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Based on public Medicaid payment data.

Average Medicaid Physical Therapy Payments in Middletown, OH: $14.68

Avg. Paid

$14.68

Range

$9.73 – $78.04

Total Claims

93,124

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 Middletown, OH

Provider Avg. Paid Claims Patients
Middletown Board Of Education

1 Donham Plz Fl 4

$10.56 49,451 14,463
Madison Local Schools

1324 Middletown Eaton Rd

$14.30 9,040 3,153
Kathleen M Malone

323 N Breiel Blvd

$13.91 7,033 2,633
Casey A Jones

323 N Breiel Blvd

$14.66 6,018 2,371
Mark A Roser

323 N Breiel Blvd

$13.35 4,404 1,690
Karen Guo

4710 Timber Trail Dr

$27.31 3,893 1,305
Colleen M Paas

4710 Timber Trail Dr

$35.08 3,613 1,393
Summitacademycommunityschool-Middletown

4700 Central Avenue

$23.94 3,289 1,349
Lynne C Hauser

4710 Timber Trail Dr

$27.86 2,852 1,353
Anthony Ruscello

323 N Breiel Blvd

$13.32 931 457
Ronald J Hoehn

323 N Breiel Blvd

$28.51 832 205
Abilities First

4710 Timber Trail Dr

$26.44 450 176
Anna Whitacre

4710 Timber Trail Dr

$26.11 315 131
Karen Kaiser Eifert

323 N Breiel Blvd

$12.49 233 77
Emily Marie Weaver

4710 Timber Trail Dr

$37.51 233 84
Emily Kathryn Hicks

323 N Breiel Blvd

$12.90 228 65
Barbara P. Smith

5900 Long Meadow Dr

$9.73 114 50
Karl Koenig

323 N Breiel Blvd

$10.36 86 43
Anthony J Checroun

275 N Breiel Blvd

$78.04 45 12
Megan Anne Zien

323 N Breiel Blvd

$23.19 33 12
Rachel Menkedick

323 N Breiel Blvd

$71.74 31 13

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 Middletown, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Middletown, OH is $14.68 per claim, based on 93,124 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 Middletown, OH?

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

What is the price range for Physical Therapy in Middletown, OH?

Medicaid reimbursement for Physical Therapy in Middletown, OH ranges from $9.73 to $78.04 per claim, with an average of $14.68. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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