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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Lexington, NC: $74.35

Avg. Paid

$74.35

Range

$18.95 – $94.31

Total Claims

136,856

Providers

21

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, NC

Provider Avg. Paid Claims Patients
Carol Frye Powell

440 Central Avenue

 $81.55 56,178 15,899
Deborah Dorsett

614 Cardinal Dr

 $69.19 19,477 3,676
Toni Tysinger Kinley

706 Mill Stream Ln

 $81.55 10,301 2,757
Davidson County Public Schools Supe

218 County School Rd Ste C

 $30.50 9,836 4,664
April Ann Thompson

119 Mill Stream Ln

 $90.19 8,892 2,801
Lexington City Schools

1010 Fair St

 $49.52 8,654 3,174
Elizabeth Carter

440 Central Ave

 $53.31 4,104 1,323
Charlotte Bateman Watts

440 Central Ave

 $89.52 4,011 1,404
Amber T Goode

440 Central Ave

 $87.18 3,636 1,240
Mary Clark Hauser

119 Mill Stream Ln

 $86.58 2,299 844
Laura Arens

440 Central Ave

 $72.87 2,211 792
Miranda Booth Rainey

440 Central Ave

 $88.81 1,966 666
Michala Shae Freedle

440 Central Ave

 $82.12 1,326 466
Sadie Celeste Jones

440 Central Ave

 $83.52 1,275 394
Christopher Michael Moore

252 Berger Dr

 $88.29 1,021 203
Sydney Griffin Atchley

440 Central Ave

 $91.50 1,011 333
Matthew Bernard Price

440 Central Ave

 $80.76 180 96
Sarah Lee

440 Central Ave

 $91.87 160 73
Karen Ely Riggs

891 Young Mill Rd

 $94.31 146 52
Adrian P Jessen

1201 S Main St

 $18.95 101 37
Elizabeth Danielle Davis

440 Central Ave

 $47.49 71 26

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, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Lexington, NC is $74.35 per claim, based on 136,856 claims from 21 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, NC?

There are 21 Medicaid providers offering Physical Therapy related services in Lexington, NC according to public payment data.

What is the price range for Physical Therapy in Lexington, NC?

Medicaid reimbursement for Physical Therapy in Lexington, NC ranges from $18.95 to $94.31 per claim, with an average of $74.35. 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, NC

Substance Abuse Treatment

Avg $37.79

559,581 claims

Office Visit

Avg $54.63

234,434 claims

Speech Therapy

Avg $45.23

234,175 claims

Vaccines & Immunizations

Avg $15.31

101,722 claims

Emergency Room Visit

Avg $114.36

71,313 claims

Dental Cleaning & Exam

Avg $27.87

70,455 claims

Blood Work & Lab Tests

Avg $14.46

58,709 claims

Durable Medical Equipment (DME)

Avg $24.50

47,939 claims