Average Medicaid Physical Therapy Payments in Lima, OH: $43.57
Avg. Paid
$43.57
Range
$0.00 – $92.02
Total Claims
98,837
Providers
27
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 Lima, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jason Roberts
1001 Bellefontaine Ave |
$85.85 | 28 | 14 |
|
Selvon F St. Clair
801 Medical Dr |
$92.02 | 39 | 12 |
|
Bradley J Marzec
770 W High St |
$58.16 | 46 | 13 |
|
Aleksey A Prok
1003 Bellefontaine Ave Ste 100 |
$83.51 | 46 | 14 |
|
Gordon R Estlack
801 Medical Dr Ste A |
$19.60 | 71 | 25 |
|
Ryan J Mcneilan
801 Medical Dr Ste A |
$81.48 | 76 | 26 |
|
Kira Carr
1110 Shawnee Rd |
$75.41 | 215 | 84 |
|
Frank M Baldauf
131 Kensington Cir |
$0.00 | 216 | 25 |
|
Heather M Smith
801 Medical Dr Ste A |
$15.79 | 257 | 74 |
|
Andrew Alan Lyons
1100 Shawnee Rd |
$18.94 | 290 | 80 |
|
Edward L Tremoulis
915 W Market St |
$1.12 | 371 | 56 |
|
Raymond Anthony Aschettino
3063 W Elm St |
$26.28 | 386 | 115 |
|
Joshua L Baker
801 Medical Dr Ste A |
$24.74 | 421 | 119 |
|
Kyle T Shroll
801 Medical Dr Ste A |
$20.32 | 440 | 150 |
|
Gregory B Parranto
1550 N Main St |
$0.00 | 577 | 54 |
|
Mark G Mcdonald
801 Medical Dr |
$67.76 | 712 | 236 |
|
William Wei-Jung Chang
770 W High St Ste 160 |
$58.96 | 819 | 292 |
|
Kelly Sue Kuether
1100 Shawnee Rd |
$16.11 | 922 | 356 |
|
Haley C Phillips
3349 Wilbur Dr |
$40.77 | 1,416 | 479 |
|
Kent Brandeberry
3224 Jarvis Dr |
$0.16 | 2,000 | 246 |
|
Perry Local School
2770 E Breese Rd |
$26.75 | 2,167 | 992 |
|
Shawnee Local School District
3255 Zurmehly Rd |
$22.04 | 3,508 | 1,601 |
|
Bath Local School District
2650 Bible Rd |
$23.40 | 5,026 | 2,167 |
|
West Central Ohio Group Ltd.
801 Medical Dr |
$57.54 | 6,683 | 1,851 |
|
Lima City Schools
515 Calumet Ave |
$20.46 | 15,643 | 8,065 |
|
Lima Memorial Joint Operating Company
1001 Bellefontaine Ave |
$56.90 | 19,391 | 7,370 |
|
Mercy Health-St Ritas Medical Center Llc
730 W Market St |
$53.94 | 37,071 | 13,745 |
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 Lima, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Lima, OH is $43.57 per claim, based on 98,837 claims from 27 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 Lima, OH?
There are 27 Medicaid providers offering Physical Therapy related services in Lima, OH according to public payment data.
What is the price range for Physical Therapy in Lima, OH?
Medicaid reimbursement for Physical Therapy in Lima, OH ranges from $0.00 to $92.02 per claim, with an average of $43.57. 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
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Office Visit
Avg $37.97
1,104,248 claims
Blood Work & Lab Tests
Avg $4.95
627,203 claims
Home Health Visit
Avg $43.26
488,523 claims
Emergency Room Visit
Avg $86.27
360,245 claims
Psychiatric Evaluation
Avg $44.82
315,369 claims
Dental Cleaning & Exam
Avg $17.77
283,150 claims
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Avg $85.46
248,726 claims
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Avg $6.53
204,022 claims