Average Medicaid Physical Therapy Payments in Mason, OH: $25.56
Avg. Paid
$25.56
Range
$8.13 – $77.88
Total Claims
30,747
Providers
14
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 Mason, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lea Buckenmyer
2150 Kings Mills Rd |
$9.51 | 78 | 38 |
|
Marc T Galloway
7423 S Mason Montgomery Rd |
$77.67 | 157 | 52 |
|
Jason L Privett
7450 S Mason Montgomery Rd |
$8.13 | 248 | 79 |
|
James D Abbott
5470 Kings Island Drive |
$77.88 | 293 | 77 |
|
Erin Ashley Butler
9560 Children Dr |
$70.16 | 296 | 130 |
|
Brian J Hoffman
7450 S Mason Montgomery Rd |
$12.50 | 382 | 98 |
|
Susan Katherine Walters
5059 Village Green Dr |
$21.88 | 556 | 251 |
|
Andrew Wynsen
4859 Nixon Park Dr |
$22.99 | 1,064 | 442 |
|
Kristen Meyer
7312 Central Parke Blvd |
$24.85 | 1,162 | 338 |
|
Justin William Florek
6213 Snider Road |
$18.36 | 1,441 | 644 |
|
Alissa Marie Conde
9560 Children'S Drive |
$64.15 | 2,435 | 1,081 |
|
Allie Williams
5422 Bentwood Dr |
$24.73 | 2,805 | 613 |
|
Alexandra Elizabeth Combs
7264 Columbia Rd Ste 1000 |
$30.58 | 6,283 | 1,673 |
|
Mason City School District
211 N East St |
$15.72 | 13,547 | 4,683 |
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 Mason, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Mason, OH is $25.56 per claim, based on 30,747 claims from 14 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 Mason, OH?
There are 14 Medicaid providers offering Physical Therapy related services in Mason, OH according to public payment data.
What is the price range for Physical Therapy in Mason, OH?
Medicaid reimbursement for Physical Therapy in Mason, OH ranges from $8.13 to $77.88 per claim, with an average of $25.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Physical Therapy in Other Cities
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Avg $36.50
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New York, NY
Avg $39.29
5,089,280 claims · 527 providers
Phoenix, AZ
Avg $44.43
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Louisville, KY
Avg $91.42
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Miami, FL
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Bronx, NY
Avg $33.00
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Indianapolis, IN
Avg $33.23
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Las Vegas, NV
Avg $41.92
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