Average Medicaid Physical Therapy Payments in Mount Vernon, IL: $61.70
Avg. Paid
$61.70
Range
$8.26 – $233.14
Total Claims
18,401
Providers
11
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 Mount Vernon, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jill Burnett Lisk
4110 S Water Tower Pl |
$27.38 | 39 | 12 |
|
Jennifer Jo Gidley
4121 Veterans Memorial Dr |
$8.26 | 62 | 36 |
|
Hayden Klockenga
4121 Veterans Memorial Dr |
$11.79 | 96 | 46 |
|
Susan Christine Portner
4121 Veterans Memorial Dr |
$9.92 | 138 | 68 |
|
Jessica Marie Berry
1700 White St |
$233.14 | 145 | 84 |
|
Scott Murfin
4121 Veterans Memorial Dr |
$12.11 | 199 | 98 |
|
Stacie Chambliss
4121 Veterans Memorial Dr |
$9.27 | 310 | 76 |
|
National Healthcare Of Mt Vernon Inc
8 Doctors Park Rd |
$85.64 | 1,695 | 155 |
|
James M Mulvaney
1007 S 42Nd St |
$19.81 | 3,767 | 976 |
|
Good Samaritan Regional Health Center
1 Good Samaritan Way |
$83.83 | 5,344 | 789 |
|
Good Samaritan Regional Health Center
1 Good Samaritan Way |
$64.25 | 6,606 | 906 |
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 Mount Vernon, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Mount Vernon, IL is $61.70 per claim, based on 18,401 claims from 11 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 Mount Vernon, IL?
There are 11 Medicaid providers offering Physical Therapy related services in Mount Vernon, IL according to public payment data.
What is the price range for Physical Therapy in Mount Vernon, IL?
Medicaid reimbursement for Physical Therapy in Mount Vernon, IL ranges from $8.26 to $233.14 per claim, with an average of $61.70. 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
Avg $41.78
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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
2,229,957 claims · 556 providers
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