Average Medicaid Physical Therapy Payments in Garner, NC: $61.08
Avg. Paid
$61.08
Range
$14.93 – $103.77
Total Claims
46,101
Providers
17
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 Garner, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Monique D Hinton
69 Diamond Hill Cir |
$67.73 | 16,595 | 3,934 |
|
Tracy Leigh Levy
48 Kyle Dr |
$76.25 | 14,029 | 3,887 |
|
April Wilson Phillips
400 Us 70 Hwy E |
$22.02 | 5,315 | 2,066 |
|
Stephanie L Chartier
1014 Adams Point Dr |
$84.52 | 2,314 | 610 |
|
Alexandra Caroline Villecco
1014 Adams Point Dr |
$46.05 | 2,206 | 475 |
|
Gabriella Hope Schmidt
510 Timber Dr E Ste 102 |
$14.93 | 1,824 | 654 |
|
Kristina Massey Heyward
1014 Adams Point Dr |
$64.41 | 1,023 | 334 |
|
Kimberly Frieberg White
510 Timber Dr E, Ste 102 |
$21.02 | 667 | 258 |
|
Grace Parker
510 Timber Dr E Ste 102 |
$21.70 | 541 | 228 |
|
William Read Bassing
350 New Fidelity Ct |
$20.74 | 536 | 144 |
|
Melissa Rini
12450 Cleveland Rd |
$85.06 | 515 | 149 |
|
Allison Hilliard Baker
1014 Adams Point Dr |
$81.66 | 157 | 38 |
|
Taylor Main Quaglia
901 Us 70 Hwy W Ste 120 |
$43.17 | 127 | 44 |
|
Mackenzie Hunter Conrad
1014 Adams Point Dr |
$73.35 | 106 | 42 |
|
Allyson Thompson Farrell
510 Timber Dr E Ste 102 |
$18.23 | 80 | 29 |
|
Michelle Ann Helmes
48 Kyle Dr |
$92.38 | 37 | 15 |
|
Erica Margaret Dolan
148 Skipping Rock Ln |
$103.77 | 29 | 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 Garner, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Garner, NC is $61.08 per claim, based on 46,101 claims from 17 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 Garner, NC?
There are 17 Medicaid providers offering Physical Therapy related services in Garner, NC according to public payment data.
What is the price range for Physical Therapy in Garner, NC?
Medicaid reimbursement for Physical Therapy in Garner, NC ranges from $14.93 to $103.77 per claim, with an average of $61.08. 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 Garner, NC
Office Visit
Avg $59.11
111,441 claims
Dental Cleaning & Exam
Avg $29.59
95,351 claims
Speech Therapy
Avg $62.24
76,554 claims
Psychiatric Evaluation
Avg $77.97
57,885 claims
Vaccines & Immunizations
Avg $20.67
40,371 claims
Blood Work & Lab Tests
Avg $8.81
25,804 claims
Emergency Room Visit
Avg $109.36
25,556 claims
Personal Care Services
Avg $66.94
21,465 claims