Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Lexington, SC: $70.19

Avg. Paid

$70.19

Range

$0.53 – $91.43

Total Claims

131,680

Providers

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, SC

Provider	Avg. Paid	Claims	Patients
Christine Speegle 225 Vista Springs Cir	$79.53	28,168	8,041
Lexington School District One 100 Tarrar Springs Rd	$46.54	21,017	9,695
Chelsea West 113 E Main St	$63.35	8,874	2,870
Paul J. Tardy 105 Serendipity Way # D	$81.04	8,271	2,703
Despina Anastasia Small 714 S Lake Dr Ste 150	$80.11	7,304	3,677
Christina Marie Spangenberg 714 S Lake Dr Ste 150	$75.51	5,543	1,861
Allison Jolley 714 S Lake Dr Ste 150	$80.76	4,659	2,569
Kaylee Rogers 720 Old Cherokee Rd	$81.37	4,551	1,624
Brittany N Pinson 300 W Main St	$81.81	4,324	1,372
Lisa June Pierce 352 Asa Rose Ln	$79.69	4,102	1,179
Kimberlyn Ashton 714 S Lake Dr Ste 150	$71.56	3,964	1,815
Ryan Martin 714 S Lake Dr Ste 150	$48.80	3,811	1,706
Kristyn Ternberg Mayson 147 Vera Rd	$80.10	3,662	1,128
Allison Mender 300 W Main St	$86.54	2,970	939
Anthony Allen Archer 951 Old Cherokee Rd	$53.13	2,937	1,375
Zachary Foss 248 Richmond Farm Cir	$86.69	2,720	855
Stacie Marie Underwood 102 Saluda Pointe Dr Ste G	$46.36	2,469	1,126
Zada K Wooten 602 E Main St Ste C4	$76.40	2,136	655
Alessandra Lorah 714 S Lake Dr Ste 150	$78.55	1,708	659
Karsen Walker 113 E Main St	$77.00	1,309	365
Kimberly Shull-Massey 107 Honeybee Ct	$44.92	1,018	323
Dayna Suzann Barnhart 714 S Lake Dr Ste 150	$79.78	1,005	501
Katelyn Amanda Travis 714 S Lake Dr Ste 150	$91.43	735	245
Kyle Richard Daugherty 229 Saluda Springs Rd	$16.77	656	212
Christina Mitro 714 S Lake Dr Ste 150	$85.60	632	338
Sara Duerkop 714 S Lake Dr Ste 150	$70.19	468	290
Dawn Zachary Kearney 108 Arnwood Ct	$74.24	441	140
Stephanie Lynn Hoffman 800 N Lake Dr	$28.63	409	76
Hannah Knauer 147 Vera Rd Ste D	$84.14	393	125
Christine Connelly Saunders 1216 W Main St Ste A	$0.53	340	101
Hima Dalal 163 Charter Oak Rd	$60.91	224	65
Mark Christopher Edwards 800 N Lake Dr	$51.55	195	74
Fabiola Soria 113 E Main St Ste A	$71.66	152	67
Elizabeth Grace Cummings 114 N Church St	$73.99	137	68
Marybeth Garrett Crowetipton 720 Old Cherokee Rd	$89.22	133	59
Amy R Mefford 229 Saluda Springs Rd	$37.38	74	38
Melinda Sealy 225 Vista Springs Cir	$75.38	49	12
Lindsay Rae Curry 800 N Lake Dr	$30.52	37	12
Shannon B Berrian 811 W Main St Ste 205	$16.64	34	13
Julie Kleckley Shelley 734 Corley Mill Rd	$69.85	32	13
Ann Olivier 800 N Lake Dr	$46.34	17	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 Lexington, SC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Lexington, SC is $70.19 per claim, based on 131,680 claims from 41 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, SC?

There are 41 Medicaid providers offering Physical Therapy related services in Lexington, SC according to public payment data.

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

Medicaid reimbursement for Physical Therapy in Lexington, SC ranges from $0.53 to $91.43 per claim, with an average of $70.19. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Physical Therapy Payments in Lexington, SC: $70.19

Providers Offering Physical Therapy in Lexington, SC

What to Expect: Physical Therapy

Cost Components

Frequently Asked Questions

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