Average Medicaid Physical Therapy Payments in Ephrata, PA: $16.87
Avg. Paid
$16.87
Range
$10.02 – $147.31
Total Claims
33,733
Providers
9
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 Ephrata, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kayla-Ann Bain
108 N Reading Rd Ste G |
$16.46 | 14,064 | 4,244 |
|
Ephrata Area School District
803 Oak Blvd |
$12.65 | 12,899 | 4,258 |
|
Sarah E Crowther
4131 Oregon Pike |
$17.08 | 3,321 | 1,214 |
|
Kristin Miller
4131E Oregon Pike |
$19.46 | 2,259 | 998 |
|
Tiffany Ann Fritz
136 Lake Street |
$10.02 | 683 | 271 |
|
Ashton Smith
390 E Main St Ste 201 |
$138.16 | 243 | 85 |
|
Angela Marie Kurl
142 S State St |
$147.31 | 212 | 81 |
|
Monica F Johnson-Null
808 Pleasantview Dr |
$53.20 | 32 | 12 |
|
Keith Kmieczak
136 Lake St |
$15.24 | 20 | 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 Ephrata, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Ephrata, PA is $16.87 per claim, based on 33,733 claims from 9 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 Ephrata, PA?
There are 9 Medicaid providers offering Physical Therapy related services in Ephrata, PA according to public payment data.
What is the price range for Physical Therapy in Ephrata, PA?
Medicaid reimbursement for Physical Therapy in Ephrata, PA ranges from $10.02 to $147.31 per claim, with an average of $16.87. 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 Ephrata, PA
Office Visit
Avg $39.20
74,582 claims
Emergency Room Visit
Avg $114.31
46,599 claims
Blood Work & Lab Tests
Avg $6.04
27,959 claims
X-Ray
Avg $9.33
23,657 claims
Speech Therapy
Avg $14.32
18,558 claims
Home Health Visit
Avg $27.31
12,251 claims
Durable Medical Equipment (DME)
Avg $91.80
9,389 claims
EKG / ECG (Electrocardiogram)
Avg $8.21
7,934 claims