Average Medicaid Physical Therapy Payments in Ontario, OH: $41.60
Avg. Paid
$41.60
Range
$11.97 – $85.79
Total Claims
24,439
Providers
15
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 Ontario, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julie Ball
2003 W 4Th St |
$49.92 | 4,374 | 1,766 |
|
Ontario Local Schools
457 Shelby Ontario Road |
$24.20 | 4,124 | 1,621 |
|
Marc Mccuen
1750 W 4Th St |
$26.97 | 2,776 | 1,201 |
|
Kerry Ruhl
2011 W 4Th St |
$43.61 | 2,592 | 1,073 |
|
Felicia Lynn Albert
2003 W 4Th St Ste 205 |
$36.49 | 2,450 | 997 |
|
Dana Jo Hendrix
2003 W 4Th St Ste 205 |
$52.91 | 1,827 | 1,324 |
|
Amanda Alice Hoberg
2170 Stumbo Rd |
$41.76 | 1,400 | 465 |
|
Paris Andre'A Lacella
2003 W 4Th St Ste 205 |
$55.89 | 1,094 | 514 |
|
Cara Holt
2003 W 4Th St Ste 205 |
$39.30 | 1,045 | 559 |
|
Heather Haring
2003 W 4Th St |
$49.11 | 733 | 257 |
|
Jeremy Riehm
715 Richland Mall Ste 407 |
$76.11 | 642 | 162 |
|
Jordyn Hatcher
715 Richland Mall |
$85.79 | 538 | 102 |
|
Meredith Rose Spoon
2003 W 4Th St Ste 205 |
$52.09 | 534 | 220 |
|
Avita Ontario Hospital
715 Richland Mall |
$11.97 | 268 | 131 |
|
Anne Elizabeth Doup
2180 Stumbo Rd |
$40.42 | 42 | 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 Ontario, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Ontario, OH is $41.60 per claim, based on 24,439 claims from 15 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 Ontario, OH?
There are 15 Medicaid providers offering Physical Therapy related services in Ontario, OH according to public payment data.
What is the price range for Physical Therapy in Ontario, OH?
Medicaid reimbursement for Physical Therapy in Ontario, OH ranges from $11.97 to $85.79 per claim, with an average of $41.60. 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 Ontario, OH
Office Visit
Avg $53.20
213,794 claims
Home Health Visit
Avg $42.27
151,054 claims
Blood Work & Lab Tests
Avg $5.28
99,492 claims
Durable Medical Equipment (DME)
Avg $33.59
38,096 claims
Emergency Room Visit
Avg $92.70
32,450 claims
Urinalysis & Urine Tests
Avg $1.76
17,281 claims
Speech Therapy
Avg $34.31
16,864 claims
Tooth Extraction
Avg $74.81
14,038 claims