Average Medicaid Physical Therapy Payments in Decatur, AL: $23.23
Avg. Paid
$23.23
Range
$0.17 – $83.74
Total Claims
153,971
Providers
22
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 Decatur, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Encore Rehabilitation, Inc
251 Johnston St |
$36.89 | 72,297 | 21,121 |
|
Encore Rehabilitation, Inc.
251 Johnston St Se Ste 300 |
$6.22 | 33,629 | 8,996 |
|
Kirk Lee Jackson
2506 Danville Rd Sw |
$0.17 | 24,186 | 2,767 |
|
Robin D Irwin
922 6Th Ave Se |
$27.23 | 8,220 | 3,617 |
|
Inkyung Kim Santiago
1350 14Th Ave Se |
$18.09 | 4,172 | 740 |
|
Heather Donovan
1931 Central Pkwy Sw Ste S |
$38.90 | 3,060 | 1,197 |
|
Jody Keenum
1350 14Th Ave Se |
$40.37 | 1,778 | 801 |
|
Natalie Brown
2506 Danville Rd Sw # B |
$17.95 | 1,419 | 495 |
|
Reach Pediatrics Therapy Services Pc
1931 Central Pkwy Sw |
$47.43 | 948 | 329 |
|
Cynthia Aikens
1931 Central Pkwy Sw |
$32.22 | 748 | 413 |
|
Lauren Nicole Evans
1931 Central Pkwy Sw |
$36.32 | 717 | 415 |
|
Barri Brittain Lenox
2506 Danville Rd Sw |
$2.46 | 670 | 26 |
|
Ruth Ross
922 6Th Ave Se |
$83.74 | 544 | 168 |
|
Kelsey Kirk
1931 Central Pkwy Sw Ste S |
$57.50 | 360 | 167 |
|
Justin Byrd
1794 S Bethel Rd Ste C |
$10.84 | 242 | 91 |
|
Patrick G Swinea
1117 16Th Ave Se |
$21.20 | 238 | 54 |
|
Dolores Kisbey-Green
2506 Danville Rd Sw |
$18.24 | 221 | 139 |
|
Valarie Lynn Byford
1931 Central Pkwy Sw Ste S |
$5.93 | 152 | 88 |
|
Hannah Warren
2506 B Danville Rd Sw Ste 200 |
$20.16 | 135 | 51 |
|
Craig L Strong
2506 Danville Rd Sw |
$13.17 | 114 | 25 |
|
Lisa Gault
216 Johnston St Se |
$14.39 | 63 | 25 |
|
Justin Eidsmoe
1241 Pt Mallard Pkwy Ste 201 |
$10.86 | 58 | 12 |
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 Decatur, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Decatur, AL is $23.23 per claim, based on 153,971 claims from 22 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 Decatur, AL?
There are 22 Medicaid providers offering Physical Therapy related services in Decatur, AL according to public payment data.
What is the price range for Physical Therapy in Decatur, AL?
Medicaid reimbursement for Physical Therapy in Decatur, AL ranges from $0.17 to $83.74 per claim, with an average of $23.23. 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 Decatur, AL
Office Visit
Avg $39.95
336,311 claims
Behavioral & Mental Health Therapy
Avg $55.34
181,784 claims
Psychiatric Evaluation
Avg $79.81
172,293 claims
Dental Cleaning & Exam
Avg $23.50
114,089 claims
Blood Work & Lab Tests
Avg $7.90
79,935 claims
Case Management Services
Avg $117.16
70,977 claims
Emergency Room Visit
Avg $54.32
68,321 claims
Non-Emergency Medical Transportation
Avg $16.42
60,329 claims