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Based on public Medicaid payment data.

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

Other Procedures in Lexington, KY