Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Durham, NC: $50.19

Avg. Paid

$50.19

Range

$0.00 – $94.34

Total Claims

190,981

Providers

108

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 Durham, NC

Provider	Avg. Paid	Claims	Patients
Durham Public Schools 511 Cleveland St	$39.43	26,258	12,097
Thomas Thomas 906 Burch Ave	$1.98	16,930	1,623
Jessica Ryan Gentz 902 Avalon Rd	$84.47	12,310	3,085
Claudia Jakiel Leasure 2609 N Duke St Ste 203	$34.34	9,079	3,821
Nicole Brown Cavin 2701 Pickett Rd	$87.40	8,705	2,366
Matthew Irish 3420 Holloway St	$3.91	8,185	1,030
Rebecca Lin Katherine Lockyear 3420 Wake Forest Rd	$0.00	7,933	660
Swetal Thaker 3624 Shannon Rd Ste 104	$83.69	7,187	2,175
Melissa Nicole Wickham 1125 W Nc Highway 54 Ste 503	$80.57	6,789	1,823
Sarah Elizabeth Johnson 3905 University Dr	$78.14	5,287	1,392
Melanie Carlson 3000 Erwin Rd	$24.40	5,233	1,448
Ashton Danielle Kuhns 3420 Wake Forest Rd	$4.47	4,756	458
Andrew J Klein 3905 University Dr	$87.49	4,498	1,538
Nicole A. Kristal 3905 University Dr	$73.17	4,344	1,144
Jessica Presnell 3905 University Dr	$66.02	4,318	1,404
Caroline Glatz 3905 University Dr	$49.21	3,817	1,347
Jayme Cooper 3400 Croasdaile Dr	$47.95	3,681	963
Madison Paige Strauss 3905 University Dr	$83.66	3,142	879
Jackelyn Elizabeth Rockwood 3905 University Dr	$77.06	2,699	746
Robbi Brittni Winslow 3905 University Dr	$86.57	2,399	684
Kelsey Zukowski 3905 University Dr	$84.43	2,109	683
Michelle Reade Christopher 3000 Erwin Rd	$70.43	2,018	634
Kathryn Michelle Sayre 3514 University Dr	$92.81	1,894	553
Cailyn Marissa Pozella-Burling 1920 Nc-54	$88.51	1,885	506
Lauren Moore Mccoy 3905 University Drive	$77.00	1,863	477
Christina Mckinsey Noel Pyle 3000 Erwin Rd	$62.54	1,776	690
Christina Yvonne Perry 120 William Penn Plz	$25.15	1,768	709
Makayla Elizabeth Godshall 3905 University Dr	$88.81	1,715	598
Haley Bisschops 3905 University Dr	$82.46	1,527	495
Emily Mitchum 3905 University Dr	$86.41	1,480	474
Linda King Thomas 3514 University Dr	$86.57	1,351	445
Brittany Ellis Sarenpa 3905 University Dr	$79.06	1,304	419
Carlie Mcleod 3905 University Dr	$85.39	1,094	284
Loida Castillon Garcia 4230 N Roxboro St	$2.64	1,084	227
Wendy Michelle Rousse 5705 Fayetteville Rd	$0.00	1,069	148
Jaclyn Kara Jewett 3905 University Dr	$78.34	1,043	284
Rita A. Satterfield 120 William Penn Plz	$13.67	982	362
Jennifer Meckes Christofferson 4709 Creekstone Dr Ste 250	$59.63	977	414
Tyler Knabe 120 William Penn Plz	$48.72	957	357
Annabel Delacruz 3000 Erwin Rd	$65.49	850	385
Victoria A. Guthrie 3000 Erwin Rd	$51.14	849	442
Alice Polonsky 3905 University Dr	$90.97	797	269
Jonathan Walter 2059 Torredge Rd	$33.46	747	346
Daniela Pullin 3905 University Dr	$85.07	725	228
Ger Daniel Schmidt 120 William Penn Plz	$10.46	696	327
Amy May Collishaw 3000 Erwin Rd	$64.70	662	268
Samantha Claire Davey 3000 Erwin Rd	$69.14	640	266
Leslie Sierra-Arevalo 3000 Erwin Rd	$48.25	581	258
Sheri Ahern Burnsed 120 William Penn Plz	$13.09	565	252
Aiena Laya Angeles Bautista Griffith 120 William Penn Plz	$11.81	562	288

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 Durham, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Durham, NC is $50.19 per claim, based on 190,981 claims from 108 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 Durham, NC?

There are 108 Medicaid providers offering Physical Therapy related services in Durham, NC according to public payment data.

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

Medicaid reimbursement for Physical Therapy in Durham, NC ranges from $0.00 to $94.34 per claim, with an average of $50.19. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Physical Therapy Payments in Durham, NC: $50.19

Providers Offering Physical Therapy in Durham, NC

What to Expect: Physical Therapy

Cost Components

Frequently Asked Questions

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