Average Medicaid Physical Therapy Payments in Lexington, KY: $62.23
Avg. Paid
$62.23
Range
$0.66 – $298.17
Total Claims
1,009,326
Providers
216
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bluegrass Area Development District
699 Perimeter Dr |
$114.46 | 165,962 | 11,086 |
|
University Of Kentucky
800 Rose St |
$52.53 | 104,610 | 45,351 |
|
Encompass Health Rehabilitation Hospital Of Cardinal Hill, Llc
2050 Versailles Rd |
$49.25 | 65,735 | 17,857 |
|
Fayette County Public Schools
1126 Russell Cave Rd |
$9.21 | 48,077 | 25,765 |
|
Kristopher Wayne Winders
162 Old Todds Rd |
$24.67 | 40,257 | 13,050 |
|
Employment Solutions Inc
1084 Whipple Ct |
$159.74 | 32,792 | 4,109 |
|
Saint Joseph Health System, Inc
150 N Eagle Creek Dr |
$65.99 | 30,091 | 12,644 |
|
Impactlex, Llc
500 Horton Ct |
$153.15 | 27,981 | 3,126 |
|
Baptist Healthcare System, Inc
1740 Nicholasville Rd |
$33.07 | 27,891 | 13,919 |
|
Saint Joseph Health System, Inc
1 Saint Joseph Dr |
$52.20 | 26,858 | 12,707 |
|
Jeffrey R. Caudill
330 Waller Ave Ste 275 |
$17.97 | 26,174 | 7,635 |
|
Center For Comprehensive Services, Inc
448 Lewis Hargett Cir |
$191.10 | 25,130 | 2,764 |
|
Horn And Associates In Rehabilitation Pllc
2412 Greatstone Point |
$143.37 | 20,422 | 3,752 |
|
James Patrick Couch
1868 Plaudit Pl Ste B |
$16.06 | 19,774 | 6,022 |
|
Sara Maria Brown
1890 Star Shoot Pkwy Ste 190 |
$20.77 | 10,523 | 2,677 |
|
Samuel Sparkman
1722 Sharkey Way |
$14.61 | 10,214 | 2,626 |
|
Lucas T Frasher
330 Waller Ave Ste 275 |
$16.56 | 9,428 | 2,402 |
|
Alex T Vaughan
330 Waller Ave Ste 275 |
$16.10 | 8,211 | 2,695 |
|
David C Barrett
185 Pasadena Dr Ste 210 |
$21.78 | 7,860 | 2,736 |
|
Jonathan Hamilton
330 Waller Ave Ste 275 |
$18.69 | 7,470 | 2,190 |
|
Jeremy Lee Amerine
989 Governors Ln Ste 280 |
$20.15 | 7,361 | 2,769 |
|
Samantha S Ashford
1868 Plaudit Pl |
$17.17 | 7,315 | 1,581 |
|
Christian T Rosevear
989 Governors Ln |
$12.03 | 7,292 | 1,924 |
|
Nicholas Eugene Leverette
3229 Summit Square Pl Ste 150 |
$22.72 | 7,203 | 1,867 |
|
Heath Gallentine
131 Prosperous Pl |
$16.26 | 7,010 | 2,099 |
|
Tiffany Mack Daniels
2121 Richmond Rd |
$14.10 | 6,169 | 2,399 |
|
Collin P Smith
3165 Beaumont Centre Cir Ste 130 |
$15.78 | 6,010 | 2,279 |
|
Michael N. Pugh
148 W Tiverton Way |
$10.89 | 5,587 | 2,351 |
|
Brett Anthony Skinner
3198 Custer Dr # 100 |
$16.56 | 5,215 | 1,864 |
|
Ryan Stephen Lynch
2505 Larkin Rd |
$15.12 | 5,088 | 1,808 |
|
Cascades Of The Bluegrass
500 Horton Ct |
$111.26 | 4,904 | 534 |
|
Families Hope, Llc
3847 Sugar Creek Dr |
$157.88 | 4,873 | 478 |
|
Bryce Channing Fugate
2417 Nicholasville Rd Ste 114 |
$17.68 | 4,637 | 1,262 |
|
Ann Wade
290 Alumni Dr |
$60.25 | 4,594 | 1,675 |
|
Paul Joseph Ragusa
2417 Nicholasville Rd |
$13.37 | 4,571 | 2,054 |
|
Hilary Nicole Wilson
330 Waller Ave Ste 275 |
$10.22 | 4,545 | 1,276 |
|
Tyler Lee Lemaster
3198 Custer Dr Ste 200 |
$20.94 | 4,462 | 1,794 |
|
Katelyn A Crist
993 Mason Headley Rd |
$30.05 | 4,432 | 1,401 |
|
Hannah Scott
993 Mason Headley Rd |
$48.20 | 4,337 | 1,496 |
|
Ricka Ansley Turner
448 Lewis Hargett Cir Ste 220 |
$13.72 | 4,234 | 1,667 |
|
Leah Morgan Adekoya
261 Ruccio Way |
$58.69 | 4,172 | 1,141 |
|
Daniel Joseph Ryan
330 Waller Ave |
$16.69 | 3,933 | 1,120 |
|
Jessica Nicole Raspen
290 Alumni Dr |
$22.71 | 3,902 | 1,551 |
|
Comfortable Living Llc
870 Corporate Dr Ste 104 |
$298.17 | 3,665 | 686 |
|
Rebecca Jane Williamson
2050 Versailles Rd |
$56.51 | 3,563 | 1,223 |
|
Lori Maureen Stolz
1713 Nicholasville Rd |
$23.94 | 3,540 | 1,270 |
|
Brett Lemmons
330 Waller Ave Ste 275 |
$17.74 | 3,445 | 1,161 |
|
Tyler Jeffrey Huff
230 W Main St Ste B |
$25.22 | 3,389 | 777 |
|
Robbie Joseph Kennedy
340 Legion Dr Ste 2 |
$17.16 | 3,259 | 1,602 |
|
Ronald Keith Pavkovich
3217 Summit Square Pl Ste 100 |
$27.53 | 2,890 | 589 |
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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Lexington, KY is $62.23 per claim, based on 1,009,326 claims from 216 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 Lexington, KY?
There are 216 Medicaid providers offering Physical Therapy related services in Lexington, KY according to public payment data.
What is the price range for Physical Therapy in Lexington, KY?
Medicaid reimbursement for Physical Therapy in Lexington, KY ranges from $0.66 to $298.17 per claim, with an average of $62.23. 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 Lexington, KY
Blood Work & Lab Tests
Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
Emergency Room Visit
Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
Psychiatric Evaluation
Avg $54.73
1,162,452 claims
Substance Abuse Treatment
Avg $82.19
953,868 claims
Dental Cleaning & Exam
Avg $36.91
818,313 claims
CT Scan (Computed Tomography)
Avg $183.79
697,695 claims