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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Edgewood, KY: $31.21

Avg. Paid

$31.21

Range

$9.09 – $80.43

Total Claims

119,139

Providers

26

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 Edgewood, KY

Provider Avg. Paid Claims Patients
St Elizabeth Medical Center, Inc

1 Medical Village Dr

$32.44 81,430 36,741
Caitlyn Ann Hemmer

2904 Foltz Dr

$35.92 9,619 2,392
Kendra Jo Weisbrod

560 S Loop Rd

$24.14 4,830 1,782
Matthew David Schlagheck

998 Dudley Pike

$9.09 3,872 1,561
Jordan Nicole Lindon

520 Garden Way

$35.42 2,727 862
Andrew William Koch

560 S Loop Rd

$22.60 2,255 709
Brandon Patrick Griffin

560 S Loop Rd

$35.34 2,137 737
Maria Reitzes

560 S Loop Rd

$28.84 1,990 826
Kathryn Elizabeth Schwegmann

560 S Loop Rd

$26.51 1,779 746
Pamela Marie Shepherd

560 S Loop Rd

$23.43 1,654 602
Kelly Rae Heisler

560 S Loop Rd

$29.95 1,162 413
Emily Nicole Rolf

560 S Loop Rd

$24.98 906 408
Jaclyn Suzanne Macleod

560 S Loop Rd

$31.95 872 312
Bryan Vranic

560 S Loop Rd

$28.07 750 320
Andrea Marie Holliday

560 S Loop Rd

$31.89 701 348
Karli Danielle Beasley

560 S Loop Rd

$23.49 429 169
Daniel Bartlett

560 S Loop Rd

$12.67 417 126
Chad Ryan Michels

560 S Loop Rd

$28.75 399 174
Bluegrass Behavioral Health Group, Llc

925 Dudley Pike

$72.52 346 115
Emily Michelle Dean

560 S Loop Rd

$19.15 281 136
Jill Beimesche Goodwin

560 S Loop Rd

$39.34 200 92
Mary Ann Barnes

413 South Loop Road

$56.08 144 60
Interim Healthcare Of Cincinnati, Inc

3005 Dixie Hwy

$80.43 92 24
Camryn Joanna Diebold

560 S Loop Rd

$22.27 65 40
Lukas Duffy Mehling

560 S Loop Rd

$25.28 59 26
Marissa Christine Frommeyer

560 S Loop Rd

$25.30 23 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 Edgewood, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Edgewood, KY is $31.21 per claim, based on 119,139 claims from 26 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 Edgewood, KY?

There are 26 Medicaid providers offering Physical Therapy related services in Edgewood, KY according to public payment data.

What is the price range for Physical Therapy in Edgewood, KY?

Medicaid reimbursement for Physical Therapy in Edgewood, KY ranges from $9.09 to $80.43 per claim, with an average of $31.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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