Average Medicaid Physical Therapy Payments in Fountain, CO: $59.74
Avg. Paid
$59.74
Range
$22.15 – $108.90
Total Claims
44,516
Providers
23
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 Fountain, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole Losse
901 N Santa Fe Ave |
$88.00 | 7,647 | 3,021 |
|
Sarah Mitchell
6980 Mesa Ridge Pkwy Ste 100 |
$22.15 | 5,384 | 2,379 |
|
William T Fenton
5160 Fontaine Blvd |
$30.15 | 4,765 | 1,219 |
|
Hannah Louise Fiser
901 N Santa Fe Ave. |
$105.76 | 3,262 | 1,281 |
|
Ashley Collins
5160 Fontaine Blvd |
$32.39 | 3,026 | 865 |
|
Alyssa Zolper
135 Cherry Cir |
$34.42 | 2,591 | 808 |
|
Abigail Lois Valenta
901 N Santa Fe Ave |
$101.86 | 2,290 | 866 |
|
Sarah Fogle
6980 Mesa Ridge Pkwy |
$23.64 | 1,940 | 791 |
|
Kristin Richardson
901 N Santa Fe Ave |
$76.10 | 1,826 | 701 |
|
Taylor Douglas Buchanan
901 N Santa Fe Ave |
$108.90 | 1,586 | 687 |
|
Savanna Golson
901 N Santa Fe Ave |
$99.95 | 1,516 | 584 |
|
Catherine Mae Eby
901 N Santa Fe Ave |
$75.20 | 1,393 | 639 |
|
Elissa Marie Payonk
901 N Santa Fe Ave |
$66.28 | 1,220 | 482 |
|
Leslie Katherine Chaffin
901 N Santa Fe Ave |
$69.70 | 1,014 | 455 |
|
Kyle James Van Benschoten
6980 Mesa Ridge Pkwy |
$26.81 | 913 | 380 |
|
Megan Paben
901 Sante Fe Ave |
$36.30 | 783 | 376 |
|
Kevin Andrew Gonzalez
6980 Mesa Ridge Pkwy Ste 100 |
$30.30 | 779 | 433 |
|
Brandon Kyle Sheehan
6980 Mesa Ridge Pkwy |
$22.30 | 648 | 380 |
|
Carrie K Zimmer
6980 Mesa Ridge Pkwy Ste 100 |
$28.70 | 596 | 253 |
|
Haley Nicole Kirk
901 N Santa Fe Ave |
$65.67 | 499 | 209 |
|
Catherine Ann Mrochinski
6980 Mesa Ridge Pkwy |
$25.86 | 410 | 156 |
|
Peter Douglas Lenz
901 N Santa Fe Ave |
$107.78 | 331 | 155 |
|
Natalia Cardenas
857 Regent Ct |
$59.59 | 97 | 27 |
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 Fountain, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Fountain, CO is $59.74 per claim, based on 44,516 claims from 23 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 Fountain, CO?
There are 23 Medicaid providers offering Physical Therapy related services in Fountain, CO according to public payment data.
What is the price range for Physical Therapy in Fountain, CO?
Medicaid reimbursement for Physical Therapy in Fountain, CO ranges from $22.15 to $108.90 per claim, with an average of $59.74. 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 Fountain, CO
Office Visit
Avg $131.67
53,057 claims
Dental Cleaning & Exam
Avg $33.93
27,524 claims
Speech Therapy
Avg $59.31
26,142 claims
Non-Emergency Medical Transportation
Avg $27.55
18,001 claims
Eye Exam
Avg $55.20
12,932 claims
Dental Filling
Avg $121.57
9,663 claims
Ambulance Transport
Avg $103.45
9,093 claims
Psychiatric Evaluation
Avg $78.74
6,601 claims