Average Medicaid Physical Therapy Payments in Gainesville, GA: $20.41
Avg. Paid
$20.41
Range
$0.00 – $103.35
Total Claims
124,785
Providers
10
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 Gainesville, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Northeast Georgia Medical Center, Inc.
743 Spring St Ne |
$17.45 | 111,804 | 43,684 |
|
Krishna Sowjanya Yarlagadda
1285 Sims St |
$1.47 | 6,724 | 947 |
|
Jennifer Holland Fuqua
4043 Hidden Hollow Ter Apt A |
$103.35 | 2,395 | 930 |
|
Ruth Ann Street
500 Spring St Se Ste 101 |
$101.20 | 1,457 | 567 |
|
Alyssa Tallent
7985 Knight Rd |
$79.81 | 696 | 423 |
|
Beth Eve Crowell
597 S Enota Dr Ne |
$84.88 | 572 | 216 |
|
Travis Aaron Monk
7985 Knight Rd |
$82.24 | 562 | 158 |
|
Melissa Anne Smith
4000 Village View Dr |
$83.95 | 382 | 132 |
|
Lisa Ramsland Lake
4517 Callie Downs Drive |
$78.77 | 118 | 47 |
|
Radhika Prabhakar
1439 Jesse Jewell Pkwy Ne Ste 202 |
$0.00 | 75 | 51 |
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 Gainesville, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Gainesville, GA is $20.41 per claim, based on 124,785 claims from 10 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 Gainesville, GA?
There are 10 Medicaid providers offering Physical Therapy related services in Gainesville, GA according to public payment data.
What is the price range for Physical Therapy in Gainesville, GA?
Medicaid reimbursement for Physical Therapy in Gainesville, GA ranges from $0.00 to $103.35 per claim, with an average of $20.41. 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 Gainesville, GA
Blood Work & Lab Tests
Avg $6.15
670,741 claims
Emergency Room Visit
Avg $148.90
349,608 claims
X-Ray
Avg $14.41
301,764 claims
Office Visit
Avg $64.98
242,258 claims
Urinalysis & Urine Tests
Avg $3.08
129,637 claims
EKG / ECG (Electrocardiogram)
Avg $16.56
117,622 claims
CT Scan (Computed Tomography)
Avg $118.37
110,349 claims
Prescription Medications
Avg $1.62
86,639 claims