Average Medicaid Physical Therapy Payments in Lewistown, PA: $22.68
Avg. Paid
$22.68
Range
$10.39 – $126.88
Total Claims
49,329
Providers
13
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 Lewistown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tyler James Hess
152 E Market St |
$15.00 | 26,877 | 7,849 |
|
Derek S Heisler
152 E Market St |
$14.31 | 12,020 | 5,309 |
|
Karen S Fogle
31 S Dorcas St |
$126.88 | 2,906 | 1,153 |
|
Mifflin County School District
201 Eighth St - Highland Park |
$49.50 | 1,813 | 910 |
|
Jacob Kerstetter
152 E Market St Ste 200 |
$13.56 | 1,499 | 637 |
|
Nicole Davina Hobbs
163 Summit Dr |
$20.46 | 1,410 | 333 |
|
Matthew James Zimardo
152 E Market St Ste 200 |
$12.22 | 1,023 | 394 |
|
Karolyn Jenkins
152 E Market St Ste 200 |
$12.34 | 569 | 246 |
|
Ian R Shelley
152 E Market St |
$13.79 | 443 | 189 |
|
Jessica L Williams
152 E Market St |
$15.58 | 325 | 279 |
|
Demma Franklin
71 N Juniata St |
$10.39 | 262 | 68 |
|
Sasha Marie Martin
152 E Market St Ste 200 |
$10.75 | 142 | 65 |
|
Krista D Varner
152 E Market St |
$17.87 | 40 | 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 Lewistown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Lewistown, PA is $22.68 per claim, based on 49,329 claims from 13 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 Lewistown, PA?
There are 13 Medicaid providers offering Physical Therapy related services in Lewistown, PA according to public payment data.
What is the price range for Physical Therapy in Lewistown, PA?
Medicaid reimbursement for Physical Therapy in Lewistown, PA ranges from $10.39 to $126.88 per claim, with an average of $22.68. 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 Lewistown, PA
Emergency Room Visit
Avg $84.64
83,358 claims
Office Visit
Avg $41.68
79,452 claims
Blood Work & Lab Tests
Avg $7.16
60,494 claims
EKG / ECG (Electrocardiogram)
Avg $7.31
19,045 claims
X-Ray
Avg $6.29
14,891 claims
Ambulance Transport
Avg $168.02
10,200 claims
Urinalysis & Urine Tests
Avg $3.15
9,901 claims
Speech Therapy
Avg $15.68
9,760 claims