Average Medicaid Physical Therapy Payments in Lancaster, PA: $55.22
Avg. Paid
$55.22
Range
$3.38 – $293.08
Total Claims
134,531
Providers
102
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, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Beth P Shelley
625 Community Way |
$110.37 | 23 | 13 |
|
Elizabeth Catherine Stephens Datorre
625 Community Way |
$19.77 | 27 | 13 |
|
Rebecca Emily Stoltzfus
625 Community Way |
$34.87 | 28 | 12 |
|
Danielle Ashley Hardy
2983 Columbia Ave |
$7.95 | 29 | 12 |
|
Taylor A Shaak
231 Granite Run Drive |
$10.82 | 35 | 12 |
|
Grace Homa Pierson
2125 Noll Dr |
$14.31 | 35 | 12 |
|
Beau Jordan Troutman
2481 Lincoln Hwy E |
$9.92 | 36 | 12 |
|
Ryan Cordell
1042 New Holland Ave |
$6.58 | 37 | 15 |
|
Scott A Hess
231 Granite Run Drive |
$14.52 | 37 | 13 |
|
Lancaster General Hospital
555 N Duke St |
$73.87 | 40 | 13 |
|
Clarice Licon
3174 Thornapple Dr |
$137.53 | 44 | 12 |
|
Lee R Paglia
327 N Duke St |
$14.03 | 51 | 32 |
|
Christopher Trace Rohrer
2112 Harrisburg Pike |
$4.98 | 69 | 12 |
|
Hannah Pierce
625 Community Way |
$27.45 | 69 | 38 |
|
Mari Alice Cunningham
625 Community Way |
$293.08 | 70 | 68 |
|
Anna O'Connor
231 Granite Run Dr |
$13.41 | 72 | 25 |
|
Donna Walton-Gibbs
600 Eden Road |
$133.57 | 73 | 34 |
|
Jeffrey P Campagna
3051 Columbia Ave |
$13.82 | 74 | 26 |
|
Michelle Arliene Cybulski
625 Community Way |
$37.81 | 80 | 35 |
|
Rebecca Ciancitto
2125 Noll Dr Ste 200 |
$17.66 | 85 | 42 |
|
Amy Barner
2125 Noll Dr Ste 100 |
$27.21 | 87 | 28 |
|
Jerry A Rush
248 Granite Run Dr |
$15.88 | 108 | 87 |
|
Allison M. Dooley
231 Granite Run Drive |
$8.97 | 115 | 25 |
|
Christopher T Martin
231 Granite Run Dr |
$16.22 | 121 | 53 |
|
Daniel Michael Brown
170 N Pointe Blvd |
$33.45 | 126 | 82 |
|
Dale Edgell
703 Lampeter Rd |
$15.72 | 136 | 42 |
|
Todd Harris
2125 Noll Dr |
$15.52 | 148 | 37 |
|
Alyssa Raughley
625 Community Way |
$31.94 | 151 | 68 |
|
Alexandra Paniagua
2125 Noll Dr Ste 100 |
$18.94 | 155 | 79 |
|
Olivia Ann Hollenback
170 N Pointe Blvd |
$55.12 | 167 | 72 |
|
Lauren R Long
170 N Pointe Blvd |
$59.29 | 281 | 120 |
|
Ken Nguyen
170 N Pointe Blvd |
$29.22 | 321 | 197 |
|
Margaret S Bennett
600 Eden Road |
$141.79 | 332 | 188 |
|
Melissa Swope
1703 Newport Dr |
$61.74 | 336 | 195 |
|
Rebecca Lauren Hutt
2110 Landis Valley Rd |
$18.35 | 374 | 135 |
|
Kylie Nicole Givler
270 Granite Run Dr |
$18.99 | 420 | 198 |
|
Tiffany Mae Rudy
170 N Pointe Blvd |
$43.79 | 431 | 157 |
|
A Shawn Brown
170 N Pointe Blvd |
$46.80 | 452 | 159 |
|
Stephanie D Lever
2125 Noll Dr |
$19.06 | 452 | 163 |
|
Charissa L Peters
170 N Pointe Blvd |
$39.00 | 455 | 142 |
|
Rachel Herr-Musselman
2125 Noll Dr Ste 100 |
$17.04 | 468 | 158 |
|
Moira K Hauer
170 N Pointe Blvd |
$33.27 | 479 | 322 |
|
Erica K. Wentzel
600 Eden Road |
$126.32 | 483 | 233 |
|
Helana M Goldstein
625 Community Way |
$72.95 | 524 | 254 |
|
Jacqueline Heisey Weidman
345 W Grant St |
$135.88 | 535 | 217 |
|
Alyssa Nicole Good
170 N Pointe Blvd |
$37.94 | 559 | 319 |
|
Anna Marie Fostik
625 Community Way |
$106.07 | 582 | 209 |
|
Emily A Beddow
625 Community Way |
$26.92 | 590 | 263 |
|
Maria L Panettieri
625 Community Way |
$35.39 | 601 | 296 |
|
Becky E Smith
625 Community Way |
$50.84 | 648 | 305 |
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, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Lancaster, PA is $55.22 per claim, based on 134,531 claims from 102 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, PA?
There are 102 Medicaid providers offering Physical Therapy related services in Lancaster, PA according to public payment data.
What is the price range for Physical Therapy in Lancaster, PA?
Medicaid reimbursement for Physical Therapy in Lancaster, PA ranges from $3.38 to $293.08 per claim, with an average of $55.22. 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, PA
Office Visit
Avg $39.75
607,480 claims
Dental Cleaning & Exam
Avg $31.67
164,673 claims
Emergency Room Visit
Avg $85.60
150,561 claims
Case Management Services
Avg $65.68
149,372 claims
EKG / ECG (Electrocardiogram)
Avg $7.00
141,532 claims
Speech Therapy
Avg $30.39
125,554 claims
Blood Work & Lab Tests
Avg $7.12
116,126 claims
Home Health Visit
Avg $144.39
94,116 claims