0.00 – $86.88

Total Claims

39,067

Providers

25

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 Clayton, NC

Provider Avg. Paid Claims Patients
Scott David Sedei

166 Springbrook Ave Ste 201

 $25.38 22 14
Daniel Nugent

166 Springbrook Ave Ste 201

 $17.42 22 14
Damon Craig

166 Springbrook Ave Ste 201

 $19.64 47 25
Allen Mullins

195 Springbrook Ave

 $35.70 103 45
Nicole Small

8838 Us Highway 70 W Ste 300

 $16.46 104 56
Stephanie Barbier

84 Johnson Estate Rd

 $0.00 150 12
Sherwin Cuaresma Bernardino

166 Springbrook Ave Ste 201

 $23.49 157 79
Rachelle Kelly Porath

166 Springbrook Ave Ste 201

 $13.90 162 61
Matthew Lisk

166 Springbrook Ave Ste 201

 $21.03 191 113
Erin Mcgloin Shanahan

204 Medspring Dr

 $53.13 223 214
Matthew Allan Popa

2196 Nc Hwy 42 W

 $51.72 248 77
Jennifer Joann-Olson Williams

400 Guy Rd

 $0.00 263 48
William Clayton

166 Springbrook Ave

 $23.46 474 222
Kiersten Flynn

8838 Us Highway 70 W

 $7.06 513 76
Taylor Marie Budzynski

2196 Hwy 42 W

 $24.91 542 286
Jennetta Spears

204 Lynn Dr

 $86.88 1,010 285
Ciara Rose Storer

11183 Clayton Blvd

 $86.70 1,344 392
Caitlin Colleena Dumont

2196 Nc Highway 42 W

 $17.39 1,676 860
Tung Thanh Vo

2196 Nc Hwy 42 W

 $21.56 1,953 911
Mikayla Dennielle Huf Barfield

11183 Us Hwy. 70 Business

 $85.85 2,377 630
Ashley Sharpe Leathers

84 Johnson Estate Rd

 $5.18 2,909 391
Douglas P. Coe

2076 Hwy 42 West

 $32.08 3,304 1,633
Jason Grant Keesee

2196 Veterans Pkwy

 $38.38 3,621 1,263
Carly Kohler

11183 Us Hwy 70 Bus W

 $58.29 4,525 1,418
Stacy Kozlowski

39 Wood Stork Ct

 $82.31 13,127 2,917

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 Clayton, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Clayton, NC is $55.14 per claim, based on 39,067 claims from 25 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 Clayton, NC?

There are 25 Medicaid providers offering Physical Therapy related services in Clayton, NC according to public payment data.

What is the price range for Physical Therapy in Clayton, NC?

Medicaid reimbursement for Physical Therapy in Clayton, NC ranges from $0.00 to $86.88 per claim, with an average of $55.14. 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 Clayton, NC

Office Visit

Avg $62.37

224,990 claims

Substance Abuse Treatment

Avg $44.30

167,971 claims

Vaccines & Immunizations

Avg $19.19

76,862 claims

Behavioral & Mental Health Therapy

Avg $78.83

68,417 claims

Psychiatric Evaluation

Avg $69.59

51,584 claims

Dental Cleaning & Exam

Avg $27.40

46,049 claims

Speech Therapy

Avg $63.03

28,436 claims

Hearing Test (Audiometry)

Avg $9.45

20,954 claims