Average Medicaid Physical Therapy Payments in Mount Vernon, WA: $27.22
Avg. Paid
$27.22
Range
$0.00 – $85.16
Total Claims
77,764
Providers
39
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, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Public Hospital Dist No 1 Skagit
1415 E Kincaid St |
$23.10 | 29,833 | 15,725 |
|
Jeffrey A Walton
1901 Hoag Rd Ste B |
$18.66 | 13,531 | 5,645 |
|
Karen Joy Pederson
1415 E Kincaid St |
$53.87 | 4,171 | 2,181 |
|
Brian A. Marrs
2116 E Section St Ste B17 |
$26.59 | 3,506 | 1,466 |
|
Brianne Helen Lynch
1901 Hoag Rd Ste B |
$24.74 | 2,576 | 1,360 |
|
Ruth E Richmond
320 Pacific Pl |
$27.96 | 2,529 | 699 |
|
Ashley Helene Douglass
920 S 2Nd St |
$53.01 | 2,476 | 990 |
|
Peter Kolodychuk
2116 E Section St Ste B17 |
$23.09 | 2,420 | 988 |
|
Lisa Gayle
1415 E Kincaid St |
$68.56 | 1,721 | 656 |
|
Donna J Klein
1401 S Laventure Rd |
$20.06 | 1,708 | 758 |
|
Mark Z Jamantoc
1901 Hoag Rd Ste B |
$22.25 | 1,475 | 824 |
|
Kasey Marie Swanson
300 S 18Th St |
$19.50 | 1,459 | 758 |
|
Leanna Joy Long Serrano
98274 Nookachamp Hills Dr |
$13.96 | 1,437 | 829 |
|
Benedict Joseph Cooley
2225 Riverside Dr |
$35.23 | 1,379 | 520 |
|
Patrick S Mcbride
110 N Laventure Rd |
$39.90 | 1,249 | 388 |
|
Amanda Sue Moe
1415 E Kincaid St |
$18.80 | 857 | 517 |
|
Dylan John Sykes
2116 E Section St |
$27.18 | 812 | 512 |
|
Elaina L Smaby
300 Hospital Parkway |
$34.96 | 776 | 507 |
|
Rachel E Morse
1415 E Kincaid St |
$72.95 | 764 | 350 |
|
Public Hospital Dist No 1 Skagit
1901 Hoag Road |
$30.75 | 481 | 245 |
|
Galit Shilo
920 S 2Nd St |
$11.86 | 381 | 151 |
|
Johanna Brown
320 Pacific Pl |
$13.34 | 284 | 111 |
|
Lookout Post Acute, Llc
300 S 18Th St |
$0.00 | 262 | 51 |
|
Ryan Charles Coonc
111 N 17Th St |
$14.02 | 252 | 139 |
|
Laura Beth Torseth
1500 Continental Place |
$45.62 | 247 | 123 |
|
Sandra J Miracle
111 S 12Th St |
$40.73 | 219 | 95 |
|
Sean Ryan Dodson
110 N Laventure Rd Ste A |
$21.76 | 158 | 66 |
|
Katelyn Wolfram
110 N Laventure Rd Ste A |
$30.96 | 132 | 66 |
|
Kristi J Kersten-Tenborg
1009 N 8Th St |
$50.93 | 115 | 40 |
|
Dana Sturtz
1415 E Kincaid St |
$23.08 | 104 | 52 |
|
Brielle Elizabeth Kadrmas
110 N Laventure Rd Ste A |
$23.53 | 93 | 39 |
|
Michael Ge Thomas
2320 Freeway Drive |
$33.90 | 75 | 24 |
|
Megan Casey Douglas
110 North Laventure Road |
$32.00 | 57 | 24 |
|
Rocio Mcclelland
320 Pacific Pl |
$17.58 | 55 | 52 |
|
Shaun Marie Wesen
320 Pacific Pl |
$81.57 | 54 | 27 |
|
Ruth C. Boswell
320 Pacific Pl |
$85.16 | 44 | 25 |
|
Katelyn Lanning
320 Pacific Pl |
$39.48 | 27 | 14 |
|
Gwen Amelia Brown
320 Pacific Pl |
$77.33 | 23 | 12 |
|
Jessica K. Fletcher
1415 E Kincaid St |
$72.29 | 22 | 12 |
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, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Mount Vernon, WA is $27.22 per claim, based on 77,764 claims from 39 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, WA?
There are 39 Medicaid providers offering Physical Therapy related services in Mount Vernon, WA according to public payment data.
What is the price range for Physical Therapy in Mount Vernon, WA?
Medicaid reimbursement for Physical Therapy in Mount Vernon, WA ranges from $0.00 to $85.16 per claim, with an average of $27.22. 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 Mount Vernon, WA
Blood Work & Lab Tests
Avg $8.04
612,342 claims
Office Visit
Avg $54.16
521,967 claims
Emergency Room Visit
Avg $97.48
169,367 claims
Vaccines & Immunizations
Avg $10.77
130,964 claims
X-Ray
Avg $15.08
129,151 claims
Urinalysis & Urine Tests
Avg $1.79
128,777 claims
EKG / ECG (Electrocardiogram)
Avg $5.92
91,094 claims
Dental Cleaning & Exam
Avg $29.14
64,383 claims