Average Medicaid Physical Therapy Payments in Crossville, TN: $25.78
Avg. Paid
$25.78
Range
$1.46 – $70.51
Total Claims
73,753
Providers
20
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 Crossville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Melanie Buchanan Sherrod
40 Dogwood Ave |
$40.00 | 23,340 | 8,271 |
|
Steven Michael Reagan
80 Miller Ave Ste 104 |
$20.41 | 7,196 | 2,522 |
|
Rachael Calhoun
115 Cumberland Plz |
$15.53 | 6,059 | 2,125 |
|
Aubrey Glenn Thompson
115 Cumberland Plz |
$13.30 | 6,027 | 1,911 |
|
Dustin Chase Rich
35 Taylor Street |
$17.03 | 5,797 | 1,322 |
|
Benjamin A Howe
115 Cumberland Plz |
$17.70 | 5,448 | 1,690 |
|
William Johnson
115 Cumberland Plz |
$17.14 | 3,327 | 1,052 |
|
Elton Tidwell
115 Cumberland Plz |
$16.11 | 3,079 | 1,270 |
|
Trista Moseley
812 Wattenbarger Rd |
$39.54 | 2,838 | 1,047 |
|
Tomasz J Nosarzewski
29 Taylor Ave |
$12.86 | 2,830 | 657 |
|
Meagan Mccoy
80 Justice St |
$37.61 | 2,258 | 807 |
|
Kelsey Scoville
4929 Peavine Rd |
$22.99 | 2,138 | 638 |
|
Randall Jay Crawford
1364 Interstate Dr |
$1.46 | 1,131 | 563 |
|
Emily Alexandra Trick
129 Walker Hill St |
$23.47 | 786 | 348 |
|
Victoria Campbell
129 Walker Hill St |
$16.68 | 768 | 230 |
|
Tim Ray Brockett
56 S Main St |
$70.51 | 330 | 97 |
|
Baylor Richard
115 Cumberland Plz |
$8.36 | 211 | 55 |
|
Jessa Barendse
129 Walker Hill St |
$25.70 | 104 | 66 |
|
Garland A Wilson
100 Lantana Rd |
$18.05 | 47 | 13 |
|
Larry Meads
115 Cumberland Plz |
$24.08 | 39 | 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 Crossville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Crossville, TN is $25.78 per claim, based on 73,753 claims from 20 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 Crossville, TN?
There are 20 Medicaid providers offering Physical Therapy related services in Crossville, TN according to public payment data.
What is the price range for Physical Therapy in Crossville, TN?
Medicaid reimbursement for Physical Therapy in Crossville, TN ranges from $1.46 to $70.51 per claim, with an average of $25.78. 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 Crossville, TN
Office Visit
Avg $35.12
447,797 claims
Vaccines & Immunizations
Avg $13.98
145,037 claims
Blood Work & Lab Tests
Avg $3.58
92,781 claims
Ambulance Transport
Avg $45.05
70,645 claims
Dental Cleaning & Exam
Avg $31.93
66,718 claims
Durable Medical Equipment (DME)
Avg $19.09
51,703 claims
Eye Exam
Avg $29.66
46,170 claims
Emergency Room Visit
Avg $92.29
29,238 claims