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
Laura Juel 3000 Erwin Rd # 3120	$66.25	12	12
Janice Minnich Fitch 3000 Erwin Rd	$44.22	13	12
Julie Coats 3000 Erwin Rd	$57.48	14	14
Nora Brody Guge 2301 Erwin Road	$54.32	14	13
Jordan Jamaal Patterson 3609 Sw Durham Dr	$69.65	17	14
Amber Egypt Stewart 120 William Penn Plz	$8.93	18	12
Bethany Grace Buzzell 2301 Erwin Rd	$0.91	19	13
Ashlea Ember Adams-Hill 120 William Penn Plz	$25.09	21	13
Joann Jodi Petry 1821 Hillandale Rd Ste 1B-246	$52.09	27	12
Rachel Gandy 3000 Erwin Rd	$54.27	28	13
Mohammed Omar Mohiuddin 2351 Erwin Rd	$14.21	30	25
Lydia Jobe Cole 120 William Penn Plz	$24.38	31	15
Jonathan Earles 4309 Medical Park Dr	$37.37	38	26
Travis Linton 40 Duke Medicine Cir	$17.61	38	27
Christopher Brent Ritter 3116 N Duke St	$6.41	40	26
Lilie Lee Bonzani 3000 Erwin Rd	$33.91	40	12
Lisa Shirafuji Taylor 3000 Erwin Rd	$37.80	40	27
Sapna S. Patel 120 William Penn Plz	$21.84	42	13
Kristi Duke 2327 Englewood Ave	$86.31	52	24
William F Malcolm Duke University Medical Ctr	$52.52	58	55
Adam Luke Emergeortho, P.A.	$13.69	61	37
Rashmi Kumar 300 Meredith Dr	$0.00	62	24
Diana Marie Frank 120 William Penn Plz	$14.25	72	46
Tyler Gene Foor 120 William Penn Plz	$18.58	75	51
Jennifer M. Williams 303 E Carver St	$79.67	77	27
Joi Lashawn Edwards 4125 Ben Franklin Blvd	$22.43	79	34
Christopher Michael Bruscato Dumc 3965	$40.68	80	38
Megan Maness Brandberg 3624 Shannon Rd Ste 104	$81.35	95	36
Alec Cary Palermo 3000 Erwin Rd	$57.99	100	55
Adam Nicholas Stanley 120 William Penn Plz	$19.98	104	36
Kristen Fontela Massey 3116 N Duke St	$15.25	106	70
Shilpa Kundeshwar 300 Meredith Dr	$1.13	113	38
Sydney Branson Beaulac 3000 Erwin Rd	$67.72	115	50
Deidra Debnam Charity 3708 Mayfair St Ste 110	$69.74	124	53
Jennifer L Bonano 3514 University Dr	$83.74	135	52
Braelyn Hathaway Beal 3905 University Dr	$85.11	143	56
Abby Alysse Gaskell 120 William Penn Plz	$51.45	148	42
Adam Deprimo 3000 Erwin Rd	$58.35	149	54
Stephen Christopher Mills 3116 N Duke St	$10.42	153	52
Laura Brown 3000 Erwin Rd	$13.69	162	64
Abby E Dillard 4309 Medical Park Dr	$42.15	181	138
Avery Elisabeth Rothberg 3905 University Dr	$94.34	187	73
Sarah E Sacchetti 3905 University Dr	$85.74	208	79
Zachary Ryan Stearns 3116 N Duke St	$12.50	225	161
Melanie Sabrina Schmuck 3000 Erwin Rd	$73.42	234	95
Kara Elisabeth Pinarreta 4709 Creekstone Dr	$73.74	235	84
Michelle Kathryn Brown 504 E Pettigrew St Apt 134	$71.18	241	39
Brandon L. Bevil 120 William Penn Plz	$24.85	258	150
Lisa Eve Henning 3116 N Duke St	$10.22	283	120
Victoria Renera-Nisa Smith Duke University Health System	$29.07	287	196

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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