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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
Bailey Dee Davis

3401 Yorkshire Medical Park

$33.08 14 12
Emily Jordan Berry

1868 Plaudit Pl Ste B

$23.11 16 12
Mary Alison Smith

151 N Eagle Creek Dr

$29.69 19 12
Heather T Marra

1775 Alysheba Way Ste 10

$15.32 22 14
Kelly Ann Demshar

1300 E New Circle Rd Ste 150

$10.29 22 13
Ryan Edmund Voynar

100 N Eagle Creek Dr

$36.22 23 13
Jamie Lynn Ellis

993 Mason Headley Rd

$37.46 23 14
Anand Modadugu

2416 Regency Road

$11.18 25 15
Steven R. Marcum

2560 Richmond Rd

$26.60 28 12
Sydney Rosser Moore

4101 Tates Creek Centre Dr Ste 144

$24.64 34 12
Mark Pugeda

150 W Lowry Ln Ste 150

$18.42 37 12
Michelle Annette Mccallum

3480 Yorkshire Medical Park

$24.53 42 27
Karen Muller Jurjans

2412 Greatstone Pt

$6.80 47 12
Kentucky Orthopedic Rehabilitation, Llc

1650 Bryan Station Rd

$0.66 51 12
Emily Kate Sward-Williams

2520 Regency Rd Ste 150

$34.27 53 21
Yolanda Rae Spedding

1586 Higbee Mill Rd

$137.62 59 27
Melissa Tabor

2520 Regency Rd

$65.89 60 25
Zachary Jacob Storms

330 Waller Ave Ste 275

$22.71 61 37
Sarah Elizabeth Kersey

904 Keirfield Ct

$52.27 67 25
Chris N Bryant

2130 Nicholasville Rd

$49.81 71 51
Sara L Bisher

1900 Richmond Road

$39.75 71 38
Megan Parker

2520 Regency Rd

$40.89 84 41
Tia Michelle Roush Caldwell

1900 Richmond Rd

$66.07 84 27
Kayleigh Mullins

3499 Blazer Pkwy Ste 170

$82.50 86 41
Jennifer Millen

1795 Alysheba Way Suite 4103

$8.82 92 26
Danesh Mazloomdoost

101 N Eagle Creek Dr

$19.76 94 84
Erin Lynn Vanzanten

3401 Yorkshire Medical Park

$7.77 96 25
Maryjean Starr

1713 Nicholasville Rd.

$56.41 99 53
Kristen D Lockhart

1775 Alysheba Way Ste 10

$15.26 100 51
Rita S Brown

3480 Yorkshire Medical Park

$15.44 104 37
Emily Novak

615 Delzan Pl

$38.30 120 54
Caleb Baber

150 W Lowry Ln Ste 150

$20.01 123 61
Jessica Leann Damron

424 Lewis Hargett Cir Ste B100

$76.52 140 52
Angela Fulkerson Folczyk

856 Henderson Dr

$34.18 146 49
Darryl R Gregory

3198 Custer Dr Ste 100

$11.62 158 61
Cassidy Kohari

3280 Blazer Pkwy Ste 101

$56.77 161 87
Jacqueline Ann Juppe

1890 Star Shoot Pkwy Ste 185

$15.14 169 53
Hannah Nicole Prichard

993 Mason Headley Rd

$50.27 175 79
Wesley Bryan Waits

3401 Yorkshire Medical Park

$17.80 175 94
Lindsey N Fields

352 Albany Rd

$61.99 182 51
Megan Lou Wakefield

3401 Yorkshire Medical Park

$13.88 196 63
Kenneth Steven Lockard

3401 Yorkshire Medical Park

$27.50 196 90
Joseph B Mefford

1051-H Newtown Pike

$19.17 198 81
Luke Nolte

330 Waller Ave Ste 275

$23.12 220 48
Tabatha Marie Erwin

1207 S Broadway

$26.91 229 112
Victoria Elridge

2024 Willis Dr

$20.15 234 58
Matthew Baumann

330 Waller Ave Ste 275

$20.13 247 90
Michelle Yvonne Plaugher

1096 Wellington Way # 110

$21.83 254 99
Michael Westneat

110 Conn Ter

$56.56 257 83
Carley Evelena Solomon

223 E Loudon Ave

$44.36 266 86

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