Average Medicaid Physical Therapy Payments in Monroeville, PA: $31.45
Avg. Paid
$31.45
Range
$1.38 – $136.01
Total Claims
34,321
Providers
30
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 Monroeville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ted Matthews
905 Hamlet Ct |
$25.38 | 12,100 | 3,000 |
|
Michael Anthony Pirollo
3940 Monroeville Blvd |
$14.65 | 3,110 | 1,227 |
|
William Robert Briscoe
1 Racquet Ln |
$16.48 | 2,257 | 1,238 |
|
Shelby Hoblit
3824 Northern Pike Ste 660 |
$9.11 | 1,606 | 545 |
|
Kaylee Jordan Roles
600 Oxford Dr |
$12.57 | 1,594 | 937 |
|
Gateway School District
9000 Gateway Campus Blvd |
$51.80 | 1,354 | 547 |
|
Sydney E Gabriel
161 Kelvington Dr |
$136.01 | 1,333 | 562 |
|
Tyler Palenchak
2775 Mosside Blvd |
$19.06 | 1,322 | 498 |
|
James Robert Didiano
2550 Mosside Blvd |
$21.39 | 1,121 | 391 |
|
James T Redshaw
2580 Haymaker Rd Ste 104 |
$127.68 | 1,081 | 177 |
|
Jenna Nicole Kotcher
600 Oxford Dr Ste 310 |
$14.89 | 1,057 | 566 |
|
Jeane Elizabeth Mills
766 Illini Dr |
$123.85 | 879 | 375 |
|
Joseph Edward Riddle
421 Mall Circle Dr |
$12.55 | 858 | 300 |
|
Jillian Marie Kalkstein
3961 Monroeville Blvd |
$17.09 | 707 | 333 |
|
Daniel Mccann
200 James Pl Ste 403 |
$16.61 | 663 | 353 |
|
Emily Maley
4055 Monroeville Blvd |
$11.08 | 632 | 244 |
|
Benjamin Jason Shultz
2686 Monroeville Blvd |
$28.58 | 479 | 100 |
|
Dean Grabigel
3747 William Penn Hwy |
$13.53 | 448 | 111 |
|
Terrence Taylor
1 Racquet Ln |
$8.67 | 377 | 127 |
|
Thomas O'Malley
1 Racquet Ln |
$14.42 | 290 | 114 |
|
Stephanie Haupt
4055 Monroeville Blvd |
$32.00 | 235 | 117 |
|
Brad Robb Schaffer
4205 Northern Pike |
$16.06 | 196 | 51 |
|
Rosalyn Drahnak
4055 Monroeville Blvd |
$13.54 | 185 | 71 |
|
Lindsey T Nies
4017 William Penn Hwy |
$20.84 | 142 | 24 |
|
Cindy Bakow
2550 Mosside Blvd Ste 500 |
$34.53 | 86 | 85 |
|
Anna Kamelin
600 Oxford Dr |
$23.23 | 68 | 55 |
|
Taylor Kaseler
4055 Monroeville Blvd Bldg 1200 |
$40.00 | 53 | 24 |
|
Amanda Stroh
600 Oxford Dr Ste 310 |
$11.83 | 41 | 13 |
|
Ally Zukowski
4055 Monroeville Blvd Bldg 1 |
$13.05 | 28 | 16 |
|
Steven R Wolfe
2550 Mosside Blvd Ste 500 |
$1.38 | 19 | 18 |
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 Monroeville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Monroeville, PA is $31.45 per claim, based on 34,321 claims from 30 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 Monroeville, PA?
There are 30 Medicaid providers offering Physical Therapy related services in Monroeville, PA according to public payment data.
What is the price range for Physical Therapy in Monroeville, PA?
Medicaid reimbursement for Physical Therapy in Monroeville, PA ranges from $1.38 to $136.01 per claim, with an average of $31.45. 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 Monroeville, PA
Office Visit
Avg $19.11
280,109 claims
Blood Work & Lab Tests
Avg $5.83
100,573 claims
Emergency Room Visit
Avg $97.78
63,360 claims
Home Health Visit
Avg $194.93
37,108 claims
EKG / ECG (Electrocardiogram)
Avg $6.68
31,010 claims
Urinalysis & Urine Tests
Avg $0.60
24,590 claims
Durable Medical Equipment (DME)
Avg $40.12
23,771 claims
Chiropractic Care
Avg $17.59
17,306 claims