Average Medicaid Physical Therapy Payments in Lancaster, OH: $23.10
Avg. Paid
$23.10
Range
$0.00 – $86.08
Total Claims
103,203
Providers
20
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 Lancaster, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristopher D Collins
2656 N Columbus St Ste D |
$15.13 | 172 | 42 |
|
Karen Leigh Riley
2405 N Columbus St |
$28.19 | 220 | 70 |
|
Nicole Marie Sabatina
2384 N Memorial Dr |
$86.08 | 274 | 85 |
|
Jed Alexander Bell
2036 Schorrway Dr Nw |
$80.93 | 291 | 95 |
|
Mark M D'Onofrio
2656 N Columbus St Ste D |
$32.56 | 528 | 213 |
|
Brian B Davidson
2405 N Columbus St |
$34.86 | 639 | 189 |
|
Francis Paul Degenova
2656 N Columbus St Ste D |
$68.85 | 856 | 302 |
|
Troy E Hampton
1550 Sheridan Dr |
$0.00 | 1,529 | 93 |
|
Trevor Roberts Call
2384 N Memorial Dr |
$73.76 | 1,577 | 436 |
|
Ryan Blankenship
2660 Kull Rd |
$19.46 | 2,226 | 825 |
|
Fairfield Union Local Schools
6417 Cincinnati Zanesville Rd Ne |
$20.88 | 2,392 | 1,094 |
|
Richard B. Sielski
2405 N Columbus St |
$0.02 | 3,025 | 327 |
|
Brooke Nicole Schmelzer
1355 River Valley Blvd |
$10.28 | 3,215 | 978 |
|
Steven V Priano
2656 N Columbus St Ste D |
$16.36 | 3,953 | 1,047 |
|
Amelia Celeste Moats
2036 Schorrway Dr Nw Ste 4 |
$11.87 | 4,553 | 1,432 |
|
Aaron Joseph Guy
2036 Schorrway Dr Nw Ste 4 |
$13.73 | 5,856 | 1,616 |
|
Joseph Fletcher
2405 N Columbus St |
$14.89 | 5,903 | 3,018 |
|
Lancaster City Schools
345 E Mulberry St |
$22.75 | 18,616 | 8,465 |
|
Fairfield Medical Center
401 N Ewing St |
$57.87 | 21,552 | 8,535 |
|
John E. Lloyd
2405 N Columbus St |
$1.11 | 25,826 | 2,383 |
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 Lancaster, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Lancaster, OH is $23.10 per claim, based on 103,203 claims from 20 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 Lancaster, OH?
There are 20 Medicaid providers offering Physical Therapy related services in Lancaster, OH according to public payment data.
What is the price range for Physical Therapy in Lancaster, OH?
Medicaid reimbursement for Physical Therapy in Lancaster, OH ranges from $0.00 to $86.08 per claim, with an average of $23.10. 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 Lancaster, OH
Office Visit
Avg $50.30
559,428 claims
Blood Work & Lab Tests
Avg $9.90
271,954 claims
Home Health Visit
Avg $39.13
269,599 claims
Psychiatric Evaluation
Avg $67.44
228,531 claims
Substance Abuse Treatment
Avg $100.16
198,133 claims
Behavioral & Mental Health Therapy
Avg $76.56
156,025 claims
Emergency Room Visit
Avg $86.82
139,499 claims
Dental Cleaning & Exam
Avg $25.07
81,301 claims